Doctor insights on:
Over The Counter Treatment For Anal Fissure
Anal bleeding : what do I do? Is it serious? I am an 18 year old male, and this has happened about 3-5 times now. I have anal bleeding, and it always passes as bright red blood, like that of an anal fissure. I do not share symptoms with anal fissure thoug
See a doctor:
Likely internal hemorrhoids. However without further history and evaluation, that is a perfunctory diagnosis.
You should discuss with a doc further. ...Read more
Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more
Anal Fissure Tx: Initial treatment of anal fissures is directed at controlling constipation, softening stools, and reducing anal sphincter spasm. Warm water sitz baths for 10-20 minutes a few times each day are soothing and promote relaxation of the anal muscles, which can also help healing. Topical creams containing hydrocortisone, lidocaine, and nitroglycerine can also be helpful. ...Read more
Some help: Balneol cream and tucks (witch hazel) pads may be somewhat soothing. Sitz baths with epsom salts may also help. Sit in a bath tub with just enough hot water to cover your anal area (not hot enough to burn you but as hot as you can tolerate) and supersaturate with about 12 tblspn of epsom salts.10 minutes twice a day. Usually is quite effective. ...Read more
76% --: The most recent studies report that it is 76% effective at curing anal fissures. If this fails, you can try Diltiazem ointment that raises that percentage to about 86% success. ...Read more
Soften stool, baths: Eliminating constipation and softening stools are usually the primary targets when treating anal fissures. Such goals can be accomplished by taking daily fiber supplements and/or using laxatives. Sitz baths, during which the rectal area is immersed in warm water for 10-15 minutes, are also therapeutic and should be done 2-3 times per day. Sitz baths are available in most drugstores. ...Read more
First line treatment is a high fiber diet, plenty of fluids and possible a laxative to keep your bowel movements soft. Warm baths.
If persist, prescription antispasmodic cream
if persists, Botox or surgery in form of sphinterotomy
the above order is also depended on the severity, persistency, recurrence and appearance of your fissure
if your symptoms are severe and persist see a colon and rectal. ...Read more
I've had anal fissure for 5 years. It's been really good in the past few months. Symptoms appeared again after 1 constipation. What's the best treatment?
No: Not that I am aware of.Get a more detailed answer ›
For anal fissure treatment, which is the best ointment, cream or gel you use (less side effect or interactions with hbp medicines.)?
Medications: There are really no effective over-the-counter medications for anal fissures. Proctologists will recommend prescription topical creams that contain either Nitroglycerin or Diltiazem to relax the sphincter muscles. Some even use Botox injections. The last resort is an operation called a lateral internal sphincterotomy (lis). ...Read more
Anal fissure has healed but sentinel pile still there, although it got a little smaller its not going away. Should I wait longer? Other treatments? Pls
"piles" and fissures: "piles" are hemorrhoids, which are blood vessel hernias in the anal region. "Fissures" are unrelated to the occurrence of hemorrhoids, and both can be caused by straining with bowel movements. Surgical treatments are painful and usually not indicated except in extreme cases. Suggest using mild laxatives on occasions to help prevent more of either, but what is there will not "fo away". ...Read more
Anal fissures no fun: Anal fissures are like paper-cuts in the anus. They can bleed, hurt, & recur, particularly with defecation & any other activity that increases pelvic pressure. Disorders of anal-rectal function, straining at hard stool, prolonged sitting, heavy lifting, long distance walks/runs are causative & should be addressed. If stool softeners, fiber, topical rx, & behavior changes don't cure, see a surgeon. ...Read more
Had bleeding during bowel movements. How can I tell if it is hemorrhoids or anal fissure? Are there home treatments? Or do they go away on their own?
You may be able to: Tell by looking with a mirror if you know what you're looking for. To know for sure, please see your doctor. If there's a fissure there, you may be able to heal it with a healing ointment such as Aquaphor and making sure your bowel movements aren't hard. Hemorrhoids can resolve on their own if you soften your stool and don't need to push as hard, but if the bleeding continues, you need to be checked. ...Read more
My dr gave me a script for a steroid suppository but its not covered by my insurance. What else can I use to cure an anal fissure that is inflamed?
Stool softeners: Anal fissures are common and are associated with constipation, they cause pain and bleeding with bowel movements. They usually resolve in their own taking stool softeners and a hugh fiber diet with plenty of fluids and warm bathes or soaks usually help if this doesn't help see a doctor. ...Read more
Lots of surgical...: ...options. Which one were you considering? Check the many excellent HealthTap responses to this question regarding the pros/cons of each procedural choice. ...Read more
I had anal fissure 2 months ago because of constipation. I am still getting problem and I need to know how long it takes to get cure?
So I've noticed for the past 2 years a bump on the outside of my butt. I thought it was normal but I think its a anal fissure? Can I cure this at home?
Bump on the but: Any lump or bump should be checked by your dr.! ...Read more
I'm 21wks pregnant and have anal fissure because of hardened stool. What can be used to cure the fissure and is calmoseptine ointment safe for pregnant?
Stool softener: The best treatment for an anal fissure is to avoid constipation with a simple stool softener. Natural foods such as prunes or raisins are likely your best bet while you're pregnant, in addition to drinking lots of water and walking more. I would ask your OB about calmoseptine. ...Read more
Can anal fissures cause extra skin growths around anal area I've had anal fissure problems before this is the first time I noticed skin growths?
Yes: A chronic fissure will often develop a "sentinel tag" at the base of the fissure. If you have growths elsewhere it may be unrelated to the fissure. ...Read more
I was checked out by my doctor and she said I have an anal fissure. My question is, do anal fissures bleed a lot? And do they cause blood clots?
There are a lot of qualitative terms in your question.
Anal fissures normall cause bleeding that you see on the toilet paper or toilet bowl. A small drop of blood in a large bowl of water can seem like a lot of blood.
Depends on how you are rating what a lot of blood is, when and where you are seeing it and other symptoms.
Blood clots are not typical for a fissure, but possible. ...Read more
I have had hemmroids and an anal fissure over a year now. They gave me some nifedipine lotion... is there hope? Do fissures worsen during pregnancy?
Diagnosed with anal fissure. Burning pain during and after bowel movement. Can fissures cause some inflammation?
Yes, commonly: There is an underlying low grade infection. Usually hygiene is all that is needed, because infection is controlled as soon as the fissure heals. Consult with colo-rectal surgeon if pain persists. ...Read more