What is a fissure?

Simply put, a fissure is a cut. The problem is that it is in an area that requires constant use. Because the anal canal is richly innervated with sensory pain fibers, a fissure is often very painful.

What causes a fissure?

A fissure is usually caused by a hard stool. This stretches and tears the opening. It is not surprising that it hurts and bleeds.

What can I do to help it heal?

Proper healing depends on 3 therapies:

1. Soften the Stool: We use fiber supplements to change stool consistency.
2. Protect the Wound: Apply Lidocaine Gel with a Q-tip, up inside the anal canal, directly on the fissure prior to the bowel movement.
3. Break the Spasm: Apply Nitroglycerin Cream with a Q-tip. Place a 'dab' of medication outside the opening, up to 4 times a day.

It takes months to heal properly. During this time you may have days when it seems healed, only to have a 'bad' bowel movement and a recurrence of symptoms.

Stay on the Program!

Focus on the Bowel Movement