Can my anal fissure heal with a proper diet?

Question

Hello, Doctor,

I have been suffering from an anal fissure for the last 1.5 to two years. When I consulted the doctor at that time, the doctor gave me smooth cream and a bottle to soften the stool, and he also advised me not to eat certain things, but the diet was not proper for me at that time.

After that, when I came for consultation, I applied that and drank stool softener for a few days. Later, my problem got cured. Sometimes I used to feel pain after going to the toilet; that too used to happen one to two times in one to two weeks, but at that time, I used to apply that cream, and it would get cured.

The next day, everything was normal, but for almost the last month, I have started having that pain again, which has not gone away even after taking medicine and stool softener, and the skin of the anus now hurts even when I sit normally, which was not there before, and now there is some redness also, which was not there before. Whether it is blood or something else, I don't know, but now if I accidentally touch the anus, then it itches very badly, and that too with a softness that makes it very difficult to stop myself from scratching, and now I feel pain even when I touch the outer side of the anus and also when I sit.

Can I recover from the condition I am in now by following a proper diet and applying cream from time to time and by doing some other things, doctor?

Please answer my question. I have never had any surgery before. I was only given a smooth cream and stool softener by the doctor, and he also told me about the diet as I have mentioned above

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I am sorry you have had to deal with this for so long. Based on your description, it is possible that your anal fissure has become chronic. There could also be more irritation, inflammation, or even an infection causing the ongoing pain, redness, and itching.

While many anal fissures can heal with consistent treatment, including keeping the stools soft with adequate fiber, fluids, and stool softeners if prescribed, avoiding straining during bowel movements, taking warm sitz baths several times a day, and using the cream exactly as directed, the fact that your symptoms have persisted for about a month despite these measures means you should be examined by a doctor, preferably a colorectal surgeon or general surgeon.

They can confirm whether this is still a fissure or if there is another problem such as hemorrhoids, a skin infection, a fistula, or another condition that needs different treatment. Many chronic fissures can still heal without surgery, but some require prescription medications that relax the anal sphincter or, in selected cases, a minor surgical procedure if conservative treatment fails. Seek urgent medical care if you develop a fever, increasing swelling, pus, severe bleeding, or pain that becomes unbearable.

With the right evaluation and treatment, there is a good chance your symptoms can improve, but because they have changed and are no longer responding as before, it is important not to rely only on the previous cream without being reassessed.

I hope this helps.

Thank you and take care.

Regards.