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Injection usually improves symptoms for a few months, but in many cases the injections need to be repeated. A continence nurse and specialist physiotherapist are healthcare professionals who specialise in bladder and bowel problems. Following these investigations, your GP may decide to send you to a specialist who may investigate further and you may need to undergo some common tests and procedures. They can open when you have a bowel movement and may continue to hurt afterwards. Anal fissures are splits around the anus. You may find it useful to have a read of our haemorrhoids, anal tears and fissures treatments page. Your GP will help to evaluate your problem and may use the following procedures when examining you:.

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