What to do for persistent anal fissure pain and burning despite medication?

Dear Mohd Abdul,

We understand your concern about your anal fissure and the alternating periods of improvement and discomfort. Here are a few suggestions to consider:

1. Dietary Changes: Adopt a high-fibre diet with plenty of water intake. Fiber helps soften stools, making bowel movements less painful.
2. Avoid spicy or acidic foods that may irritate the anal area.
3. Sitz Baths: Taking warm sitz baths for 10-15 minutes several times a day can help soothe the anal area and promote healing.
4. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate the symptoms.
5. Use a stool softener if necessary.
6. Surgical Treatment Options: If conservative measures do not provide sufficient relief, your doctor may recommend surgical options such as:

• Lateral Internal Sphincterotomy (LIS): This procedure involves making a small incision or cut in the internal anal sphincter muscle, which is the muscle that controls bowel movements. This cut aims to reduce the pressure on the anal fissure and promote healing by relaxing the sphincter muscle.
• Fissurectomy: In this procedure, the surgeon removes the fissure tissue to promote healing.

Consulting with a colorectal specialist will help determine the most appropriate surgical option based on your specific condition and medical history. Please contact us for further assistance.