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What could cause anal fissure?

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

Patient's Query

Hi doctor,

I have fissure-in-ano. The fissure is posterior that is internal. I have tried Smuth and Sucral Ano cream. But, it did not heal. Can you suggest the best treatment?

Hi,

Welcome to icliniq.com.

  • First of all, we need to treat the underlying cause of fissure-in-ano. The most common causes are constipation and IBS (irritable bowel syndrome). The others include hairy perianal area.
  • Kindly provide details about constipation and loose stools. If you have these, we need to evaluate and treat them.

Revert back with the detailed history to a medical gastroenterologist online.

Medically reviewed byiCliniq medical review team

Published At December 17, 2016
Reviewed AtApril 30, 2025

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