Anal Fissure Home Care
Home care for an anal fissure includes:
- Allow yourself adequate time to use the bathroom: do not rush.
- Try not to strain during bowel movements.
- Wipe gently after a bowel movement:
- Use a soft, moist toilet paper or a baby wipe.
- Apply anal fissure ointment:
- Drink plenty of liquids.
- Maintain a regular exercise program.
- Eat a high fiber diet
- Take a fiber supplement:
- Take stool softeners.
- Take a warm bath once a day.
- Acetaminophen for pain
- Nonsteroidal anti-inflammatory medications for pain:
Anal Fissure Dietary Fiber
A person with an anal fissure may benefit from the following diet.
Fiber is one of the best ways to soften the stool. Dietary fiber is a plant material that humans cannot digest. Fiber works by increasing the amount of water in your stool and keeps the stool soft. The most well known fiber is bran. Common fiber supplements include Citrucel and Metamucil. It is important to drink plenty of water when you eat fiber.
Fiber comes in two forms, based on whether it will dissolve in water. Soluble fiber dissolves in water and insoluble fiber does not dissolve in water. About 3/4 of fiber intake should be the insoluble fiber.
Water Soluble Fiber
|Pectins, gums, & mucilages||fruits, vegetables, oats, bran, barley, legumes|
|Cellulose, hemicellulose||vegetables, wheat bran, & whole grains|
Fiber tends to bind water, which leads to softer stools and a more rapid passage of material through the intestines. This may reduce exposure to toxic substances and improve bowel health. Fiber can also bind fat and cholesterol. As an added benefit, high fiber foods usually contain important vitamins and minerals.
Use of a High Fiber Diet
A healthy diet should include more than 25 grams of fiber each day. In general, every extra gram of fiber eaten each day can lower the risk of heart disease by as much as five percent.
A high fiber diet can prevent and treat the following:
- Breast cancer
- Colorectal cancer
- Crohn's disease
- Heart disease
- High cholesterol
- Irritable bowel syndrome
- Ulcerative colitis
In general, fruits, vegetables and whole grains are high in fiber. Raw foods tend to have more fiber than cooked, canned or pureed items. Dried fruits, beans, black-eyed peas, bran and oatmeal are very high in fiber. Peeling the skin from fruit and vegetables removes fiber.
Unprocessed wheat bran can be added to meals and baked foods. Bran is the outer layer of the wheat grain, and is present in 'whole grain' foods. Adding 2-3 teaspoons of bran per serving is a great way to increase the fiber content of casseroles, meat loaf, and baked goods. Whole grain flour has 6 times the fiber of standard, bleached flour. Oat bran can be used in place of about 1/3 of regular flour when baking.
Change your diet slowly. Rapid changes in the diet can cause bloating, gas and diarrhea.
Example High-Fiber Diet
Eat at least 3 to 10 servings of whole grain food every day. Each serving should contain 3 grams of fiber.
- Brown rice
- Oatmeal or oat bran
- Rye bread
- Wheat germ
- Whole grain bagels
- Whole grain breads
- Whole grain muffins
- Whole grain or bran cereals
- Whole grain pita bread
- Whole wheat crackers
- Whole wheat pasta
Eat 3-4 servings of fruit each day. Dried fruits are high in fiber.
Eat at least 3-5 servings of raw, unpeeled vegetables per day.
- Green beans
- Green pepper
- Potatoes with skin
- Snow peas
- Sweet potatoes
Meat has no fiber, and contains cholesterol and saturated fat. Many high-fiber foods can replace meat in the diet.
- Brazil nuts
- Garbanzo beans
- Kidney beans
- Lima beans
- Peanut butter
- Pinto beans
- Sesame seeds
- Soybeans, but not tofu
- Split peas
- Sunflower seeds
- Veggie burgers
Anal Fissure Warning Signs
Notify your doctor if you have an anal fissure and any of the following:
Continue to Anal Fissure Prevention
- Jonas M, Scholefield J. Anal fissure (chronic). Clin Evid. 2004 Dec;(12):581-90. 
- Lawes D, Taylor I. Recent randomised trials in colorectal disease. Colorectal Dis. 2005 Jan;7(1):8-17. 
- Nelson R. Operative procedures for fissure in ano. Cochrane Database Syst Rev. 2005 Apr 18;(2):CD002199.