Brief Answer: Avoid hard stool,Lactulose,fluids & fibre diet. Detailed Answer: Hi XXXXXXX XXXXXXX thanks for using XXXXXXX I went through your query and understood your concern. Once the anal fissure has occurred then the next episode of minor trauma due to constipation or hard stool will lead the anal fissure to recur and if it continues the anal fissure tags will develop leading to difficult in healing. So adequate measures as explained below should be taken to completely heal the fissure and to prevent its damage later on. Anal fissures are usually caused by the bowel movement of a hard stool or repeated episodes constipation. When there is a fissure, the anal sphincter usually goes into spasm, thereby making bowel movements painful and more difficult, thereby delaying healing and sometimes, leading to worsening of the tear. Now, if your fissure is of a acute onset,then conservative measures should usually be sufficient to completely heal the fissure. You can try the following suggestions: 1. To prevent further hard stools: so eat fibre-rich foods, fruits, drinking plenty of water. 2. Continue use of laxative like lactulose for the next few days 3. For the pain and discomfort, use a topical anesthetic cream such as Lignocaine gel 4. Use Diltiazem or Nitroglycerine cream before passing stools, in order to relieve the spasm of the anal sphincter. Try Sitz baths: warm water bath that covers your hips and buttocks for two to three times a day for 20 minutes are often used to relieve pain, itching, or muscle spasms. This will relieve pain and speed healing. Key factor is to avoid hard stool, constipation and to keep the area dry. So follow the above measures for healing. In most cases, following these measures will heal the fissure and relieve symptoms within a few days or a maximum of 2 weeks. Hope this answered your query and is helpful for you. Feel free to ask if any related query and I will be glad to answer them. If you like my answers kindly rate it, and write a review as well. Wish you a very happy life and good health. Regards

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Brief Answer: Surgery, sphincterotomy Detailed Answer: Hi C XXXXXXX thanks for giving more information. If medical treatment does not solve your problem then you need to try for surgical management (sphincterotomy). Surgical management is done to relieve muscle spasm and hence aid in healing. So before going for surgery if you try regular use of high fibre diet, laxatives, plenty of fluids and Diltiazem or Nitroglycerine cream before defecation to relieve spasm for more than a couple of weeks even after disappearance of the symptoms, the medical management can help in healing and you can avoid surgery. If the wound does not heal then the option is surgery. Hope this answered your query. Wish you faster recovery and good health. Regards

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Brief Answer: medical management is the best option Detailed Answer: Hi, Yes, medical management is the best option for now. Continue medicines and follow all the instructions. Wish you faster recovery and happy life. Kindly close the query if satisfied and write a review as well. Regards

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