Anal Fissure Treatment
Most anal fissures heal after 4-6 weeks of treatment at home. Most treatment is directed at keeping the stool soft by adding fiber to the diet, increasing the amount of water in the diet, and taking stool softeners. Additional treatment for pain from an anal fissure includes warm baths, nitroglycerin ointments, and corticosteroid ointment. Rarely, surgery may be required to treat fissures that do not respond to conservative treatment.
Treatment for anal fissure may include:
- Increase liquids in the diet
- High fiber diet
- Fiber supplements
- Stool softeners
- Warm baths
- Apply an anal fissure ointment:
- Calcium channel blockers such as nifedipine and diltiazem:
- These medications can take stress and pressure off the internal anal sphincter muscle so that it can heal.
- Botulinum toxin (Botox):
- Causes temporary paralysis of the internal anal sphincter muscle giving it time to heal.
- Usually performed when other measures fail.
Anal Fissure Specialist
Physicians from the following specialties evaluate and treat anal fissure:
Continue to Anal Fissure Home Care
- 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.