HomeAnswersSurgical Gastroenterologyanal fissureI have recurring anal fissures. Please assist.

I am diagnosed with external anal fissure. Please let me know the remedy for this.


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Published At February 9, 2018
Reviewed AtFebruary 7, 2024

Patient's Query

Hello doctor,

I was diagnosed with an external anal fissure. Initially, I was prescribed Hydrocortisone cream and Lidocaine or Nifedipine gel. This did give me some relief, but it did not completely heal the fissure. Later, I was prescribed the Ciplox-TZ tablet with the SN plus 15, along with Duphalac Fibre (a five-day course for tablets). This completely healed the fissure. This was six months ago. Recently, I have been experiencing slight trouble when passing stool and then some burning sensation in the anal area. This is due to a hard bowel movement. There is no blood in the stool, and I do not feel any fissures. Should I take one more course on the Ciplox TZ and SN Plus 15? I am currently applying the Lidocaine/ Nifedipine gel and taking Linzess tablet 30 minutes prior to breakfast (to induce soft bowel). Appreciate it if you could let me know the remedy for this. I have read that cow ghee is also a good option in addition to hot sitz baths.

Answered by Dr. Datta Ram. U.


Welcome to icliniq.com.

You have probably got a recurrence of anal fistula. Please take high-fiber diet and laxatives, this can help prevent future recurrence too. Sitz bath is very effective. Do it as many times as possible. I have no idea about cow ghee, but a sitz bath works wonders. The Lidocaine/ Nifedipine ointment or Nitrogesic (Nitroglycerin) 0.25 % ointment is also fine. This helps relax the sphincter and heal the fissure. Please continue. If it is still not healing or recurs again and again, then you can consider a surgical option called lateral sphincterotomy.


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

Dr. Datta Ram. U.
Dr. Datta Ram. U.

Surgical Gastroenterology

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