How do you treat anal fissures?

Before treatment...: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as an outward bulging. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. Evaluation is recommended to distinguish serious versus less concerning reasons for your problem before treatment.

Local medications: Need to have soft stools. Use stool softness if constipated. May use either local anesthetic creams or nitro glycerine or Nifedipine creams.