If you are suffering from short-term anal fissures, you can attempt to heal it with treatment at home.
Typically, with anal fissure treatment at home, you can see the fissures curing in about 4 to 6 weeks.
Any pain associated with bowel movements will begin to go away within a couple of days of starting the treatment.
One such home cure is a sitz bath where you soak your buttocks in warm water for 20 minutes.
This bath is taken 2 or 3 times a day.
You also need to incorporate more fiber and fluids in your diet.
This helps to soften your stool and prevent constipation.
You can also use laxatives and stool softeners, but do so only under medical guidance.
Sometimes, these fissures and the pain caused by them cannot be completely healed by home remedies.
After six weeks have passed, any remaining fissures are then classified as long term or chronic anal fissures.
These conditions require healing and medication from a licensed physician.
Medication: For patients suffering from chronic fissures, medicinal first-line treatments are usually prescribed by experienced physicians.
Here are some of the medicines that are used for long term anal fissure cure.
1.
Nitroglycerin Cream - 0.
2% of this cream is extremely beneficial in reducing the pressure in the sphincter (internal muscles in the anus).
When pressure on the sphincter reduces, the healing process begins.
You should only use a pea-sized dot of cream at a time, and not more than this.
Too much of this cream can lead to lightheadedness, headaches, and in extreme cases, even fainting due to drop in blood pressure.
When applying the cream wear gloves, and gently massage the cream into the anal fissure and areas around it.
2.
Nifedipine and Diltiazem - These two medicines, available in the form of pills, also work on cutting the pressure on the internal anal sphincter.
3.
Botox - Botox, also known as Botulinum toxin is also used as an helpful anal fissure treatment.
A fixed amount of botox is injected into the sphincter.
This causes the muscles in the sphincter to paralyze, relieving tension on the fissures.
Surgery: As a last resort, doctors may turn to surgery as treatment for anal fissure pain.
A favored procedure which has a high success rate is Lateral Internal Sphincterotomy.
Here the doctor makes a tiny cut on the internal anal sphincter.
This is useful in minimizing the pressure and thus alleviating the pain.
The fissures will repair themselves so there is no need to surgically close them.
Usually this type of surgery is very successful, but there are a few negative side effects to a lateral internal sphincterotomy.
8% of patients later report incontinence which means they pass stools or gas without any control to stop it.
Nitroglycerine cream can help this in the long term and there is no medication that comes close to working as well as surgery.
For many the benefits of surgery exceed any drawback.
Compared to at home treatment, surgery has a higher success rate, fewer relapses, and last longer.
Anal advancement flap method is another procedure carried out to the women who is going to give birth.
This procedure is a best way to avoid any high resting pressure.
The doctor's remove the fissure edges and sew it with healthy tissue on that area.