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Can a chronic fissure heal on its own? Acute anal fissures -- the ones that don't last longer than 6 weeks -- are common and usually heal on their own with self-care. Chronic anal fissures -- those that last longer than 6 weeks -- may need medicine or surgery to help them heal. What is the effect of diltiazem? Hypotension (low blood pressure) may occur while taking this medicine. Check with your doctor right away if you have the following symptoms: blurred vision, confusion, severe dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly, sweating, or unusual tiredness or weakness.. Is Tildiem the same as diltiazem? Tildiem contains a medicine called diltiazem hydrochloride. This belongs to a group of medicines called 'calcium-channel blockers'. It works by making your blood vessels wider, which makes it easier for your heart to pump blood around the body. Are fissures dangerous? Too much pressure, tight anal sphincter muscles, and poor blood supply to your anus may lead to their development and poor healing. Anal fissures don't usually give way to more serious problems. They don't cause cancer. But they can be very uncomfortable.
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