hi i had gone through your query and understand your concerns. -for every disease there is an underlying cause, without treating the underlying cause your anal fissures cant be cured permanently. possible underlying causes include; -chronic constipation -frequent diarrhoea -crohn s daises -irritable bowel disease -overly tight or spastic anal sphincter muscles most anal fissures heal with just home care treatments like -adding fibre supplements to your diet -using over -the-counter stool softeners -warm bath can relax the anal muscles, relieves irritation, and increases blood flows to the area treatment ; directed to the underlying cause. -i advise you taking Homeopathic medicines gives safe and permanent cure for your complaints -consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you -