Can anyone suggest a cure for a fissure, have tried prescription medication to no avail?

Question

will regular exercise help, although i do eat lots of vegetables and fruit it will not clear up

Answer 1

You didn't develop the fissure overnight, and it will not go away that quickly either. Get sunlight and air to it as often as possible. Continue to use the medications to soothe and heal the skin. Apply vitamin e from the gel caps a few times a day, keep it clean and dry otherwise. Wear nice cotton undies, not pantyhose and not synthetics. Continue to eat well so you don't strain at all at toilet, use a baby wet wipe for good cleansing after each trip. Pat dry, don't wipe with dry paper. And be patient. Skin doesn't heal in a day, especially in that particular spot.

Answer 2

From my experience you need to not let your anus sag into the toilet bowl so don't sit there all day.

Try to keep your movement free and loose, curries, green veg well cooked, etc.

Don't wipe vigorously, be gentle or use a bidet and pat dry.

Use your finger and locate the fissure then apply Vaseline before you use the toilet. It will protect the wound and aid faeces sliding past.

Below is what I have found on the WWW.

What are the symptoms of an anal fissure?

The typical symptoms of an anal fissure are extreme pain during defecation and red blood streaking the stool. Patients may try to avoid defecation because of the pain.

What causes an anal fissure?
A hard, dry bowel movement can cause a tear in the anal lining, resulting in a fissure. Other causes of a fissure include diarrhea and inflammation of the anorectic area.

Anal fissures may be acute (recent onset) or chronic (present for a long time or recurring frequently). An acute fissure is usually due to altered bowel habits while a chronic fissure may be either due to poor bowel habits, overly tight or spastic anal sphincter muscles, scarring or an underlying medical problem.

How can a fissure be treated?
An acute fissure is managed with non-operative treatments and over 90% will heal without surgery. Bowel habits are improved with a high fiber diet, bulking agents (fiber supplements), stool softeners, and plenty of fluids to avoid constipation and promote the passage of soft stools. Warm baths for 10-20 minutes several times each day are soothing and promote relaxation of the anal muscles. Occasionally, special medicated creams may be recommended.

A chronic fissure (lasting greater than one month) may require additional treatment. Depending on the appearance of the fissure, other medical problems such as inflammatory bowel disease or infections may be considered and testing may be recommended. A manometer test may be performed to determine if anal sphincter pressures are high. An examination under anaesthesia may be recommended to determine if a definite reason exists for lack of healing.

What can be done if a fissure doesn't heal?

A fissure that fails to respond to treatment should be re-examined to determine if a definitive reason exists for lack of healing. Such reasons can include scarring or muscle spasm of the internal anal sphincter muscle. Those which continue to cause pain and/or bleeding can be corrected by surgery.

What does surgery involve?

Surgery usual consists of a small operation to cut a portion of the internal anal sphincter muscle. This helps the fissure to heal by decreasing pain and spasm. Cutting this muscle rarely interferes with the ability to control bowel movements and can usually be performed without an overnight hospital stay.

Answer 3

A fissure is a tear in the bowel and needs a smal operation to repair it ~~