Coconut oil pills can’t be used as suppository. It is used by oral route only. It has not been used for treatment of anal fissures. It is providing you relief due to its pain relieving nature. Constipation, pregnancy, child birth, obesity, poor fiber in diet, poor bath room habits, postponing bowel movements, straining whilst lifting or vomiting contribute to development of anal fissures. You need to look at these causes. Advice 1. Apply locally Anovate cream or Shield ointment every six hours daily 2. Take high fiber diet such as split peas, lentils, black beans, lima beans, baked beans, whole grains, vegetables such as artichoke, green peas, and sprouts and fruits 3. Syrup lactulose (Syrup Duphalac) 2 teaspoonful per oral at bed time if you have constipation 4. Drink 4 – 5 liters of water daily 5. Avoid weight lifting 6. Avoid straining while defecating 7. Avoid coughing 8. Consult a general surgeon for operation 9. Investigation – Hb% Consult a general surgeon for diagnosis by inspection and per rectal examination if you are not getting relief by above measures because cure is possible only by surgery. I hope this information will help you. I will be happy if you ask another question Thank