Dicyclomine for medical management of persistent anal fissure with associated spasm of the internal sphincter.

Author(s): Miller LG, Rogers JC, Brown EB, Perkins G

Affiliation(s): Department of Family Medicine, Baylor College of Medicine, Houston, Tex.

Publication date & source: 1992-11, Tex Med., 88(11):65-6.

Publication type: Case Reports

The case of a 43-year-old woman with persistent anal fissure responsive to dicyclomine is described. Associated spasm of the internal sphincter had precluded fissure healing. The spasm of the internal sphincter relaxed within 24 hours of dicyclomine administration and subsequently allowed healing. Surgery was avoided.