treatments for anal fissure

The objective of treatment for anal fissures is to ease pain and discomfort and heal the torn lining. The acute type anal fissures are common and usually heal on their own with self-care whereas chronic anal fissures may need medicines or surgery to help them cure.


If constipation or diarrhea is the cause of your fissures, you may relieve symptoms and support healing with some changes in your lifestyle.

  • Stay hydrated: Drink plenty of water and other healthy drinks to stay hydrated.
  • Eat a fiber-rich diet: Eat at least 20-35 grams of fiber to avoid constipation. Eat whole grains, fruits, and vegetables as they are a good source of fiber.
  • Try fiber supplements: You may get your fiber intake from fiber supplements. They may help soften stools.
  • Laxatives: Take any laxatives, after consulting your doctor.
  • Avoid straining: Don’t strain or sit on the toilet too long as this can increase pressure in the anal canal.
  • Get your constipation and diarrhea treated: Get proper treatment for constipation and diarrhea to avoid fissures.
  • Sitz Bath: Soak the rectal area in a tub of warm water for a few minutes two or three times a day to clean the anus, increase blood flow and relax the sphincter muscles. (Also Read: Benefits of Sitz Bath)

These habits are generally enough to cure the anal fissures within a few weeks to a few months. But if they aren’t enough, consult your doctor for any other treatments.

Medications for Treating Anal Fissure

The doctor may suggest a topical anesthetic. For the prolonged burning sensation after bowel movements, acetaminophen or ibuprofen may be helpful. Topical nitroglycerin medication helps to increase fissure healing by widening the blood vessels in the area. A doctor usually prescribes this medication if the healing process is slow.

Calcium channel blockers: It relaxes the sphincter muscle and increases the supply of blood to the affected area, which speeds up healing.

Steroid ointment or cream: This will reduce inflammation around the area and reduces itching and pain.

Botox injection: The ones suffering from anal fissure can also opt for botulinum toxin type A (Botox) injection. The injection numbs the sphincter muscles, thus relieving pain and encouraging healing. The dose depends on the severity of the fissure which is usually low. 


Internal sphincterotomy: When the fissure is chronic and does not heal, surgery may be an option. A part of the anal sphincter muscle is removed by surgery, resulting in fewer and less severe spasms. In this surgery, the sphincter is cut with the help of scalpel which handled by the surgeon.

Laser Surgery: In the end, Laser Surgery is the one which is in great demand due to its painless features and its early recovery option. Laser treatment of fissure generally involves the use of CO2 diode laser. The infrared radiation from the laser is used to increase the blow flow to the area of fissure which results in proper healing of the fissure. The reason CO2 laser is used is that it offers a fixed area of concentration and greater control over the surgery.

Take Away

Pristyn Care uses the latest technique of laser to treat fissures. We have surgeons who are highly trained to perform the surgery with experts. The doctors understand the condition of the patient first. The patients are hesitant in discussing anal related issues owing to embarrassment. Our team ensures the patient is able to discuss freely so that we can over him complete treatment. You can also consult online 

Also Read: Why Do We Need Surgery To Treat Fissure?

Also Read: How to Cure Fissure Permanently

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