Can anal fissures be cured?
Nov 14, 2025
Source: Cainiu Health
Dr. Li Jingxiang
Introduction
Anal fissures are usually curable, and the treatment approach depends on the severity of the condition. Acute anal fissures with mild symptoms can heal through conservative management. Chronic anal fissures, however, have a longer disease course and tend to be difficult to heal; they often require surgical intervention for complete resolution. In daily life, it is important to develop regular bowel habits and avoid excessive straining or prolonged squatting during defecation. Diet-wise, consume more whole grains, fresh vegetables, and fruits to increase dietary fiber intake.
Anal fissures can usually be cured, with treatment depending on the severity of the condition. Fresh anal fissures are mild and can heal through conservative management; chronic anal fissures, however, have a longer disease course and poorly healing wounds, often requiring surgical intervention for complete recovery. The details are as follows:
Fresh anal fissures have a short duration and feature clean wound edges without obvious scarring. Patients can relieve anal sphincter spasms by sitting in warm water baths, apply ointments that promote mucosal healing, and adjust their diet to maintain smooth bowel movements and prevent dry stools from irritating the wound. Most patients will see gradual healing within 1–2 weeks of consistent care.
Chronic anal fissures typically develop from recurrent fresh fissures, forming long-standing ulcers, and are often accompanied by complications such as enlarged anal papillae or sentinel piles. Conservative treatments are usually ineffective at this stage. Surgical removal of the affected tissue and reconstruction of the local anal anatomy are required. With proper postoperative care, healing generally occurs within about one month.
In daily life, it's important to develop regular bowel habits and avoid excessive straining or prolonged squatting during defecation. Diet-wise, consume more whole grains, fresh vegetables, and fruits to increase dietary fiber intake, while reducing consumption of spicy and irritating foods.
