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What is the treatment for an anal fissure?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I feel some discomfort and mild pain in the area of the anus while sitting down. Sometimes the pain is more. There is no bleeding involved. I cannot see or touch the area. I also feel that there is some dysfunction in the erection of my penis.

Kindly help.

Thank you.

Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern. The symptoms you mention can be due to an anal fissure, which is a breach in the lining of the anal canal. This can not be palpated with fingers. You should use the following medicines for at least two weeks to see if they improve your symptoms. In most patients, the symptoms resolve in the first few days of use of medicines, but the fissure takes a variable time, ranging from two weeks to six week,s before proper healing occurs.

1. Use Isabgol husk (Psyllium husk) two tablespoons full in water daily.

2. Apply Xylocaine (Lidocaine) gel 2 % three times in the anal area with a finger.

3. Apply Glyceryl trinitrate (GTN) gel thrice daily in the anal area using a finger.

4. Sitz bath - sit in slightly warm water daily for 10 minutes after showering.

5. Consume at least eight glasses of water.

Follow up after a week or earlier to update me about your symptoms.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 15, 2022
Reviewed At February 18, 2026

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

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