The objective of treatment of 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.T hey 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 of constipation and diarrhea to avoid fissures.
Sitz baths: 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.
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.
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: Useful in many disorders with muscle spasms.
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.
Fissurectomy: A rare surgical removal of the fissure that may be used in children.
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