Treatment anal fissures: how to cure anal fissures. Trauma or

injury can stretch the anal canal and create a tear in the lining

of the anus. These tears, known as anal fissures, usually come

from passing large or hard stools. They can cause pain and

bleeding during and after bowel movements. The goal of treatment

is to relieve pain and discomfort, and heal the torn lining.

Self-Care: If your fissures are caused by constipation or

diarrhea, you can change a few habits to help lessen the strain

on the anal canal. These steps can help relieve symptoms and

encourage healing in most cases.

 Stay hydrated. Drink plenty of

caffeine-free fluids throughout the day. Eat a fiber-rich diet.

To avoid constipation, your goal should be to get 20 to 35 grams

of fiber every day. Try fiber supplements if you can’t get enough

fiber from food. They can help soften stools and make you more

regular. To avoid gas and cramping, gradually raise the amount of

any fiber supplement you take until you reach the recommended

dose. Over-the-counter laxatives may help if adding more fiber to

your diet does not. Before taking any laxatives, ask your doctor

what she suggests. Don’t ignore your urge to go. Putting off

bowel movements for later can lead to constipation; stools may

become harder to pass and end up causing pain and tearing. Don’t

strain or sit on the toilet too long. This can incerase pressure

in the anal canal. Gently clean and dry your anal area after each

bowel movement. Avoid irritants to the skin, such as scented

soaps or bubble baths. Get treatment for chronic constipation or

ongoing diarrhea. Sitz baths, or hip baths, can promote healing

of an anal fissure. By soaking the rectal area in a tub of warm

water — two or three times a day for 10 to 15 minutes — you can

clean the anus, improve blood flow, and rexal the anal sphincter.

Medications for Treating Anal Fissures Nitrate ointment: Your

doctor may prescribe one of these to help raise blood flow to the

anal canal and sphincter, which helps fissures get better faster.

Calcium channel blockers: These are blood pressure-lowering

medications. Some of the topical ones can treat anal fissures,

too. Side effects may include headaches. Botox injections: When

topical treatments don’t work, injecting botulinum toxin type A

(Botox) into the sphincter is sometimes the next step.