Last Modified on Oct 02, 2015
While anal fissures typically don’t lead to more serious problems, they can be a pain, literally. If you have ever experienced an anal fissure, you likely feel like you are the only one who has ever had the problem, but this issue is actually a common problem among people of all ages. No matter the cause of rectal tearing, we suggest these natural remedies for anal fissures: olive oil, aloe vera, and comfrey.
What Is an Anal Fissure?
An anal fissure is simply a tear in the lining of the lower rectum. Most fissures are considered acute or short-term and last only a few days to a few weeks; however, a fissure that has not healed after 8 to 12 weeks is considered a chronic condition and may require additional treatment.
What Causes Anal Fissures?
A common condition, rectal tearing affects individuals of all ages and is actually particularly common in young and otherwise healthy people. The root cause of a fissure is injury or trauma to the anal canal; however, this injury can be caused by a number of factors. Passing a large stool, being constipated and trying to pass a hard stool, having diarrhea, and giving birth are the most common culprits. Crohn’s disease is another fairly common cause of anal trauma.
Do I Need to Treat an Anal Tear?
While specific treatment of an anal tear is not absolutely necessary for healing, you’ll likely want to treat the condition just for relief, if nothing else. We have come up with a great assortment of treatment options for anal fissures, but three that seem to be the most effective are olive oil, aloe vera, and comfrey.
1. Olive Oil
Olive oil functions in two important ways to treat fissures. First, olive oil is a healthy fat that helps lubricate the bowel system and moisten stool, making it easier to pass. Second, olive oil is a healthy fat that reduces inflammation in the body and relieves pain associated with fissures.
2. Aloe Vera
Aloe vera also helps treat inflammation and prevent infection. Applied externally or taken as an internal supplement, aloe vera moistens the anal canal and helps relieve pain.
Comfrey promotes healing and relieves pain. The key nutrients in comfrey promote rapid cell growth, which expedites healing of the fissure and relieves pain.
As uncomfortable of a topic as an anal fissure is to talk about, it is even more uncomfortable to experience. Give one of these treatment options a try or search our reader-contributed database to find even more remedies. Let us know what you tried to cure your fissure!
Aloe Vera Gel
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[YEA] 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.
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Anal Fissure Remedies
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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.
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Northland, New Zealand
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Anal Fissure Tips
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[BETTER BUT NOT CURED] 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....
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Rustenburg, South Africa
Hi srinivasan, Can you please give the name of the Hospital & Doctor in Bangalore? Many thanks.
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[YEA] 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.
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Replied by Letmein
Fort Mill, South Carolina
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[YEA] 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] 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.
Replied by Afsaana
Botox, Multiple Remedies
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[YEA] 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!
Replied by Jpl
Los Angeles, CA
Changing Leg Position
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[YEA] 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.
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Vancouver, Bc, Canada
Clove, Coconut Oil and Eucalyptus
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[YEA] I have been suffering for 5 months with anal fissures. Very painful during stool movements, also followed by bright red blood when wiping and itchy burny pain afterwards for hours. I tried rash ointment, cortisone creams and vaseline... Nothing worked. Then it became almost impossible to pass a stool it felt as if I was pooping razor blades everytime.
I started applying some clove oil straight on my anus and it was very burny, but brought immediate relief after a few seconds. I then made an easily concocted ointment with a teaspoon of clove mixed in with a table spoon of coconut oil (melted) and a table spoon of eucalyptus ointment (zambuck or cuticura). Once it set as an ointment, I applied it everytime I used the toilet, and made sure I got some inside where the fissures are with my (clean washed) finger.
It is now a week since I started using it and the fissures are almost completely healed. I had a movement just now and only had mild discomfort, with no pain or bleeding. I alternated the ointment and the raw clove oil on the days I had more than one visit to the loo. The morning I would apply my magic ointment and in the afternoon or evening I would apply the clove oil straight out the little bottle, dabbed on my finger and applied directly on and inside where the fissures are.
This remedy cost me very little and it has made me feel really positive about the future. I thought I would share this with people that might have tried EVERYTHING else. This might also work for you, it is all natural and non toxic remedies, so you have nothing to lose by trying. good luck, I hope it works for you too!! Regards, George
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[YEA] I have made coconut oil suppositories by rolling it up in wax paper and putting it in the freezer to use for my anal fissures. I have been in pain for 2 months with this anal fissure and the coconut oil really seems to help heal them and keep them moist..and help heal them..... Yes, you break off about a half inch piece and insert it...about every 3 hours.
Coconut Oil, Antibiotic Ointment
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[YEA] 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!
Replied by Dee
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[YEA] 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] 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.
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Washington DC, DC
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San Diego, Ca
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Perth, Western Australia
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Dietary Changes, Chamomile Tea Bags, Aloe Vera Gel, Wheat Germ Oil
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[YEA] 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.
Replied by Kukum