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What is What are the similarities between fissure in ano and achalasia cardia? and explain in detail?
Achalasia cardia Fissure in ano - Absence of relaxation of LES - Spasm of internal anal sphincter - LES - Smooth muscle - IAS - Smooth muscle - Nitrates & CCB'S are used - 0.2 % Nitroglycerin; 2 % Diltiazem local application - Botox injection - | Ach - Relax sphincter -Botox injection - TOC - Laparoscopic Heller's myotomy|Circular fibers divided TOC- Notaras lateral sphincterotomy