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Following surgery, biopsies and Botox 3 weeks ago, the pain has eased but not gone. The most common cause of non-healing is spasming of the internal anal sphincter muscle which results in impaired blood supply to the anal mucosa. Skin problems, such as acne and dermatitis, make individuals more susceptible to boils and carbuncles. It also is possible that the increased pressure in the anal canal due to spasm of the internal anal sphincter may compress the blood vessels of the anal canal and further reduce the flow of blood. I faced fissure problem in a year 3 to 4 times. Totally understand your pain.
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