Treatment for Anal Fissures

Anal fissures are painful splits in the lining of the anus. This typically occurs with straining and stretching, but can be associated with IBD.

Treatment options fall into 3 main categories.

1) Stool softening – High fluid and soluble fibre intake +/- Osmotic laxatives eg. Movicol

2) Muscle relaxants – Diltiazem 2% ointment bd + GTN 0.4% ointment bd (Rectogesic)

3) Analgesics – Proctosedyl (cinchocaine 0.5%) ointment bd or Xyloproct (lidocaine 5%) ointment bd