Researchers caution that further follow-up data are needed before any definitive conclusions could be drawn regarding the effect of CT scans on cardiovascular outcomes. Still, they said the data suggest that CT scans considerably clarify the diagnosis and result in more timely focused remedies, which may in turn impact cardiovascular outcomes. Interestingly, as the use of CT scans appeared to raise the certainty of the medical diagnosis of angina because of coronary artery disease, the entire frequency of this diagnosis was reduced.Anal Fissure Medical Treatment With anal fissures, there is a vicious cycle of constipation causing pain, which makes the rectal sphincter muscles go into spasm. This causes more pain and spasms, that produce having a bowel motion more difficult and worsens the constipation. Initial treatments for anal fissures that are very successful are made to make the stool softer frequently, easier to move, and prevent constipation. Drinking more fluids and eating a higher fiber diet could be supplemented by stool softeners and bulking agents. Occasionally laxatives enable you to help promote a bowel motion but their long-term use is not always appropriate.