Best treatment for an anal fissure?

Depends on time. An anal fissure is simply a tear in the lining of the anal canal that exposes the internal anal muscle which reacts by going into spasm therefore the pain and bleeding. An acute fissure is up to 6 weeks and almost always responds to softening stool with fiber and warm sitz baths. After this it becomes chronic and would require medicine to relax the muscle like nifedipine/NTG/Botox or surgery.
Time . Most fissures heal with time, keeping bowel movements soft with high fiber and fluids, if persist, recur or pain severe see your doctor or a colon and rectal surgeon, ...Varies prescription creams can be tried, possibly Botox or occasionally a simple surgery may be needed.
Anal fissure. The management of primary anal fissures is generally non-operative and includes increased dietary fibre, warm baths, topical ointments and sometimes botulinum toxin injections. If these treatments are ineffective then surgical intervention may be considered.

Related Questions

What's the best treatment for anal fissures? I suffer from on and off constipation.

Cure constipation. The hard stool tears the delicate mucosa. Most constipation comes from lousy diet so try to eat only god made food and leave the "junk" alone, particularly all that sweet stuff, candy, sodas (evendiet) sugar, all the man-made junk that poses as "food"! Read more...

Which treatment works the best and fastest for anal fissure?

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...
Diet and fluids. Regulating bm's by eating properly and drinking adequate flkuids along with variious tiopical agents may heal the fissure. In the more chronic or long standing cases, surgery may be necessary. Nothing is fast. Read more...

For anal fissure treatment, which is the best ointment, cream or gel you use (less side effect or interactions with hbp medicines.)?

Umm. Well some anal fissures require surgery. Use the treatment recommended by your physician. If you have not seen a physician then it is best to be evaluated and treated appropriately for treatment. Read more...

Anal fissure that is extremely painful. What is the fastest treatment for this?

Depends. 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...

How is the effectiveness of gtn in case of anal fissure treatment?

Fair. Nitroglycerin ointment has been around for about 12 years for anal fissure. It leads to healing in about 2/3 of patients. About 20% of patients stop treatment due to headache. Many colon and rectal surgeons have gone to other medications such as compounded 0.2% Diltiazem which has similar success rate with fewer side effects. 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...

Can there be any herbal treatment of anal fissure (a wound in anus rectum)?

Yes but don't buy it. There are many herbal "treatments" on the internet that will take your money. Truth is most early fissures will heal on their own if you ensure that your bms are soft (fluid + fiber) and soak after bms and give it some time. Chronic fissures benefit from any med that paralyzes the anal muscle and relieves the spasm caused by the painful fissure. Rarely do you need surgery for a stubborn fissure. Read more...