Most fissures heal on their own and do not need treatment.
To prevent or treat anal fissures in infants, be sure to change diapers often and clean the area gently.
CHILDREN AND ADULTS
Worrying about pain during a bowel movement may cause a person to avoid them. But not having bowel movements will only cause the stools to become even harder, which can make anal fissure worse.
Prevent hard stools and constipation by:
- Making dietary changes -- eating more fiber or bulk, such as fruits, vegetables, and grains
- Drinking more fluids
- Using stool softeners
Applying the following ointments or creams to the area may soothe the skin:
- Numbing cream, if pain interferes with normal bowel movements
- Petroleum jelly
- Zinc oxide, 1% hydrocortisone cream, Preparation H, and other products
A sitz bath is a warm water bath used for healing or cleansing. You should sit in the bath two to three times a day. The water should cover only your hips and buttocks.
If the anal fissures do not go away with home care methods, treatment may involve:
- Botox injections into the muscle in the anus (anal sphincter)
- Minor surgery to relax the anal muscle
- Prescription creams such as nitrates or calcium channel blockers, applied over the fissure to help relax the muscles