When comparing Crema Gel L and Crema Gel H for treating anal fissures, it's important to consider their active ingredients and how they work. Typically, treatments for anal fissures focus on reducing pain, relaxing the anal sphincter muscle, and promoting healing.

Crema Gel L often contains lidocaine, which helps numb the area to relieve pain. Crema Gel H usually includes hydrocortisone, which reduces inflammation and itching.

For anal fissures, pain relief is crucial, so a gel with lidocaine (like Crema Gel L) can be very effective in managing discomfort. However, if inflammation is significant, a hydrocortisone-containing gel (like Crema Gel H) might help reduce swelling and irritation.

It's best to use these gels under medical guidance, as overuse of steroid creams like hydrocortisone can cause skin thinning. Sometimes, doctors recommend combining treatments or using them sequentially.

If you have persistent symptoms or are unsure which gel suits you best, consulting a colorectal surgeon or a gastroenterologist is the safest approach. They can tailor treatment based on your specific condition and medical history.