8 doctors weighed in:
How is an anal fissure generally treated?
8 doctors weighed in

Dr. Scott Browning
Surgery - Colorectal
6 doctors agree
In brief: Successfully
A new or 'acute' fissure will often respond to simple measures such as softening of the stools (increased water & fiber intake, a mild laxative) and a topical anesthetic.
However, a more chronic fissure may be treated with a topical medication to relax the sphincter spasm and allow healing. This works less than 2/3 of the time. When it fails, a small outpatient operation is usually successful.

In brief: Successfully
A new or 'acute' fissure will often respond to simple measures such as softening of the stools (increased water & fiber intake, a mild laxative) and a topical anesthetic.
However, a more chronic fissure may be treated with a topical medication to relax the sphincter spasm and allow healing. This works less than 2/3 of the time. When it fails, a small outpatient operation is usually successful.
Dr. Scott Browning
Dr. Scott Browning
Thank
Dr. Allen Kamrava
Surgery - Colorectal
In brief: Ointments
50% of fissure will heal on their own without any help from us.
Ointments we give are used to relax the muscles, that are squeezing too much to allow the fissure to heal. If these all fail, then we consider a small surgery to relax the muscles.

In brief: Ointments
50% of fissure will heal on their own without any help from us.
Ointments we give are used to relax the muscles, that are squeezing too much to allow the fissure to heal. If these all fail, then we consider a small surgery to relax the muscles.
Dr. Allen Kamrava
Dr. Allen Kamrava
Thank
Get help from a real doctor now
Dr. Peter Kurzweil
Board Certified, Internal Medicine
46 years in practice
16M people helped
Continue
108,000 doctors available
Read more answers from doctors