A member asked:

Dr said i have small anal fissure. what are the differences between fiber supplement (metamucil) and stool softener. which one is best to use. thanks.

4 doctors weighed in across 2 answers
Dr. Randy Stevens answered

Specializes in General Surgery

Fiber and soft stool: Your doctor found an anal fissure. He/she wants you to try a stool softener and add fiber tostood diet. Try pericolace. It is both. Fiber helps to bulk up your stool so it isn't small in volume compared to water content. The stool softener helps the stool stay soft. Of course a healthy diet and exercise are part of that recommendation.

Answered 12/13/2020

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Both: Fiber supplement, extra water, and stool softeners all used together are the first line treatment for anal fissure. Fiber is simply indigestible fiber that adds bulk to the stool and makes it easier for the intestines to pass it along. The stool softener causes the stool to retain enough fluid to keep it from getting hard and dry and perhaps reopening the anal fissure. Some people also use fasting.

Answered 3/25/2020

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