Non-surgical treatments and conservative approaches for managing anal fissures.
Increase fiber intake (25-35g daily) and fluid consumption to soften stools and reduce straining during bowel movements.
Medications like docusate sodium help add moisture to stools, making them easier to pass without straining.
Nitroglycerin ointment or calcium channel blockers applied locally to relax the anal sphincter and improve blood flow.
Botox injections to temporarily paralyze the internal anal sphincter, reducing spasm and allowing healing.
Over-the-counter pain relievers and warm sitz baths to manage discomfort and promote healing.
Training to improve coordination of pelvic floor muscles and reduce inappropriate sphincter contraction.
