Anal fissure: What helps it heal?

Same here! Once I start going it won’t stop! Mostly water, incontinence, wearing pads and depends, making messes beyond belief! Besides that Awful Pain! No one understands that burning pain! And yet, still, no one can help me!

My rectum hurts almost constantly and I’ve had constipation for years. Dr wants to do a Botox injection. Colonoscopies have never showed anything. I’m tired of taking Miralax or Metamucil and fiber. I’m trying probiotics. Has anyone ever used any brand that has provided relief? I’ve had pelvic floor therapy with short lived pain relief. I would love to hear from anyone who has this problem and found relief. I haven’t been able to sit comfortably for years!

how did your surgery go? I have an anal fissure that started 3 months ago. I have tried two different creams prescribed by my colorectal surgeon, and tried botox for the first time last week but so far it's still bothering me. it's still stinging and burning. don't know if I should try botox once again, or surgery.

My doctor prescribed Nitroglycerin-lidocain 0.2-5 % ointment compound but it didn't work for me. I just had my first botox injection last week and still in pain. I hope the botox works. if it doesn't I will need surgery.

I too have been dealing with this nightmare for the last 3 months. I've had 2 refills on the prescription compound ointment, which by the way has stained just about every lower half article of clothing I own. I was scheduled for botox procedure but decided to cancel it 2 days before procedure. Let me tell you why.
My biggest problem is slow to no heal, then once I think I'm getting somewhere, I think I retear them. I was told slow heal was mostly due to pelvic floor muscles being so tight that blood flow was restricted, not able to heal.
Try and follow me, I've had pelvic floor issues to the point that I'm unable to have intercourse at all(getting ready to start pf therapy), which also effects my anal region. I had full hysterectomy in 2018, when it all started but was not taking hormone replacement. I've since started, which to get to my point, is helping my pelvic floor and tissue health tremendously, hence, allowing more pelvic floor relaxation, to heal anal fissures finally on their own. No surgery needed. Hope that helps a little.

I mentioned before, anti-seizure med Topamax worked for me after 14-1/2 years of sitting on a donut.

I cannot tell you how sorry I am to hear that you have fissures and yes yes they are horribly painful and they are hard to heal. In March of 1992 I got two one inch fissures and Dear Lord my life has never been the same. When there is a tear in the rectum there is a muscle called the sphincter muscle that goes into a spasm and it makes the pain triple there. I use CYCLOBENZAPR 10 MG. That relieves that muscle pain. Then I have anucort suppositories 25 mg. And I use neosporin on those to insert. Over the years..as mine started from constipation I make sure to keep my stool soft. Ask me any questions you have. God bless you. Diane

Has anyone had external hemorrhoids surgically removed? Was it successful?

50% will heal on their own, the others need surgery. Sitz baths help. Also, an anti-seizure medicine was the only thing that worked for me. But, this is a monster!

what ointment did you use?