February 23, 2024
This guide provides a comprehensive overview of how to heal an anal fissure. It discusses natural healing methods, surgical options, hygiene practices, lifestyle modifications, and coping strategies.


Anal fissures can be uncomfortable and painful, but they are also relatively common and treatable. If left untreated, fissures can lead to more severe health complications. In this guide, we’ll explore natural healing methods, surgical options, hygiene tips, lifestyle modifications, and coping strategies to help heal anal fissures and alleviate pain and discomfort.

Natural Healing Methods

Natural healing methods are the most desirable treatment options for anal fissures. They are non-invasive, less risky, and typically cheaper than surgical procedures. These natural methods include:

  1. Sitz baths
  2. High-fiber diet
  3. Stool softeners
  4. Hydration
  5. Regular exercise
  6. Avoiding certain foods

Sitz baths are the most popular natural healing method. In a sitz bath, you soak your bottom in warm water for 10 to 15 minutes. This helps reduce discomfort, irritation, and inflammation, making it easier to pass stool. You can add Epsom salt to the water to help reduce inflammation and speed up the healing process.

High-fiber diets promote healthy digestion and regular bowel movements. Fiber-rich foods like fruits, vegetables, and whole grains help prevent constipation, which is a leading cause of fissures.

Stool softeners can also help to reduce pain. They work by making bowel movements softer and more comfortable, so they are less likely to cause damage or injury to the anal tissue. Your doctor can recommend an over-the-counter softener or prescribe medication if necessary.

Hydration and regular exercise contribute to digestion and bowel movement. Staying hydrated and active can help keep constipation at bay and enable your body to heal faster.

You should also avoid foods that can irritate the anal tissue and exacerbate the fissure, including spicy food, coffee, alcohol, and carbonated drinks.

Surgical Options for Healing Anal Fissures

If natural remedies aren’t working, surgery offers another option. Surgical procedures for anal fissures are more invasive and come with inherent risks. Nevertheless, they can be highly successful in healing fissures that do not respond to conservative treatments, such as:

  1. Lateral Internal Sphincterotomy (LIS)
  2. Botox Injection therapy

Lateral Internal Sphincterotomy (LIS) is the most common surgery for fissures. In the procedure, an incision is made in the anal sphincter muscle to relax the anal muscles and promote healing. This surgery is performed under general anesthesia, and the recovery period can last for a couple of weeks.

Botox injection therapy is another surgical option. During this procedure, botulinum toxin, or Botox, is injected into the anal sphincter muscle, which helps relax it and promote healing. The treatment may take several weeks before the fissure is finally healed.

Best Practices for Hygiene to Aid Anal Fissure Healing

Good hygiene is crucial in the healing process of an anal fissure. Keeping your anal area clean will help prevent further irritation and inflammation, which can slow down the healing process. Take the following precautions:

  1. Use soft cloths to clean the affected area
  2. Dry the area with a soft towel or blow dryer on a low setting before dressing
  3. Take a shower instead of a bath to avoid soaking the affected area
  4. Wash your hands thoroughly after using the bathroom

The best products to use for cleaning include fragrance-free soap, alcohol-free wipes, and water-based lubricants. These products are gentle on the skin and will not cause further irritation. Avoid using products containing perfume or harsh chemicals, which can cause more harm than good.

Triggers and Lifestyle Modifications to Avoid Painful Anal Fissures

Avoiding triggers can help you manage the discomfort and pain associated with anal fissures. Some common triggers include:

  1. Constipation
  2. Diarrhea
  3. Hard stools
  4. Straining during the bowel movement
  5. Spicy foods and beverages
  6. Alcohol and caffeinated drinks

Lifestyle modifications can help you avoid these triggers and speed up the healing process. These modifications include:

  1. Drinking lots of water and eating high-fiber foods
  2. Exercising regularly to promote digestion and bowel movement
  3. Avoiding spicy and acidic foods
  4. Avoiding alcohol and caffeinated drinks

Furthermore, managing stress and anxiety can be very helpful since these factors can increase muscle tension in the anal area, leading to further aches and pains. Therefore, using meditation and relaxation techniques, and seeking professional support, can help relieve stress and anxiety effectively.

Coping with the Emotional and Physical Toll of Anal Fissures While They Heal

Anal fissures can take a physical and emotional toll. You may experience pain, discomfort, and even embarrassment. Coping strategies can help you manage both the emotional and physical effects of an anal fissure:

  1. Take pain relief medication as advised by your doctor
  2. Practice pelvic floor relaxation exercises
  3. Meet with a therapist to work through emotional stress and anxiety
  4. Join a support group for people with anal fissures to seek social and emotional support

It’s essential to follow your doctor’s recommended treatment plan for anal fissures. Doing so will enable you to heal faster and reduce the risk of other more severe complications.


Anal fissures are a prevalent problem, but there are ways to manage and heal them properly. Natural healing methods, surgical options, hygiene best practices, lifestyle modifications, and coping strategies are all effective ways to aid in anal fissure healing. If symptoms persist or worsen, you should talk to a medical professional for more advice and support. Proper care and healing of anal fissures are critical to prevent further complications and improve your overall quality of life.

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