A fissure is a tear in the skin that commonly occurs in the anal area. This condition can be very painful. Severe or chronic anal fissures can be quite difficult to heal because stool can aggravate and re-injure the fissure each time a person has a bowel movement. Many anal fissures are minor in nature and heal by themselves. However, if you have a fissure that won't seem to go away or is hurting too much to ignore, you can try ointment as a healing agent.
Wash your anal area thoroughly. If you use soap, use a very mild, gentle variety that does not contain colours or fragrances. Pat your skin dry with a soft cloth.
Wash your hands well and dry them.
Apply a pea-sized amount of ointment to the external area of the fissure. Use your finger to gently spread the ointment on the affected area. Wash your hands well again when you are finished.
Apply internal ointments if you have a prescription from your doctor; these ointments are designed to heal internal tissues affected by fissures. Some of these ointments come in suppository form. In this case, you gently insert the suppository into your anus. Try to wait at least 30 minutes before using the rest room so that you receive maximum benefit from the ointment. Other prescription ointments come with a cone-shaped applicator. You simply screw the applicator onto the tube of ointment and gently insert the tip of the applicator into your anus. Then you squeeze gently to release a small amount of ointment.
Use other healing methods along with ointments for best results. Other methods of healing fissures include taking warm baths, each a fibre-rich diet and drinking plenty of water.
The type of ointment that you use depends on the severity of the fissure, as well as how long you've been dealing with it. If you've just noticed the fissure, you may want to merely apply some diaper rash ointment that is rich in moisturising ingredients, such as aloe or mineral oil. Over-the-counter hydrocortisone cream also works well on mild fissures. If the fissure is more severe or chronic, you may need a prescription from your doctor for a more powerful ointment. Read the directions on any ointment before you use it.
Visit your doctor if you suspect that you have a fissure. Most fissures don't signal anything serious. However, in some cases, fissures can be a symptom of an underlying condition. Fissures that don't heal on their own also may require surgical treatment as a last resort.