Anal fissure: What helps it heal?

50%r of people can heal them on their own without surgery. Hot sitz baths really helps. Yes, very painful and I feel for you. Keep your feet elevated when you can.

Hello - I am new to this group and would like to ask if any of you have tried red light therapy (infrared) to assist with healing? If so, did you feel that it was helpful as part of an overall conservative protocol for healing a chronic fissure?

I also have a question about using Botox on a 1x basis to settle down the spasms and give the fissure a better chance of healing. I did see in previous posts that Botox has been tried by some, but if anyone has recent experience, it would helpful to collect your thoughts. Additionally, will you please comment as how the Botox was administered? I have read about varying approaches (e.g., superficial around the outside of the sphincter muscle with a local anesthetic vs. injections higher/deeper into the muscle under general sedation).

I have been fully checked out by both a GI specialist and colorectal surgeon. I do not have any underlying conditions...just the fissure and associated spasms. Just trying to assess my options should I need to go beyond conservative measures to clear this up. Thanks so much!

I understand the pain of an anal fissure. Mine occurred during a routine colonoscopy. (When it occurred, the pain brought me out of my state of sedation with a yelp, and I heard the physician tell the assistant to give me more sedation. ) Afterwards she didn’t tell me what happened so I assumed that the resulting pain and bleeding that flared up periodically was caused by hemorrhoids. It wasn’t until I went to see a colon/rectal surgeon that I found out it was a fissure and not hemorrhoids and I was scheduled for surgery.

A few days after surgery, a bout of constipation caused the fissure to begin reopening. The surgeon gave me a prescription for a compounded nifedipine ointment that worked wonders and the fissure site finally healed completely. Since then, I’ve learned that in many cases that particular compounded ointment can heal fissures without surgery. It may be worth a try.

I have had 3 fissure operations. My surgeon for the third one promised me I would never go through this again. It has been about 9 years ago.

I get an anal fissure about every two months now. Burns when I poop then a little blood on tp. Doctor gave me a compound, usually a two or three days it clears up. But it continues to come back I take Metamucil everynight

Lidocaine ointment helps temporarily. I ended up 2 times with surgery. My surgeon promised me I would never have a fissure again - that was 10 years ago.🙏🏻

what ointment did you use?

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!

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

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