What are the treatments for the condition?

Treatment of an anal fissure depends on how long the fissure has been present. Acute or relatively new fissures can usually be managed with a bulk-forming laxative, such as psyllium or senna, and a local anesthetic cream.

These measures may help chronic fissures, but more intensive treatment is usually necessary. Nitroglycerin cream may be useful. However, a surgical treatment called a lateral internal sphincterotomy may be needed. This procedure divides the most superficial of the two anal muscles and corrects any problems. It also allows easier passage of stool through the anal canal. The operation can be done using a local or regional anesthetic.

What are the side effects of the treatments?

Once the condition is corrected, there are few side effects to anal fissures. However, a person is at risk of developing another fissure if he or she does not make diet or lifestyle changes. Any surgery involves the risks of anesthesia, infection, and bleeding.

What happens after treatment for the condition?

An individual needs to eat a high fiber diets, maintain regular eating habits, and drink plenty of fluids each day.