The cause of anal fissure may be a hard bowel movement, which is associated with diets low in .
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 34-year-old woman comes to the emergency department because of painful defecation and blood in her stool. She has a history of irritable bowel disease and says she has recently become more constipated. She says that since the birth of her child, her bowel movements have been very painful and she has noticed bright red blood on the toilet paper. She likens the pain to passing shards of glass. Examination shows a superficial tear in her anoderm. She is currently breastfeeding. Which of the following is the most appropriate initial treatment?