{"id":82,"date":"2026-09-17T04:14:47","date_gmt":"2026-09-17T04:14:47","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=82"},"modified":"2026-10-19T15:51:05","modified_gmt":"2026-10-19T15:51:05","slug":"fisuras-anales","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/fisuras-anales\/","title":{"rendered":"Fisuras anales"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t\r\n\r\n\r\n\r\n\r\nFisuras anales \u2014 Dr. Nelson Mu\u00f1oz, Coloproct\u00f3logo en Temuco<\/title>\r\n<link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\r\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Inter:wght@400;500;600;700;800&display=swap\" rel=\"stylesheet\">\r\n<\/head>\r\n<body>\r\n\r\n<section class=\"herofis-nm\">\r\n <style>\r\n .herofis-nm {\r\n --araucaria: #2A4736;\r\n --volcanic: #343A40;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --soft: #eef1ec;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n position: relative;\r\n padding: 56px 0 64px;\r\n border-bottom: 1px solid var(--line);\r\n overflow: hidden;\r\n }\r\n .herofis-nm * { box-sizing: border-box; }\r\n .herofis-nm a { text-decoration: none !important; }\r\n .herofis-nm a:link, .herofis-nm a:visited, .herofis-nm a:hover, .herofis-nm a:active, .herofis-nm a:focus {\r\n text-decoration: none !important;\r\n }\r\n .herofis-nm .wrap-hf {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n position: relative;\r\n z-index: 1;\r\n }\r\n .herofis-nm .watermark-hf {\r\n position: absolute;\r\n right: -60px;\r\n top: -40px;\r\n width: 420px;\r\n opacity: .06;\r\n z-index: 0;\r\n pointer-events: none;\r\n }\r\n\r\n .herofis-nm .crumbs-hf {\r\n display: flex;\r\n align-items: baseline;\r\n gap: 10px;\r\n margin-bottom: 30px;\r\n flex-wrap: wrap;\r\n }\r\n .herofis-nm .crumbs-hf a {\r\n font-family: var(--sans);\r\n font-size: 13.5px;\r\n font-weight: 600;\r\n color: var(--muted);\r\n transition: color .2s ease;\r\n }\r\n .herofis-nm .crumbs-hf a:hover { color: var(--araucaria); }\r\n .herofis-nm .crumbs-hf .sep-hf {\r\n font-family: var(--serif);\r\n color: var(--line);\r\n font-size: 15px;\r\n }\r\n .herofis-nm .crumbs-hf .current-hf {\r\n font-family: var(--serif);\r\n font-style: italic;\r\n font-size: 15px;\r\n color: var(--araucaria);\r\n letter-spacing: -.01em;\r\n }\r\n\r\n .herofis-nm .kicker-hf {\r\n display: block;\r\n font-family: var(--sans);\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 18px;\r\n }\r\n\r\n .herofis-nm .grid-hf {\r\n display: grid;\r\n grid-template-columns: 1.4fr .9fr;\r\n gap: 48px;\r\n align-items: start;\r\n }\r\n\r\n .herofis-nm h1.title-hf {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.035em;\r\n line-height: 1.05;\r\n color: var(--araucaria);\r\n font-size: clamp(36px, 4.6vw, 54px);\r\n margin: 0 0 20px;\r\n }\r\n .herofis-nm .sub-hf {\r\n font-size: clamp(16px, 1.6vw, 18px);\r\n color: var(--muted);\r\n line-height: 1.6;\r\n margin: 0;\r\n max-width: 620px;\r\n }\r\n\r\n .herofis-nm .card-doc-hf {\r\n background: var(--soft);\r\n border: 1px solid var(--line);\r\n border-radius: 16px;\r\n padding: 26px;\r\n }\r\n .herofis-nm .doc-name-hf {\r\n font-family: var(--serif);\r\n font-size: 17px;\r\n color: var(--araucaria);\r\n margin: 0 0 4px;\r\n line-height: 1.3;\r\n }\r\n .herofis-nm .doc-role-hf {\r\n font-size: 13px;\r\n color: var(--muted);\r\n margin: 0 0 18px;\r\n line-height: 1.45;\r\n padding-bottom: 18px;\r\n border-bottom: 1px solid var(--line);\r\n }\r\n .herofis-nm .btn-primary-hf {\r\n display: inline-flex;\r\n align-items: center;\r\n justify-content: center;\r\n gap: 8px;\r\n width: 100%;\r\n background: linear-gradient(135deg,#355c43,var(--araucaria) 55%,#1e3527);\r\n color: var(--white);\r\n font-family: var(--sans);\r\n font-weight: 600;\r\n font-size: 14.5px;\r\n padding: 13px 22px;\r\n border-radius: 999px;\r\n box-shadow: 0 8px 20px rgba(42,71,54,.25);\r\n transition: transform .2s ease, box-shadow .2s ease;\r\n }\r\n .herofis-nm .btn-primary-hf:hover {\r\n transform: translateY(-2px);\r\n box-shadow: 0 12px 26px rgba(42,71,54,.32);\r\n }\r\n .herofis-nm .btn-primary-hf svg { flex-shrink: 0; }\r\n\r\n @media (max-width: 900px) {\r\n .herofis-nm .grid-hf { grid-template-columns: 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .herofis-nm { padding: 40px 0 44px; }\r\n .herofis-nm .watermark-hf { display: none; }\r\n }\r\n <\/style>\r\n\r\n <img decoding=\"async\" class=\"watermark-hf\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\">\r\n\r\n <div class=\"wrap-hf\">\r\n <nav class=\"crumbs-hf\" aria-label=\"breadcrumb\">\r\n <a href=\"#\">Inicio<\/a>\r\n <span class=\"sep-hf\">\/<\/span>\r\n <a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a>\r\n <span class=\"sep-hf\">\/<\/span>\r\n <span class=\"current-hf\">Fisuras anales<\/span>\r\n <\/nav>\r\n\r\n <span class=\"kicker-hf\">Enfermedades anorrectales<\/span>\r\n\r\n <div class=\"grid-hf\">\r\n <div>\r\n <h1 class=\"title-hf\">Fisuras anales \u2014 tratamiento con un coloproct\u00f3logo en Temuco<\/h1>\r\n <p class=\"sub-hf\">Un dolor desproporcionado a una herida peque\u00f1a. Se puede tratar de forma m\u00e9dica o requerir cirug\u00eda.<\/p>\r\n <\/div>\r\n\r\n <div class=\"card-doc-hf\">\r\n <p class=\"doc-name-hf\">Dr. Nelson Mu\u00f1oz P\u00e9rez<\/p>\r\n <p class=\"doc-role-hf\">Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p>\r\n <a href=\"#\" class=\"btn-primary-hf\">\r\n <svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>\r\n Escribir por WhatsApp\r\n <\/a>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/HERO-FIS-NM ===================== -->\r\n\r\n\r\n<!-- ===================== PERSP-FIS-NM :: LA PERSPECTIVA DEL CIRUJANO ===================== -->\r\n<section class=\"perspfis-nm\">\r\n <style>\r\n .perspfis-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .perspfis-nm * { box-sizing: border-box; }\r\n .perspfis-nm .wrap-pf {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n max-width: 860px;\r\n }\r\n .perspfis-nm .kicker-pf {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .perspfis-nm h2.title-pf {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 28px;\r\n line-height: 1.15;\r\n }\r\n .perspfis-nm p.body-pf {\r\n font-size: 16.5px;\r\n line-height: 1.75;\r\n color: var(--volcanic);\r\n margin: 0 0 20px;\r\n }\r\n .perspfis-nm blockquote.quote-pf {\r\n font-family: var(--serif);\r\n font-style: italic;\r\n font-size: clamp(19px, 2vw, 23px);\r\n line-height: 1.5;\r\n color: var(--araucaria);\r\n border-left: 3px solid var(--terracota);\r\n padding: 6px 0 6px 26px;\r\n margin: 32px 0 0;\r\n }\r\n @media (max-width: 640px) {\r\n .perspfis-nm { padding: 48px 0; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-pf\">\r\n <span class=\"kicker-pf\">La perspectiva del cirujano<\/span>\r\n <h2 class=\"title-pf\">Un dolor que no calza con el tama\u00f1o de la herida.<\/h2>\r\n <p class=\"body-pf\">La fisura anal es una de las causas de dolor anal m\u00e1s intensas que existen, y muchas veces el paciente llega angustiado porque el dolor no calza con lo que espera de \u00abuna herida peque\u00f1a\u00bb. Tiene sentido: el dolor no viene solo del corte, sino del espasmo del esf\u00ednter que se produce alrededor de \u00e9l, y ese espasmo es justamente lo que impide que la fisura cicatrice.<\/p>\r\n <p class=\"body-pf\">Mi primer objetivo casi siempre es romper ese c\u00edrculo con tratamiento m\u00e9dico, no con cirug\u00eda. La mayor\u00eda de las fisuras agudas responde bien a un manejo bien indicado; la cirug\u00eda la reservo para las que se cronifican o no ceden pese a un tratamiento m\u00e9dico adecuado.<\/p>\r\n <blockquote class=\"quote-pf\">\"El dolor no viene solo del corte, sino del espasmo del esf\u00ednter que se produce alrededor de \u00e9l.\"<\/blockquote>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/PERSP-FIS-NM ===================== -->\r\n\r\n\r\n<!-- ===================== SINTOMAS-FIS-NM :: SINTOMAS MAS COMUNES ===================== -->\r\n<section class=\"sintomasfis-nm\">\r\n <style>\r\n .sintomasfis-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --soft: #eef1ec;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--soft);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .sintomasfis-nm * { box-sizing: border-box; }\r\n .sintomasfis-nm .wrap-sf {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n }\r\n .sintomasfis-nm .kicker-sf {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .sintomasfis-nm h2.title-sf {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 32px;\r\n line-height: 1.15;\r\n max-width: 700px;\r\n }\r\n .sintomasfis-nm .grid-sf {\r\n display: grid;\r\n grid-template-columns: repeat(3, 1fr);\r\n gap: 18px;\r\n }\r\n .sintomasfis-nm .item-sf {\r\n background: var(--white);\r\n border: 1px solid var(--line);\r\n border-radius: 14px;\r\n padding: 20px 22px;\r\n display: flex;\r\n align-items: flex-start;\r\n gap: 12px;\r\n font-size: 15px;\r\n line-height: 1.5;\r\n color: var(--volcanic);\r\n transition: transform .22s ease, box-shadow .22s ease, border-color .22s ease;\r\n }\r\n .sintomasfis-nm .item-sf:hover {\r\n transform: translateY(-3px);\r\n box-shadow: 0 12px 26px rgba(42,71,54,.1);\r\n border-color: var(--araucaria);\r\n }\r\n .sintomasfis-nm .item-sf svg {\r\n flex-shrink: 0;\r\n color: var(--terracota);\r\n margin-top: 2px;\r\n }\r\n @media (max-width: 900px) {\r\n .sintomasfis-nm .grid-sf { grid-template-columns: 1fr 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .sintomasfis-nm { padding: 48px 0; }\r\n .sintomasfis-nm .grid-sf { grid-template-columns: 1fr; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-sf\">\r\n <span class=\"kicker-sf\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span>\r\n <h2 class=\"title-sf\">S\u00edntomas m\u00e1s comunes<\/h2>\r\n\r\n <div class=\"grid-sf\">\r\n <div class=\"item-sf\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Dolor agudo, tipo corte o ardor, durante y despu\u00e9s de evacuar<\/div>\r\n <div class=\"item-sf\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Sangrado rojo brillante, habitualmente escaso, en el papel higi\u00e9nico<\/div>\r\n <div class=\"item-sf\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Espasmo del esf\u00ednter anal<\/div>\r\n <div class=\"item-sf\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>Picaz\u00f3n o irritaci\u00f3n local<\/div>\r\n <div class=\"item-sf\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"><\/line><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"><\/line><\/svg>En fisuras cr\u00f3nicas, un pliegue de piel palpable (plicoma centinela) en el borde<\/div>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/SINTOMAS-FIS-NM ===================== -->\r\n\r\n\r\n<!-- ===================== CLASIF-FIS-NM :: CLASIFICACION AGUDA VS CRONICA ===================== -->\r\n<section class=\"clasiffis-nm\">\r\n <style>\r\n .clasiffis-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .clasiffis-nm * { box-sizing: border-box; }\r\n .clasiffis-nm .wrap-cf {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n }\r\n .clasiffis-nm .kicker-cf {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .clasiffis-nm h2.title-cf {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 16px;\r\n }\r\n .clasiffis-nm p.intro-cf {\r\n font-size: 16px;\r\n color: var(--muted);\r\n line-height: 1.65;\r\n max-width: 820px;\r\n margin: 0 0 36px;\r\n }\r\n .clasiffis-nm .grid-cf {\r\n display: grid;\r\n grid-template-columns: repeat(2, 1fr);\r\n gap: 20px;\r\n }\r\n .clasiffis-nm .card-cf {\r\n background: var(--araucaria);\r\n border-radius: 16px;\r\n padding: 30px 28px;\r\n color: var(--white);\r\n transition: transform .25s ease, box-shadow .25s ease;\r\n }\r\n .clasiffis-nm .card-cf:hover {\r\n transform: translateY(-5px);\r\n box-shadow: 0 16px 32px rgba(42,71,54,.28);\r\n }\r\n .clasiffis-nm .label-cf {\r\n font-family: var(--serif);\r\n font-size: 22px;\r\n color: #f2d9c6;\r\n margin-bottom: 12px;\r\n display: block;\r\n }\r\n .clasiffis-nm .desc-cf {\r\n font-size: 15px;\r\n line-height: 1.6;\r\n color: #e7ede8;\r\n margin: 0;\r\n }\r\n @media (max-width: 900px) {\r\n .clasiffis-nm .grid-cf { grid-template-columns: 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .clasiffis-nm { padding: 48px 0; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-cf\">\r\n <span class=\"kicker-cf\">Clasificaci\u00f3n<\/span>\r\n <h2 class=\"title-cf\">Fisura aguda vs. cr\u00f3nica<\/h2>\r\n <p class=\"intro-cf\">Se distingue entre la fisura aguda y la fisura cr\u00f3nica, y esa diferencia orienta directamente el tratamiento.<\/p>\r\n\r\n <div class=\"grid-cf\">\r\n <div class=\"card-cf\">\r\n <span class=\"label-cf\">Aguda<\/span>\r\n <p class=\"desc-cf\">De aparici\u00f3n reciente y bordes limpios.<\/p>\r\n <\/div>\r\n <div class=\"card-cf\">\r\n <span class=\"label-cf\">Cr\u00f3nica<\/span>\r\n <p class=\"desc-cf\">Persiste m\u00e1s de seis a ocho semanas y suele mostrar bordes indurados, fibra muscular expuesta y, a veces, un plicoma asociado.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/CLASIF-FIS-NM ===================== -->\r\n\r\n\r\n<!-- ===================== TRAT-FIS-NM :: TRATAMIENTOS NO QUIRURGICO Y QUIRURGICO ===================== -->\r\n<section class=\"tratfis-nm\">\r\n <style>\r\n .tratfis-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --soft: #eef1ec;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--soft);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .tratfis-nm * { box-sizing: border-box; }\r\n .tratfis-nm .wrap-tf {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n }\r\n .tratfis-nm .kicker-tf {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .tratfis-nm h2.title-tf {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 40px;\r\n }\r\n .tratfis-nm .cols-tf {\r\n display: grid;\r\n grid-template-columns: 1fr 1fr;\r\n gap: 40px;\r\n }\r\n .tratfis-nm .col-label-tf {\r\n font-family: var(--sans);\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .12em;\r\n text-transform: uppercase;\r\n color: var(--araucaria);\r\n margin-bottom: 20px;\r\n padding-bottom: 14px;\r\n border-bottom: 2px solid var(--araucaria);\r\n }\r\n .tratfis-nm .proc-tf {\r\n background: var(--white);\r\n border: 1px solid var(--line);\r\n border-radius: 14px;\r\n padding: 22px 24px;\r\n margin-bottom: 16px;\r\n transition: box-shadow .22s ease, border-color .22s ease, transform .22s ease;\r\n }\r\n .tratfis-nm .proc-tf:hover {\r\n transform: translateY(-3px);\r\n box-shadow: 0 14px 28px rgba(42,71,54,.1);\r\n border-color: var(--araucaria);\r\n }\r\n .tratfis-nm .proc-tf h3 {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.015em;\r\n color: var(--araucaria);\r\n font-size: 19px;\r\n margin: 0 0 8px;\r\n }\r\n .tratfis-nm .proc-tf p {\r\n font-size: 14.5px;\r\n line-height: 1.55;\r\n color: var(--muted);\r\n margin: 0;\r\n }\r\n @media (max-width: 900px) {\r\n .tratfis-nm .cols-tf { grid-template-columns: 1fr; gap: 32px; }\r\n }\r\n @media (max-width: 640px) {\r\n .tratfis-nm { padding: 48px 0; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-tf\">\r\n <span class=\"kicker-tf\">Opciones de tratamiento<\/span>\r\n <h2 class=\"title-tf\">No quir\u00fargico vs. quir\u00fargico<\/h2>\r\n\r\n <div class=\"cols-tf\">\r\n <div>\r\n <div class=\"col-label-tf\">Tratamiento no quir\u00fargico<\/div>\r\n\r\n <div class=\"proc-tf\">\r\n <h3>Manejo de la constipaci\u00f3n<\/h3>\r\n <p>Con fibra, hidrataci\u00f3n, ablandadores de deposiciones y laxantes.<\/p>\r\n <\/div>\r\n\r\n <div class=\"proc-tf\">\r\n <h3>Ung\u00fcentos relajantes del esf\u00ednter<\/h3>\r\n <p>Bajan el espasmo y favorecen la cicatrizaci\u00f3n.<\/p>\r\n <\/div>\r\n\r\n <div class=\"proc-tf\">\r\n <h3>Ba\u00f1os de asiento<\/h3>\r\n <p>Alivian el dolor y ayudan a relajar la zona.<\/p>\r\n <\/div>\r\n <\/div>\r\n\r\n <div>\r\n <div class=\"col-label-tf\">Tratamiento quir\u00fargico<\/div>\r\n\r\n <div class=\"proc-tf\">\r\n <h3>Toxina botul\u00ednica<\/h3>\r\n <p>Inyectada en el esf\u00ednter, una alternativa intermedia para fisuras cr\u00f3nicas que no responden al tratamiento t\u00f3pico.<\/p>\r\n <\/div>\r\n\r\n <div class=\"proc-tf\">\r\n <h3>Esfinterotom\u00eda lateral interna<\/h3>\r\n <p>La cirug\u00eda est\u00e1ndar para fisuras cr\u00f3nicas resistentes al manejo m\u00e9dico.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/TRAT-FIS-NM ===================== -->\r\n\r\n\r\n<!-- ===================== FAQ-FIS-NM :: PREGUNTAS FRECUENTES ===================== -->\r\n<section class=\"faqfis-nm\">\r\n <style>\r\n .faqfis-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --volcanic: #343A40;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--white);\r\n font-family: var(--sans);\r\n color: var(--volcanic);\r\n padding: 72px 0;\r\n }\r\n .faqfis-nm * { box-sizing: border-box; }\r\n .faqfis-nm .wrap-ff {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n max-width: 860px;\r\n }\r\n .faqfis-nm .kicker-ff {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: var(--terracota);\r\n margin-bottom: 14px;\r\n }\r\n .faqfis-nm h2.title-ff {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n color: var(--araucaria);\r\n font-size: clamp(28px, 3.2vw, 38px);\r\n margin: 0 0 36px;\r\n }\r\n .faqfis-nm .item-ff {\r\n border-bottom: 1px solid var(--line);\r\n }\r\n .faqfis-nm .item-ff:first-child { border-top: 1px solid var(--line); }\r\n .faqfis-nm .q-ff {\r\n width: 100%;\r\n display: flex;\r\n align-items: center;\r\n justify-content: space-between;\r\n gap: 16px;\r\n background: none;\r\n border: none;\r\n text-align: left;\r\n cursor: pointer;\r\n padding: 22px 4px;\r\n font-family: var(--sans);\r\n font-size: 16.5px;\r\n font-weight: 600;\r\n color: var(--araucaria);\r\n }\r\n .faqfis-nm .q-ff svg {\r\n flex-shrink: 0;\r\n color: var(--terracota);\r\n transition: transform .25s ease;\r\n }\r\n .faqfis-nm .item-ff.open-ff .q-ff svg { transform: rotate(45deg); }\r\n .faqfis-nm .a-ff {\r\n max-height: 0;\r\n overflow: hidden;\r\n transition: max-height .3s ease;\r\n }\r\n .faqfis-nm .a-ff p {\r\n font-size: 15.5px;\r\n line-height: 1.65;\r\n color: var(--muted);\r\n margin: 0 0 22px;\r\n padding: 0 4px;\r\n }\r\n @media (max-width: 640px) {\r\n .faqfis-nm { padding: 48px 0; }\r\n .faqfis-nm .q-ff { font-size: 15.5px; }\r\n }\r\n <\/style>\r\n\r\n <div class=\"wrap-ff\">\r\n <span class=\"kicker-ff\">Lo que preguntan seguido<\/span>\r\n <h2 class=\"title-ff\">Preguntas frecuentes<\/h2>\r\n\r\n <div class=\"item-ff\">\r\n <button class=\"q-ff\" type=\"button\">\u00bfToda fisura anal necesita cirug\u00eda?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-ff\"><p>No. La mayor\u00eda de las fisuras agudas se resuelve con tratamiento m\u00e9dico si se maneja bien desde el inicio. La cirug\u00eda se reserva para los casos cr\u00f3nicos o resistentes.<\/p><\/div>\r\n <\/div>\r\n\r\n <div class=\"item-ff\">\r\n <button class=\"q-ff\" type=\"button\">\u00bfPor qu\u00e9 duele tanto si es una herida tan peque\u00f1a?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-ff\"><p>El dolor se explica por el espasmo del esf\u00ednter que la fisura provoca, no solo por el tama\u00f1o del corte. Ese espasmo tambi\u00e9n dificulta la cicatrizaci\u00f3n si no se trata.<\/p><\/div>\r\n <\/div>\r\n\r\n <div class=\"item-ff\">\r\n <button class=\"q-ff\" type=\"button\">\u00bfLa esfinterotom\u00eda tiene riesgo de incontinencia?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-ff\"><p>Es un riesgo bajo, pero existe, y se conversa abiertamente antes de la cirug\u00eda. Por eso la t\u00e9cnica se reserva para los casos que realmente lo requieren.<\/p><\/div>\r\n <\/div>\r\n\r\n <div class=\"item-ff\">\r\n <button class=\"q-ff\" type=\"button\">\u00bfPuede volver a aparecer una fisura despu\u00e9s de tratada?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"><\/line><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"><\/line><\/svg><\/button>\r\n <div class=\"a-ff\"><p>S\u00ed, especialmente si la constipaci\u00f3n de base no se corrige. El manejo de las deposiciones es parte del tratamiento a largo plazo.<\/p><\/div>\r\n <\/div>\r\n <\/div>\r\n\r\n <script>\r\n (function(){\r\n var items = document.querySelectorAll('.faqfis-nm .item-ff');\r\n items.forEach(function(item){\r\n var btn = item.querySelector('.q-ff');\r\n var ans = item.querySelector('.a-ff');\r\n btn.addEventListener('click', function(){\r\n var isOpen = item.classList.contains('open-ff');\r\n items.forEach(function(i){\r\n i.classList.remove('open-ff');\r\n i.querySelector('.a-ff').style.maxHeight = null;\r\n });\r\n if (!isOpen) {\r\n item.classList.add('open-ff');\r\n ans.style.maxHeight = ans.scrollHeight + 'px';\r\n }\r\n });\r\n });\r\n })();\r\n <\/script>\r\n<\/section>\r\n<!-- ===================== \/FAQ-FIS-NM ===================== -->\r\n\r\n\r\n<!-- ===================== CTA-FIS-NM :: CTA FINAL AGENDA TU HORA ===================== -->\r\n<!-- NOTA: href=\"#\" en boton \"Escribir por WhatsApp\": falta numero\/link real, a confirmar. -->\r\n<section class=\"ctafis-nm\">\r\n <style>\r\n .ctafis-nm {\r\n --araucaria: #2A4736;\r\n --terracota: #C27D58;\r\n --white: #ffffff;\r\n --line: #dde3dc;\r\n --muted: #5b6660;\r\n --serif: Georgia, 'Times New Roman', serif;\r\n --sans: 'Inter', Arial, sans-serif;\r\n background: var(--araucaria);\r\n font-family: var(--sans);\r\n color: var(--white);\r\n position: relative;\r\n padding: 64px 0;\r\n overflow: hidden;\r\n }\r\n .ctafis-nm * { box-sizing: border-box; }\r\n .ctafis-nm a { text-decoration: none !important; }\r\n .ctafis-nm a:link, .ctafis-nm a:visited, .ctafis-nm a:hover, .ctafis-nm a:active, .ctafis-nm a:focus {\r\n text-decoration: none !important;\r\n }\r\n .ctafis-nm .wrap-cf2 {\r\n width: min(1400px, calc(100% - 48px));\r\n margin: 0 auto;\r\n position: relative;\r\n z-index: 1;\r\n display: grid;\r\n grid-template-columns: 1.3fr .7fr;\r\n gap: 32px;\r\n align-items: center;\r\n }\r\n .ctafis-nm .watermark-cf2 {\r\n position: absolute;\r\n right: -40px;\r\n bottom: -60px;\r\n width: 340px;\r\n opacity: .08;\r\n z-index: 0;\r\n pointer-events: none;\r\n }\r\n .ctafis-nm .kicker-cf2 {\r\n display: block;\r\n font-size: 13px;\r\n font-weight: 700;\r\n letter-spacing: .16em;\r\n text-transform: uppercase;\r\n color: #e3b191;\r\n margin-bottom: 14px;\r\n }\r\n .ctafis-nm h2.title-cf2 {\r\n font-family: var(--serif);\r\n font-weight: 400;\r\n letter-spacing: -.03em;\r\n font-size: clamp(26px, 3vw, 36px);\r\n margin: 0 0 14px;\r\n line-height: 1.2;\r\n color: var(--white);\r\n }\r\n .ctafis-nm p.sub-cf2 {\r\n font-size: 15.5px;\r\n line-height: 1.6;\r\n color: #d6e0da;\r\n margin: 0;\r\n max-width: 520px;\r\n }\r\n .ctafis-nm .btn-white-cf2 {\r\n display: inline-flex;\r\n align-items: center;\r\n justify-content: center;\r\n gap: 8px;\r\n width: 100%;\r\n background: var(--white);\r\n color: var(--araucaria);\r\n font-weight: 600;\r\n font-size: 15px;\r\n padding: 15px 24px;\r\n border-radius: 999px;\r\n transition: transform .2s ease, box-shadow .2s ease;\r\n }\r\n .ctafis-nm .btn-white-cf2:hover {\r\n transform: translateY(-2px);\r\n box-shadow: 0 10px 24px rgba(0,0,0,.18);\r\n }\r\n .ctafis-nm .foot-cf2 {\r\n margin-top: 26px;\r\n font-size: 13px;\r\n color: #b9c8bf;\r\n }\r\n @media (max-width: 900px) {\r\n .ctafis-nm .wrap-cf2 { grid-template-columns: 1fr; }\r\n }\r\n @media (max-width: 640px) {\r\n .ctafis-nm { padding: 44px 0; }\r\n }\r\n <\/style>\r\n\r\n <img decoding=\"async\" class=\"watermark-cf2\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\">\r\n\r\n <div class=\"wrap-cf2\">\r\n <div>\r\n <span class=\"kicker-cf2\">Agenda tu hora<\/span>\r\n <h2 class=\"title-cf2\">Habla con un especialista en Temuco.<\/h2>\r\n <p class=\"sub-cf2\">El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu grado, tu anatom\u00eda y tu situaci\u00f3n. Un sitio web es un punto de partida, no un reemplazo.<\/p>\r\n <p class=\"foot-cf2\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p>\r\n <\/div>\r\n <a href=\"#\" class=\"btn-white-cf2\">\r\n <svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>\r\n Escribir por WhatsApp\r\n <\/a>\r\n <\/div>\r\n<\/section>\r\n<!-- ===================== \/CTA-FIS-NM ===================== -->\r\n\r\n<\/body>\r\n<\/html>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fisuras anales \u2014 Dr. Nelson Mu\u00f1oz, Coloproct\u00f3logo en Temuco Inicio \/ Patolog\u00edas \/ Fisuras anales Enfermedades anorrectales Fisuras anales \u2014 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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