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Ammazurin (UK) on 04/12/2021: 
When the majority of fissure symptoms subside, if you have a skin tag, slight tenderness, and pain when pressed, it's probably a chronic fissure that hasn't fully healed. It's a highly understood area but I believe Candida is what's preventing your fissure from healing fully and a low sugar diet with borax should finally work, as it did for me. I take one-eighth of a teaspoon with any hot drink on weekdays only. Your body needs a break from it so leave it out at the weekend.
Ammazurin (London) on 06/06/2019:
Once pain subsides and healing begins (after a few days of eating better) you can go deeper with the olive oil. Apples and olive oil are the way to go, simple and uncomplicated but extremely effective.
Not For Profit Health (Pennsylvania) on 10/27/2017:
I knew my diet was very grain heavy as I was eating mostly rice, beans, potatoes, peanut butter and other thick dry heavy things almost every day when this all started. I would make a batch to have prepared meals ready to go. Vegetables were also in there but while my goal was to have a heavy carb diet, it ended up being a heavy grain diet. My first adjustment was to start using more oil in my mixed rice as I was also experimenting at the time with limiting fat which was creating a perfect storm of "dryness". While the re-addition of fat helped I was still suffering. I began limiting rice to 3x per week max and having pasta/spaghetti, soups, salads and other "moist" foods the other days which only reduced the frequency of pain.
Then after eating a giant plate of leftover spaghetti on an "off grain day" I had trouble starting my B.M. again the next day. I started paying closer and closer attention to the conditions in my environment causing the fissure and ended up focusing more on what is preventing the healing instead. This change in mind helped me realize that it wasn't specifically the exercise intensity since I stopped that activity and have not eaten spicy items yet still suffered which means at one point or another I strained harder than I thought. (Spicy food and exercise will worsen symptoms but are not the cause).
Eventually I realized that my full dependence on my toaster oven was drying all my meals out! This is important for all those that realize the dangers of and abandon microwaves. Now I reheat things on the stove and have mastered the art of re-hydrating leftovers. All my life my mother did this to our food and I had no idea!
After fearing all kinds of other ailments it finally hit me that I'm simply suffering from perpetual constipation and the fissure is merely the symptom. I wasn't listening to my body and wanted to feed it what was convenient and available. So after a year of short painful bouts and a mild sense of not fully evacuating I started eating bananas, drinking water and moving around every morning whereas before I would just go immediately after waking before my body was awake. I rehydrate my meals and try to eat the veggies raw instead of cooked in rice cooker with the rice. Heat was my enemy! I now know why Afghans use so much oil in their rice as constipation is a common problem in the middle east and asia!
The point is none of the treatments on this page will help you in the long run if you don't cure the cause. The solution is to change your diet to be at least 50% moist. This chart I attached is the secret to avoiding fissures forever and will be your daily test on the effectiveness of your diet. Type 4 is your goal.
If you're suffering right now then buy a bag of prunes and a few bundles of bananas. Eat 1 to 3 ounces of prunes (they might say dried but they should be moist/juicy) before breakfast and with your dinner and try to eat 3 bananas a day. It's funny because Type 4 is shaped like a banana too!
ENEMIES:
DRY FOOD (FOOD NOT REHYDRATED)
GRAIN HEAVY DIET (EAT AN EQUAL AMOUNT OR MORE OF PLANTS/VEGGIES)
EATING FOODS WITH NO OIL (YOU NEED FAT IN YOUR DIET TOO ESPECIALLY IF YOU DON'T EAT MEAT/DAIRY)
Pro Tip:
Switch your dinner to lunch and eat lunch at dinner. By eating your biggest meal in the middle of the day when your digestion is at its peak your body will have a much easier time with evacuation. Eating at its core is about digestion and evacuation. The faster you evacuate the healthier you will be. I suspect a large portion of people suffering this have a similar extreme diet!
Simmi (Johannesburg, South Africa) on 07/11/2012:
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.
Nunya (San Diego, Ca) on 11/03/2010:
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.
Kat (Washington DC, DC) on 03/31/2009:
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.
