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Recurrent anal fissure
I’ve been dealing with an anal fissure for the past 1.7 years. It tends to reoccur every 3 months, always in the 12 o’clock position, and presents as a small cut as heals in a week. I drink around 2 to 2.5 liters of water daily, and my stools are generally soft.
Initially, I was using Ayurvedic oils daily and for the last 6 months, I’ve been applying Cremagel (diltiazem) twice and occasionally Smuth cream in the morning. It was healing but yesterday it reoccurred as day before yesterday i had loose motion once.
I also tried taking Ayurvedic oral medicines, but they tend to make the initial part of my stool harder, which worsens the fissure.
Most of the time, I experience a burning sensation that lasts for about 5 minutes after passing motion.
What should I do to heal this fissure permanently? And what ointment would you recommend for long-term relief?
Answers (4)
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Do
• Eat a high-fiber diet (fruits, vegetables, whole grains).
• Drink plenty of water (2–3 liters/day).
• Take warm sitz baths 2–3 times daily.
• Use prescribed topical ointments (nitrates or calcium channel blockers).
• Take stool softeners/laxatives if needed, as directed.
• Exercise gently and regularly.
• Maintain a symptom diary for follow-up.
Don’t
• Don’t ignore severe pain, bleeding, or signs of infection—seek in-person care if these occur.
• Don’t strain during bowel movements.
• Don’t use ointments/medications without a doctor’s approval.
• Don’t stop treatment early—continue medications for at least 6–8 weeks unless otherwise instructed.
• Don’t delay specialist consultation if symptoms persist beyond several weeks.
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We call it chronic fissure...n may need surgery which is a day care procedure.consult a gen surgeon nearby.can contact me if u r from hyd
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Don't worry miss..It's usually occurring 3 in 5 people now a days due to changed ready made foods and artificial ingredients.
What u need to do is to relax the muscle at the Anal opening..
Your food habits as u mentioned are sufficient to some extent but more fibre and smooth diet need to be taken
For permanent solution to this..procedure called Lateral internal Spinterotomy needed to be done.
Once the muscle fibres are tension freed..this discomfort is reduced
Next Steps
Consult General Surgeon
Health Tips
Get the procedure done, and take post operative care like Sitz bath, Cremaffin syrup, proper wound care,Fibre rich diet
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Dr. Rajasekar Selvarajan
General Surgeon
15 yrs exp
Chennai
Dear all.
Kind attention please
Most people prefer alternative medicine for most perianal diseases.
In this case, Even though you are opting for the alternative medicine side, see your prescription shows "ALLOPATHY" ointment.
Kindly think , how many alternative medicine medical colleges are there in Tamilnadu. When they are ready to give a good remedy, why do investing people choose Allopathic Medical colleges
Most of the patients seeking alternative treatment approach Surgeon, when they bleed. Why don't you prefer our side in advance
Allopathic side only can give good and complete remedy
For this case , why didn't you consult a proper surgeon
You must know
Acute fissure may be managed with
*Adequate water intake with food
*Avoiding spicy, oily, & High proteinaceous diet
*Avoid prolonged sitting , if no other go, sit with one side buttock with crossed leg
*Laxatives/ stool softener
*Sitz bath
*Sphincter relaxation ointment ( Diltiazem, Nifedipine)
*Proper rest
But, Chronic fissure necessitates 100% surgery, if u prefer conservative treatment this may lead to potential complications like perianal abscess, fistula in ano even piles also
Next Steps
Kindly consult qualified and competent Surgeon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.