Understanding Anal Fissures

• An anal fissure is a small tear in the lining of the anus, often causing pain and bleeding during bowel movements.

Initial Treatment Approaches

• Adopt a high-fiber diet and stay hydrated.
• Use stool softeners to ease bowel movements.

Medications Commonly Used

• Apply topical anesthetics like lidocaine for pain relief.
• Use topical nitroglycerin ointment to enhance blood flow and healing.
• Consider calcium channel blockers (e.g., diltiazem cream) as alternatives.

When to See a Specialist

• Consult a proctologist if symptoms persist or worsen.
• Explore further treatments if medications are ineffective.

Additional Advice

• Maintain good hygiene and avoid straining during bowel movements.
• Consider surgical options if conservative treatments fail.

Relevant Medical Specialties

• Referral to a gastroenterologist or colorectal surgeon may be necessary.

India-Approved Brand Names

• Lox 2% Gel is a common topical ointment available for fissure treatment.