Conservative Treatment for Fissure
Topical anesthetics, stool softeners, dietary fiber, and sitz baths for healing acute anal fissures without surgery.
Watch & Learn
What is Anal Fissure? — Causes, Symptoms & Treatment
About This Treatment
Acute anal fissures (those present for less than 6 weeks) have an excellent chance of healing with conservative management. The treatment focuses on two goals: reducing sphincter spasm to allow blood flow to the tear, and ensuring soft, painless bowel movements so the fissure is not re-torn with each visit.
At Shraddha Hospital, our conservative protocol includes topical glyceryl trinitrate (GTN) or diltiazem cream to relax the sphincter, topical anesthetic gels for pain relief, stool softeners, high-fiber diet, and sitz baths. Over 60% of acute fissures heal completely within 4–6 weeks on this regimen.
Key Benefits
No Procedure Required
Medications and dietary changes alone can heal most acute fissures.
Treated at Home
Topical creams are applied at home — no daily clinic visits needed.
No Side Effects
GTN and diltiazem creams are safe with minimal systemic side effects.
Before Treatment
- 01
Examination to confirm acute fissure and rule out chronic fissure or other causes (Crohn's, STIs).
- 02
Fissure location and depth are noted to guide the treatment choice.
After Treatment
- 01
Apply GTN or diltiazem cream as prescribed — usually twice daily for 6–8 weeks.
- 02
Warm Sitz baths after every bowel movement for 15 minutes.
- 03
High-fiber diet (25–30g per day) and 2–3 liters of water daily.
- 04
Take stool softeners if stools are hard. Avoid straining at all costs.
- 05
Return for review in 4 weeks — if not healing, surgical options are considered.
Frequently Asked Questions
Heal Your Fissure Without Surgery
Acute fissures often heal completely with the right treatment plan. Start your recovery today.