How to treat chronic anal fissure

Dec 27, 2024 Source: Cainiu Health
Disease description:

I have recently discovered that I have a chronic anal fissure. I experience severe pain during each bowel movement, and sometimes there is even bleeding. I would like to know how to treat it.

Doctor's answer (1)
Dr. Li Jingxiang

Chronic anal fissure refers to a condition where an anal fissure fails to heal spontaneously after a period of time, usually caused by long-term constipation, dry stools, excessive straining during bowel movements, and other related factors.

For the treatment of chronic anal fissures, patients are advised to improve their dietary habits, increase intake of dietary fiber, maintain regular bowel movements, avoid straining during defecation, and keep the anal area clean, which can be achieved by local washing with potassium permanganate solution. Local drug therapy is also an important component, and suppositories or ointments containing local anesthetics, anti-inflammatory agents, and muscle relaxants can be used to alleviate pain and inflammation during bowel movements and prevent further worsening of the fissure.