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Lifestyle changes, including a diet high in fiber, fruits, vegetables, and grains for bulk, as well as good bowel habits, can prevent a recurrence. When comparing lateral internal sphincterotomy to topical glyceryl trinitrate, calcium channel blockers and botulinum toxin injection, lateral internal sphincterotomy is clearly superior in terms of healing rates. Wound care protocol Dr. If the patient cannot consume this amount of fiber from dietary sources, over-the-counter fiber supplements may be needed. The typical dosing of either 0.

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