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How do you fix a fissure in the anus?

A: Rectal Glyceryl trinitrate

How do you fix GERD?

A: For the majority of people weight loss and dietary changes will do the job

How do you fix Crohns?

A: You don’t ’fix’ Crohn’s per se as there is no cure. But most people with Crohn’s can be have their disease managed well with -mab medications

In all those conditions you named surgical management is very much at the end of the list and for a minority of patients who do not respond to the above. The first line management in all of these conditions very much does look at ‘fixing the problem’ contrary to what your espousing.



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