Table of Contents
- POPULAR REMEDIES
- Aloe Vera Gel
- Anal Fissure Remedies
- Anal Fissure Tips
- Botox, Multiple Remedies
- Changing Leg Position
- Coconut Oil, Antibiotic Ointment
- Dietary Changes
- Dietary Changes, Chamomile Tea Bags, Aloe Vera Gel, Wheat Germ Oil
- Fully Ozonated Olive Oil
- Horse Chestnut, MSM
- Manuka Honey, Turmeric, Goldenseal
- Mineral Oil
- Multiple Remedies
- Olive Oil
- Olive Oil, Cod Liver Oil, Honey
- Potassium Permanganate
- Remedies Needed
- St John's Wort
- Wheatgrass, Vitamin E
- Witch Hazel
Natural Options for Anal Fissure and Perianal Fissure Treatment
Skin fissures are not entirely uncommon, but they promote disease in breaking down the skin's protective barrier against pathogens and infectious agents. Among the most painful and unhealthy of these fissures is the anal fissure, a small tear at the entrance of the anus leading into the rectum and colon. Passing large, hard stool is the most likely cause of anal fissures.
An anal fissure necessarily exposes the body to possible infection from the waste materials passing from the intestines, while the anus is furthermore a dark and moist place where pathogenic bacteria are more likely to thrive. Anal fissure symptoms are generally limited to during and just after defecation, with bleeding evident and substantial pain while passing feces and thereafter.
Home Remedies for Anal Fissures
Many people with anal fissures avoid defecation as a way to avoid the resultant pain; however, this can result in stools that are all the more likely to further damage the mucosal tissue of the anal sphincter. Using dietary and herbal remedies to help pass stool that is soft and not dry will reduce pain and damage to the fissure. Dietary changes such as increased water and fiber intake will help eliminate hard stools, and regular exercise will keep your bowels more regular as well. Flaxseed to increase both your fiber and omega-3 fatty acid intake is another possible herbal remedy to consider. If you follow the above advice, perhaps add a bit of olive oil to your diet (see below), and refrain from straining on the toilet your anal fissure should heal on its own in a few weeks.
|Olive Oil||6 YEAS|
Aloe Vera Gel
[YEA] 02/20/2013: Marsh from Denver, Co: "I experienced a terrible interior and exterior fissures after a 3-1/2 week of menopausal bleeding. My naturalpath recommended 'rectal rockets'. If you search on the net and read a funny account, don't believe it, they do work and not anything like the over exaggerated account, but after the 1st one, I noticed my ankles had slightly swollen; the 2nd suppository, my ankles were huge. Edema isn't one of the side effects but decided to not use the 3rd. Instead, I used an oral syringe with a tip that is about 3", filled it with aloe vera gel and slightly inserted into the rectal canal. It worked magic. Hate to admit it but the generic of neosporin healed the outside overnight. Definitely clean after each bm, preferably without toilet paper which seems to be one of the culprits. An expensive temporary handheld showerhead is worth its weight in gold for a quick clean without irritation."Replies
07/10/2013: Farai from South Africa replies: "Where can I find the aloe vera gel? I'm in pain."
07/11/2013: Mild from Honolulu, Hi replies: "Why not get an Aloe Vera plant. Cut off a piece and cur one side off. Split it down the middle. pull ithe leaf apart, and pat on area."
Anal Fissure Remedies
07/29/2013: Srishti from Delhi, India: "Hi, my father who is 52 years old, has been suffering from an Anal Ulcer immediately on being operated for Piles. His surgery for piles was conducted 6 years back and the anal ulcer has been treated by Ayurvedic and Homeopathic medicines but to no avail, as he was not interested in getting another surgery for the anal ulcer. After going for a motion in the morning everyday, his anus comes out and doesn't go back in before 4 hours during which he has lot of difficulty in sitting and walking properly. When the anus goes inside, and when he again goes for a motion, the same is repeated and he has been constantly sitting in a tub with warm water and few granules of pottassium permanganate, without any relief. Sometimes in the evening while taking a walk in the park, he suffers lot of itching.
Please provide some remedy that might put a permanent end to his ordeal. Also if anybody could suggest the best hospital and surgeon for the above, in Delhi, India."Replies
07/29/2013: Mike Giller from Denver, Colorado replies: "Ayurveda and homeopathy are very potent. They provide vitamins, minerals, and phytochemicals. The problem is somewhere else. Every day cells are dividing, replacing old tissues with new tissues. These new tissues require 4 oils and 26 amino acids. These substances need to be bioactive. They can be denatured through improper growing and processeing of the food. The electromagnetism needs to have a pure frequency and high vibrational energy. This requires eating the best foods the right way. For the oils take 1 tsp. Flax oil and 1 tsp. organic coconut oil 4 times a day. For all the amino acids and many vitamins, minerals, and phytonutrients, take a combination of hawaiin spirulina, chlorella, nondefatted dessicated liver, raw organic cocoa powder, non gmo red miso, nondenatured microfiltered whey protein isolate, and freeze dried organic coconut water powder. For carbs take organic sucanet, raw honey, and raw organic dried fruit."
07/29/2013: Mama To Many from Tennessee, Usa replies: "Dear Shrishti, A couple of things come to mind... If he is having any constipation at all, this is going to increase his pain and cause more trouble. A diet high in fruits and vegetables, prunes, blackstrap molasses (1 T. twice a day) is important. Dairy products can be constipating and ought to be avoided.
A comfrey salve might heal the fissure. It promotes rapid cell growth and healing. If you had access to comfrey leaves, you could crush the fresh leaves and place one over the fissure for 20 minutes a couple of hours a day.
Manuka honey or raw local honey is also something that is used to heal wounds very successfully.
Honey and comfrey could both be used safely together. If you could get comfrey root powder, you could mix it with the honey and use it like a salve. (Would be messy... but worth it.)
Charcoal poultices have also been used very successfully to heal wounds. Mix 1 part activated charcoal powder, 1 part ground flax seed (optional, but very helpful) in a bowl and add water and slowly stir until it is a gel-like consistency. Place a spoonful into a quarter of a paper towel. (You can make up many at once. ) Fold paper towel over the charcoal. Now the charcoal is surrounded by paper towel. Place the poultice over the fissure. (One layer of towel between fissure and charcoal. Store extra poultices in a baggie in the fridge. They stay good for a couple of weeks. ) Use this for 30 minutes 2-3 times a day or more if you like. It can be used overnight. If the poultice dries out, the charcoal isn't active any more. This may also help the pain. This can be used with the above safely, also. I might even try the charcoal first.
Plantain tea sitz baths, 30 minutes twice a day, is another option.
Extra Virgin Coconut Oil is good for the skin and for constipation. 1 T. twice a day, internally, is a good idea.
You could try any or all of the above. So sorry he is suffering like this. Let us know what helps him.
~Mama to Many~"
07/29/2013: Ed2010 from Canada replies: "Hello Shristi, Comfrey is good, but it is tough to get in Delhi.
If you could get noni juice it will be very helpful. In fact, noni grows in southern india too but the fruits are smaller size than Hawaiian noni. Take 30ml of noni juice daily. Noni juice is a detoxer and it softens the stools and eases the bowel movement. It will also strengthen the anal blood vessels. This will slowly heal the anal fissure.
I also recommend to use Indian Style Squat Toilet not the american sitting toilet. Indian style squat toilet aligns your body for natural bowel movement thereby reducing the pressure in the anal region. Preventing Piles or anal fissures.
Also for the ulcer, apply wheat grass juice which is a potent healer.
07/29/2013: Barb from Phoenix, Az replies: "From my experience, I have to be extremely careful of what kind of toilet paper I use. I use only Northern because it does not irritate my skin. And I now use some kind of moist wipe after a BM and not toilet paper and it has helped so much to reduce the anal fissures for me."
07/30/2013: Timh from Ky, Usa replies: "Some Vit-A and E internally will help. Cod Liver Oil applied topically on affected area will help."
07/30/2013: Kt from Usa replies: "There is a vitamin ointment (I don't think I can give a name here) that contains lanolin and is sold at drug stores. I purchase the generic brand and it works well for us. I would also recommend using witch hazel to finish cleaning first."
07/30/2013: Gavin from Northland, New Zealand replies: "The thing about anal fissures are that they were a boil that started around the anus, and then bored a hole into the anal canal. If you take a teaspoon of cayenne, sprinkled on your food, and then wait for a BM. Take note if their is mild burning during and after the BM. If there is then the amount is correct (if not up the dose a bit until it burns), and the active cayenne is cleaning out the infection, on the outside use the Virgin coconut oil, as it seems to be more active in that area, and keep the Staph and fungus in check."
Anal Fissure Tips
[BETTER BUT NOT CURED] 07/09/2012: Mchuco from London: "Hi all, I've been suffering from anal fissure since September 2011, getting really bad in the last couple of months. Gone to doctor several time the last time to surgeon. Gave me nytroglycerine cream to put but didn't help. I've tried several other things like aloevera gel, olive oil and honey, st johns wort oil, etc.
Im getting much better now with little pain/spasms after BM.
What really helped me: healthier diet, with lots of liquids, wash after BM. At home I use a plastic bowl that fits in the toilet pan and use it to wash and bath with warm water for 15-20 minutes to help with the spasms. Do it as many times as you need as it relaxes the muscles and you feel less pain. At work I use a plastic bottle, filled with warm water and wash after each BM. Very important always wash.
After wash, dry with toilet paper and apply CAVILON Cream. Got much much better after first time.
Every individual is different, but if you are in agony it is worth trying.
Good luck!!! This is really a pain in the butt...."Replies
09/05/2013: Trudyg from Ala replies: "Don't know if it will help or not, but have you tried 'squat' toileting? It is said that, if you squat while defecating, there is less or no pressure on the anal tissues. That less pressure may allow your fissure to heal."
09/05/2013: Divyam from Mumbai replies: "Hi there, I was googling and got earth clinic and read so many tips bout anal fissure.. Im having it since last 2 months, sometime it bleed on tissue paper, people say that it will take a longer time to heal, I never had constipation in my life, im very active, but I remember that while passing tools once I felt like brick inside but than to forcefully defecated.. And got immence pain after.. Since than im suffering.. Went to specialist and he said it will take time, used creams like pilex, Smuth, fisofine, oil, castor oil, ghee but every morning it cuts.. Doctor said I have ano fissure inside its like 12o clock.. Sitz bathr r good.. Im really fed up and sometimes I cry too.. Got so many tips already here... Thank you so much.. But please tell me if something more to get rid of this.. I will be a good girl now.. No force in defecating.. Waiting for a day when ill do smuth potty without feeling fissure horror feel.. oh god save me ...."
09/07/2013: Louwrence from Rustenburg, South Africa replies: "Hi Divjam, Cutting out all starches is a starting point, & if that does not help have a look at your thyroid. Starches cause a lot of problems & seeing that you are Indian that is your staple food."
11/06/2011: Kalyan from Chingola, Zambia: "Hi srinivasan, Can you please give the name of the Hospital & Doctor in Bangalore? Many thanks."Replies
12/11/2011: Plagued from Hollywood, Ca replies: "I've been plagued with fissures for the last couple years and have tried everything including dietary changes, nitroglycerine, diltizen, metamusil, etc. And nothing seems to work long term. I can go a few weeks without major problems and then whammo, I get hit with another one. I have had multiple fissures so I think my problem must be severe. The only good thing is that only a few of the fissures have been excrutiating. Most have been fairly shallow, but still a major annoyance and inconvenience.
I really don't want to have surgery due to the risk of incontinence so I have been getting desperate. The one thing that has finally given me some relief and started to really work is injecting a small amount of saline into the rectum before each bowel movement. This really softens up the initial surge (which is where I always had my tears and pain occur). It's a bit of a hassle and kind of gross, but it does really work. I just use a small syringe (the same type used for giving medicine to kids) and just mix some saline solution that is used for nasal flushes and neti pots. The one problem is you can't use it everywhere, so I still occassionally have some episodes of minor fissures but they are usually small, have minor pain, and go away quickly. At least it makes things manageble without the risk of surgery."
12/19/2011: Kimmy from Calgary, Ab replies: "I have suffered from anal fissures for 6 years, ever since the birth of my son. I had assumed that the fissures had to due with childbirth but I did not consider that it was caused by a vitamin defficiency during pregnancy. Everything I read about anal fissures, assumed that the person had hard stools to pass but this had never been the case for me. I have always been regular and have not dealt with constipation or hard stools.
Three months ago I saw a naturopath, who said that anal fissures are usually caused by a deficiency in vitamin A or zinc. He asked if I have dry skin or poor night vision (indicating low vit A), to which I reponded "no". Then he had me swish a solution of some sort in my mouth for 30 seconds.... It had no taste to me and he said that if I had proper zinc levels in my body I would have tasted it right away.
So I supplemented with zinc for a month and for the first time in 6 years, I have been fissure free for several months. I am so elated about this and wanted so badly to share my cure. In pregnancy it is common to become deficient in various vitamins and minerals, as the baby uses so much for its growth."
12/21/2011: Timh from Louisville, Usa replies: "Zinc is one of the miracle minerals. Z is mandatory for healing to occur in the body. Z makes a strong immunity. 25-50 mg daily 75-100 in disease states; and be sure to add 3mg copper and 10,000 - 50,000 iu's vit-A. Also people who have too much sun exposure are often deficient in Zinc/A, and women have lower pregnancy rates.
In a life threatening state I have used several hundred mg Z in one dose on a daily basis. Zinc is toxic at high levels like several hundred mg, but is kinda like vit-C in that your body will throw off the excess when necessary; not very pleasant but I have endured this a few times (had I then known to add vit-A & copper I woulda been MUCH better to heal and probably less la purga). During a hospital stay I was without Z and in very bad pain taking morphine both by pump & mouth. My mother agreed to letting me have a minimal 25mg dose 1's daily. In as little as a few days my body began to heal, like miraculously, and I got the living chance back as well as reducing the pain meds. Zinc/Copper is also the base mineral for the antioxidant enzyme Superoxide Dismutase, Manganese being another. Zinc was once used as a standard treatment for burn victims, but has been mostly replaced by profit-driven pharmaceuticals. From what I've read, Zinc greatly speeds burn-wound healing time as well as increasing survival rates.
Perhaps the best Zinc on the market today is a coenzymated "KrebsZinc" by Vibrant Health. I can feel the difference compared to the gluconate or citrate form.
For natural zinc source in diet Pumpkin Seeds are a favorite."
[YEA] 03/03/2010: Gentle from Erie, Pa, Usa: "I've been plagued with an anal fissure for over 10 years. I've tried many things, and have finally found a few things that are working for me that I'd like to share.
First of all, I quit drinking coffee. I noticed that I would frequently have bowel movements after drinking it, so decided to try to quit it and see what would happen. I substituted green tea, and was able to avoid any withdrawal headache. I would suggest watching carefully what you intake and how it affects your bowel movements, especially if you have an easily irritable stomach and bowels. With anal fissures, I believe it's important to have regular and healthy bowel movements, that don't require a lot of wiping which will only irritate the fissure more and suppress healing. So watch what irritates it and stop those things or reduce them.
Secondly, when I do have a bowel movement, instead of wiping a lot, I'll only wipe once with toilet paper, then watch thoroughly with soapy water using your hand. I know it's gross, but you need to irritate this area as little as possible. Also, think of it as a cut that needs to heal. What do you do to cuts? You wash them and keep them clean to prevent infection. I think the same applies with fissures. If you can stomach it, use you finger to wash inside, and then to rinse, and gently wipe dry with a paper towel.
Third, I've been applying a solution of pure olive oil (from whole foods) and crushed up MSM tablet, which promotes the healing. You can crush it by putting it in a plastic baggy and pounding with a mallet. You want it in powder form. If it's to chunky it will scratch and only hurt the situation. Mix it thoroughly with the olive oil and apply to the fissure and inside the anus after every bowel movement, when you get up in the morning and before you go to sleep at night.
Finally, itching. An anal fissure can itch terribly, but scratching it will only make it worse. When it itches what keeps me from scratching is to think that when a wound is healing, sometimes it itches, therefore if the fissure is itching it is healing, which is a sign of progress. This thought keeps me from scratching and therefore setting healing back.
I would say that mostly it is about finding out what causes your particular body to have unhealthy bowel movements(really watery or really hard) and substituting something that doesn't have that affect. Coffee, alcohol, greasy and junky foods, etc.
This has been working for me, I hope it helps others as this is a really draining and painful illness to have."
06/21/2011: Srinivasa from Bangalore, Karnataka replies: "Hi, I suffered from chronic anal fissure for 5 months and tried everything but nothing worked, which may be acv, aloevera, stool softener anything and everything. My problem was after bowel movement the pain use to hang around continuously for the whole day and I lost around 10kg weight. After all this I decided to go for surgery, this june 8th I got operated and very next day got discharged. The same day I had bowel and amazingly it was pain less, I was under medication for 3-4 days. There use to be little discomfort for 6-7 days. Now I'm all right sharing my wonderful experience with people who are really undergoing severe pain, I suggest you if you have the same problem pls pls pls get operated. the cost of my operation in Bangalore in a reputed hospital costed only Rs.15,000/- that's around 400$ to 500$. Wish you all the best and speedy recovery."
06/27/2011: Hossein from Tehran, Iran replies: "Srinivasa, would you tell me what kind of operation did you have? it was a laser surgery for vaporization of the fissure or it was a sphincterotomy?"
06/30/2011: Srinivasa from Bangalore, Karnataka replies: "Hi Hossein,
I had Anal Fissure sphincterotomy, they put me in anastesia, not conscious while operation. it took them 10 to 15 minutes, beleive me now I started preparing for Marathon for 10 km though I'm 45 years old with hypertension taking regular medicine for BP, I'm completely alright and enjoying my time, I can eat anything now, no more pain actuall speaking now enjoy the relief of bowel moments as it use to be earlier:).
All the best to you Hossein."
09/25/2011: Babitha from Bangalore, Karnataka replies: "Hi Srinivasa,
Congratulations on the success of your surgery. My husband is going through the same problem and gone through sphincterotomy, but is still in a lot of pain. Can you please tell me which hospital were you treated in and who is the doctor. This information will be very useful to me. Kindly help."
10/24/2011: Whatworks from Woodbridge, Va replies: "Hey everyone,
I've been plauged by a chronic fissure for the past couple of months and I feel that I have to share my remedy of getting better with the world.Honestly, everyone is different but half of the stuff I've tried out there that people swear by does not work. I visited a top Washington DC doc and had two other opinions on follow ups by different docs. Surgery seemed to be the answer. I didn't want to take the risk cause I am only 29. I'm in good health and I just randomly got a fissure one day. I have been plauged by hemmorroids during the course of my life so that may have contributed to it. Okay, NITRO-BID ointment (by prescription), applied 3 times a day 6 hours apart in the amount of a pea sized drop, around the anus caused the sphincter muscle to stop spasm. This helped me a great deal to keep pressure off of the fissure to enable it to heal. Dubicaine (lidocaine) for hemmorroids applied directly on the fissure before a BM helped take the pain away as did taking ADVIL. TYLENOL does not work. ADVIL is a blood thinner so my thought is that it keeps the blood from building up causing inflammation. I would take MIRALAX everyday. It's not habit forming and works wonders to soften the stool. GO TO THE BATHROOM! Don't wait cause it hurts, it's gonna hurt and you are gonna have to suck it up a little. But the sooner you realize this the better and on the road to healing. Keeping the body free of waste will enable your BM to start consistently becoming soft and easy to pass. The longer you hold it the more rock hard it will be, tearing you everytime. Lot's of soluable and insoluable fiber. 30 grams a day. Avoid solid foods such as wheat and pasta. Eat lots of fruit and salad until the pain goes away then gently introduce items that are more solid. Soft foods help! Drink lots of water. The old adage of 8 glasses a day is BS! I looked up the new guidelines and you need to find out your body weight, then divide that by 2. That is how many ounces of water a day you should consume. For example: I'm 280 pounds, divided by 2 is 140. 140 ounces of water is ideal for my body weight, and more if I am exercising. Finally, use this stuff called Dr. WHEATGRASS cream. It's made in Australia, but sold here by a couple of retailers. You can find it on Amazon.com from a couple of different sources. I apply it directly and it works wonders to help the healing process. I don't understand why doctors think all of this natural stuff is bs... guess they want to just make money on surgery. Finally, take a multivitamin. I also take B12, B6 for bleeding associated with it, and a good quality Vitamin E capsule. I swear if you do these things it will help. It helped a lot for me and I had terrible terrible pain for 2 weeks until I finally started figuring my body out and what I needed to do to fix it. Also, in the future if you get constipated. Don't try to pass it and risk a tear. Here is what you do, and it's nasty but it saves you the pain. As you strain to push the poop from your body your anus is stretched at that point and the poop is barely sticking out, often rock hard. At that point take a finger and stick it into the poop and push your finger as far as you can while pushing the poop out. This breaks the poop up into a smaller, more easy piece to pass thus not tearing your anus. It's disgusting cause you will have stuff over your fingers but it works. Keep doing it until you have passed everything. As the poop starts to exit the colon it should become more soft as it is freshly exiting the large intestine. GOOD LUCK!"
09/03/2012: Letmein from Fort Mill, South Carolina replies: "The bowel movement that caused my fissure just caught me off guard-it was fast. my doctor told me years ago to put my right thumb in my vagina to push the poop out. you can also kind of reduce the size this way also. also, what helps more than anything is deep breathing-enhale thru the nose-out thru the mouth. you can feel the poop moving down to the rectum as you breathe out.
hope this helps. at least you don't have the poop on your finger.... just be sure your thumb is clean."
[YEA] 04/23/2009: Heather from Palmdale, CA: "I have had very bad bleeding every time I had a bowel movement. I tried the vitamin B-6 and within a few days, no more blood. I will still have a colonoscopy to make sure everything is fine but I am glad that there is no more bright red blood in the toilet. I think I had an internal hemmoroid or a fissure - either way it is better. Try it, it works!"
[YEA] 02/12/2008: Ally from Kalamazoo, Michigan: "I too have had hemorrhoids and fissures for 9 years, tried everything on the market including' ACV, cocconut oil was about to go for surgery and read about vitamin B6. I took 50 mg of B6 after meals. It took 3 weeks for this to work, but I noticed a big difference in 3 days. I am now free of this very painful mess and it has been 6 months. If you have a relapse just go to the B6 bottle. I just want to thank Michele who wrote in about B6, on this site."Replies
[WORKED TEMPORARILY] 04/23/2010: Afsaana from Dallas, Tx replies: "Hi, Do you continue to take vitamin B6? I was having the same condition and I found great relief once I took B6. If I stop taking, the pain comes again. Also I hear that long term use may be toxic and could have irreversible nerve damage. Kindly let me know."
Botox, Multiple Remedies
[YEA] 02/18/2012: Natalie from Las Vegas, Nv: "I've been suffering from an anal fissure for the past two years or so. I had no clue what it was at first, tried everything from pinworm medicines to hemorrhoid creams and finally this past November went to a GI doctor, had a stigmoidoscopy and they told me it was a fissure. Although the stigmoidoscopy was helpful, I also felt that it led to more bacteria and infection because, frankly, I'd never had anything stuck up my bottom like that!
I'm only 25 so the doctor said this wasn't very normal for someone my age to have. He gave me nitro glycerine which didn't work. The only cream that helped me was calmaseptine. It is similar to a calamine lotion and stops itching and has menthol so it relieves with a cooling effect. However, I was sick of using creams and just wanted this cured. I went to a surgeon and on Jan. 26 had botox injected. He also sewed up my fissure.
I completely changed my diet to high fiber and cut out sugar and drank tons of water. I also began taking a few stool softeners a day and Metamucil pills. Because of just those changes I always have soft stools and never have a problem with BM. The only times I do is if I drink a lot of alcohol which leads to watery diarrhea (which is just as bad as having hard stools) or if I eat junk food. So those had to be cut.
The Botox injection completely stopped the spasms. However, I still had itching at night to the point I was waking up at 3 am having to take baths, then waking up late for work and it completely ruining my day. After much research I found that these solutions have worked for others:
1-2 tbsp of olive oil before bed (softens stool amongs many other health benefits)
aloe vera applied to the fissure or drinking aloe juice
wheat grass, gotu kola and wheat germ oil
vitamin B6 and zinc
As I am fed up with the fissure taking over my life especially after my Botox treatment I've decided to try completely natural remedies. As of yesterday I began taking B6 and zinc, taking one epsom salt bath at night (the salt is so healing), drinking one cup of aloe vera juice, taking one tbsp of olive oil before bed, and taking a full dose of wheat grass (check our Dr. Wheatgrass, the results are incredible) and taking a wheat germ oil supplement. At night I am opening up two wheat germ oil pills and putting them onto a Johnson & Johnson gauze and applying to the fissure and sleeping with them in. I did it for the first time last night and my inflammation had drastically reduced.
The main reason for itching is moisture in the anal area and openings. Thing of if you had a cut with moist skin rubbing against it, there's your reason for irritation. The best remedy is to use gauze or Johnson&Johnson cotton and place it to keep the area dry. Don't use toilet paper or kleenex as the roughness could irritate the area more.
Hopefully some of these remedies will help you too!"
Changing Leg Position
[YEA] 03/28/2010: Rafa from New York, New York, Usa: "Anal fissure cured by changing leg position during bowel movement
Had an anal fissure for over a month, with no apparent cause, other than typical bowel movements. It was very painful and led to a great deal of bleeding. I saw that one suggestion was to change the position of the back while having a bowel movement. This only helped slightly; HOWEVER, during this process of changing positions during a BM, I realized that the toilet I have been using was too low to the ground for me, causing my knees to be very bent and legs upright during a BM. It must have been putting strain on the anus. By extending my legs out in front of me during BMs, the pain and bleeding stopped within one day. Leg positioning seems to have been the simple cause of these anal fissures. It was such a simple solution and I wanted to share this with people with the hope of it helping them cure a very painful and annoying condition."Replies
[YEA] 06/12/2010: Kal from London, England replies: "I just wanted to say to you a big thank you. I've been in horrendous pain for 4 weeks now and I tried the above change of position. For the first time in 4 weeks I didn't have any pain after a BM. Thank you so much for your advice. I'm now off to buy some vitamin B6 to see if that helps."
11/23/2010: Randy from Jc, Nj replies: "Not sure about this one. If it works for you, that's great. However, the natural position for deficating is squatting. I would have thought the lower toilet seat would have been a good thing. Keeping your legs straight sounds very counterintuitive to me, but again, if it works, it works!"
05/18/2011: Jini from Vancouver, Bc, Canada replies: "If you go watch my "Constipation Pooping Positions" video on YouTube, you will see why extending the legs helps in situations where you need to relieve the downward pressure on the rectal canal or anus. Other times this is also helpful is with anal stenosis or stricture - go see the vid, I explain it all there."
Coconut Oil, Antibiotic Ointment
[YEA] 06/03/2013: Julia from Victorville, Ca: "Thank you for your posts! I had a fissure for almost a month and I was getting very frustrated! I tried all kinds of ointments aloe vera and a good diet but kept hurting and bleeding a lot after a BM. After trying organic coconut oil every morning and night after a shower I started to feel some relief but nothing major, however when I tried an antibiotic ointment and it worked wonders!!! I sooo recomend it! Within a couple of days I wasn't bleeding and the combination of coconut oil and the ointment healed me it's been a few weeks with regular BM and no pain and no bleeding. I also strongly recommend using vaseline or petroleum jelly every time you are about to go because it does ease the pain even after you feel you have healed just in case :)
Extra tip: drink lots of water, don't eat too much meat and no red meat while healing (even after you're healed keep your red meat intake to once a month if possible), also use a stool softner (generic) which I still use but I lower my dosage on the stool softner from 3 to just 1 a day now, but everyone is different so it's up to you.
I hope this helps someone because reading reviews and doing a lot of research I was able to get my life back, this is a horrible thing to go through and I hope you all recover soon!
[YEA] 10/29/2012: Cindy from Sanbornville, Nh: "Hi. I just found this site. Terrific! I've been looking for a place to tell my story. About 1.5 years ago I had a (very, very painful) fistula. I went to the doctor, then to the surgeon. Everyone recommended - no insisted - surgery was the only answer. But using a combo of witch hazel (poured on the toilet paper) for "cleaning" and unrefined coconut oil for "lubing", the thing went away. It stopped bothering me pretty quick after the abscess broke, but it wasn't until I went back for my annual physical the following year I got confirmation it was gone.
Jennifer from Sunrise, FL said witch hazel and coconut oil. And I agreed with everything else she suggested: sitz baths, elevating feet for bowl movements, fiber, etc. Vit. E is also great.
IMO - you must eat fiber! I "make" black beans every few days by pouring boiling water into a thermos with 1/4 cup of dry beans. (Goodwill often has them cheap. ) It takes a good few hours and sometimes you need to dump water out and refill with more boiling water. Depends on amount of beans, size of thermos, and how good the thermos is. Experiment. If not done, just wait or add new water. Anyway. Very inexpensive and healthy. No waste as I only make enough for two days (and I don't eat them everyday - some days I eat a Kale mixture. ) I mix them with a little spag sauce and some spices and occasionally cheese - pretty tasty. I only eat a quarter cup of beans, so it's not a big amount. If I am not in the mood, I still eat it -like medicine.
With fistulas - until they go in to do the surgery, they can't be 100% sure it's a fistula. So, of course, I was "misdiagnosed". But that's my story. I guess both can be in different areas - maybe harder to treat areas. Good luck with your healing!"
[YEA] 03/31/2009: Kat from Washington DC, DC: "Anal Fissure - Change in diet helps
I had an anal fissure that kept bleeding everytime I did #2. I figured out that this was due to constipation. So I looked for remedies to fix constipations. I found out that constipation can be helped if you add fiber to your diet. So I started eating lots of things with fiber (high fiber cereal), vegetables, beans, etc. I also found out that my constipation might be related to a yeast infection that I had. Yeast infections are caused by candida, which feed on sugar. (You can easily find many anti-candida diets on the internet). So I started to eliminate sugar from my diet. I had the anal fissure for about 3.5 months. After 1 month on the anti-candida/high fiber diet, I am happy to see that my stools are a lot softer and I am not getting anal fissures any more. I am not sure if this is due to the high fiber are the lack of sugar in my diet. Either way, I am happy with my results. I am not sure how long I'll stay on the anti-candida diet. I am thinking at least 3 months total, and I'll introduce a few sweets back slowly. Hopefully my fissures won't return then. I hope my story helps someone."
03/31/2009: Kat from Washington DC, DC replies: "It also helps if you take your time when you do #2. Don't rush it. Don't force it out so quickly. Also putting your body in the "scared cat" aka pushing your back out as you go to the bathroom might help the stool pass easier."
11/03/2010: Nunya from San Diego, Ca replies: "Follow this and you should be happpy again within the first week you stop the meat eating...
1) drink mineral oil to help against hard stools at the very beginning or if possible before your new eating habits plan(eating fruits, vegies)
2) eat veggies and friuts, be creative or you will get bored.! Try oatmeal you can toss differnt berries differnt days use water not milk milk is allso tough on the stomach.
3) buy baby wipes, can you say comftrable.
4)buy preperation h with pain relief just in case you get sensitive. If you get inflamation stop use. Or if you pass a succesfull bowel movement without pain do not use.
5)seriously this is very important you need to relax when you B.M. But only when you feel the pain from a previos B.M. Is not as bad as now that you have made the proper dietary changes.
6) take a nice long hot shower or bath. Try wash your butt thoroghly when showering to keep it clean and prevent infection.
7) when you feel like your fissure is healing stay on your diet for as long as you can so your butt can completely heal... You can introduce meats to your diets within a month but make sure to take plenty of fiber or you will end up where you started. I think within one month of being heal you should be able to eat meat again, but for the next 6 months watch how much meat you eat.
Things to consider... Most of todays foods are junk foods. EX. Soda, burgers, cheetohs, twinkies(my favorite) most lemonaids ect all the things that taste great tend to be reasons why america is overweight. If you can manage to stop eating these junk foods you will most likely lose some excess weight so do yourself a favor and eat proper foods. Try to think healthy and you will change your life. Ps if this helps you spread the word there are people out there with the same problem, all you have to do is copy and paste."
03/25/2011: Earthgirl from Cairns, Queensland replies: "I have to strongly disagree about drinking MINERAL OIL, (it should not be used on the skin either). Mineral oil is petroleum-based. Petroleum-based products are known carcinogenics. In other words, cancer causing. Yes, plain old baby oil is unsafe for babies and children and adults."
03/25/2011: Jane from Portland, Oregon replies: "I second that!! There are too many other pure choices to even consider oil by-product."
03/27/2011: Dee from Nyc, Ny replies: "My mother discovered that drinking a shot of olive oil cured her constipation that she had suffered with for years."
10/05/2011: Fran from Perth, Western Australia replies: "Using organic coconut oil works wonders :) A great stool softener. Get it at health food shops. Also great as a body moisturiser."
11/17/2011: Anothertip from Ontario, Canada replies: "Just try flaxseed oil (cold pressed)"
Dietary Changes, Chamomile Tea Bags, Aloe Vera Gel, Wheat Germ Oil
[YEA] 07/11/2012: Simmi from Johannesburg, South Africa: "Hi, I had a fissure as a result of being constipated and also just having a baby 2 months ago. After a week of suffering, my GP advised to change diet and my dentist advised as well. Within a week, 95% of the pain went away, this is how:
For 2 weeks, eat only fruit, veg and bran, 6-8 glasses of water a day, absolutely no junk food, cakes, biscuits, no meat , fish lamb, no protein as this constipates.
After each BM, soak in chamomile tea bags, 3 tea bags per 2litres of boiled water thats then cooled.
Apply aloe vera gel and wheat germ oil, alternating between the 2 throughout the day.
This helped me so much."Replies
05/16/2013: Kukum from Pasadena, Ca replies: "How do you apply coconut oil and wheat germ oil just outside the anal area or can you use cotton (Qtips) to apply them inside too?"
[YEA] 12/16/2012: George from Kent, Washington: "Hey, I want to share a simple and very efficient healing treatment for very painful anal fissures, bleeding hemorrhoids, and chronic old anal fissures with blood and puss coming from inside the anus which doesn't want to heal. Many people will go through unnecessary pain, worries, sleepless nights, and will spend thousands of dollars on surgeries and all kind of expensive treatments with very little results, because that area inside the anus is full of colon bacteria and even antibiotics treatment will not work if the open tear is not kept free of bacteria, it will stay infected with puss for years. Nobody will treat and open wound with fecal matter, and that place is no different. The only fast and efficient treatment that I tried and worked against anal fissures and bleeding hemorrhoids is a saline solution prepared from equal quantities of 2 or 3 teaspoons of table salt and 2 or 3 teaspoons of baking soda dissolved in one quart (1 liter) of boiling water. When the solution will be cooled off use a regular enema bottle filled with 4 ounces or 120 grams of warm solution at the body temperature and use the tip to empties the solution inside the colon, one or two application a day. The body reaction will be to eliminate the solution from inside but during the elimination process the affected area will be cleaned by the solution and will form a protective layer, against colon bacteria, which will start the healing process very rapid. Repeat this treatment for few days any time when you need to eliminate the stool and you should feel the results after the first treatment next day. Also for a few days try to eat one or two apples or oranges or other fruits drink water or soup one or two quarts a day, not too much solid food and no spiced food to keep the stool soft until that area starts to heal. The same warm solution can be used to treat the exterior of the anus after the place was cleaned with warm water and soap, healthy body needs just a little bit of help to start the natural healing process. This simple and clean treatment will work for the majority of people men and women, and I hope the treatment will help many people to heal their problems in that area.
For stubborn chronic anal fissures, after using the saline solution you can fill another enema bottle with betadine solution (1% iodine solution), and deliver a little bit of solution inside the affected area, also you can use proctofoam HC (RX only) and take daily supplements of vitamin A 10,000 IU, vitamin B-complex 100mg, vitamin C 500 mg and Zinc 30 mg until the affected area is healed.
The medication will work better if the area is cleaned with saline solution first."
Fully Ozonated Olive Oil
[YEA] 07/17/2012: Nobleef from Phoenix, Arizona: "I tried everything on the remedy page here (and then some) during more than 10 years of recurring anal fissure bleeding and pain. Some remedies worked partially and temporarily and some not at all. Probably the best of those already listed here was botox, but that only worked 90% or so for about a year.
The first thing that has worked perfectly in the long run is fully ozonated olive oil applied to the affected area and further inside. I've been six months without any bleeding or pain even after the occasional constipation/hard stool. The ozonated oil (which is a thick white paste) feels good as it's working, and the fissure site healed up completely within a couple of days and stayed that way. In addition the muscle has relaxed and become much looser. I tried making my own oil with an ozonator, but that took over a week and nearly burned out the motor. I found it easier to buy premade fully ozonated olive oil online. I hope others will find the same total relief I have found."