90% of Acute Fissures heal with simple home remedies and medications. The goal is to break the cycle of Hard Stool → Pain → Spasm.
Before considering surgery, we always try to heal the fissure medically. This involves softening the stool and relaxing the anal muscle.
Relaxes the anal sphincter muscle to improve blood flow and heal the cut.
Prevents hard stools from re-tearing the healing wound.
Soaking in warm water relaxes the spasm and cleans the wound.
Paralyzes the sphincter muscle temporarily to allow healing (for chronic cases).
For patients who want to avoid surgery but have chronic fissures, Botox is an option. It chemically relaxes the muscle for 3 months, giving the fissure time to heal.
Dr. Jaya's Guide
"Most patients apply the cream only on the outside skin. But the spasm is inside! You must apply it internally to get relief."
Dr. Jaya Maheshwari demonstrates the correct technique to apply Diltiazem/GTN ointment inside the anal canal for maximum effect.
80-90%
For acute fissures, medical management is highly effective if started early.
