Natural Relief and Prevention: Effective Remedies for Anal Fissures

I quickly consulted EC and found the following combination worked for me:

1. Increase your fiber content and water intake to keep stools naturally softer. I ate a high fiber bread, crackers, fruits, vegetables, ground flax seed in yogurt, and EVCO.

2. I made my own EVCO suppositories with a drop of tea tree oil. I used the tin foil "shells" of commercial suppositories, filled them with the coconut and tea tree oil, closed them and placed them in the fridge. I used these after every bowel movement and before bedtime (use a panty liner to prevent staining.)

3. I also bought cotton gauze pads and circles (the kind you use for makeup removal). Make sure it is 100% cotton. Limit your use of paper because the anal tissues are already irritated. I sprinkled the gauze with alcohol-free witch hazel with aloe (I like Wagners) to cleanse the area after every BM. Then I placed more witch hazel on a cotton circle, folded it in half and used it as a "tuck" and left it in for at least a 1/2 hour. After you remove it use more EVCO as a moisturizer.

4. I took sitz baths at least three times a day for twenty minutes each at first. Keep replacing the water with warm water. Then at least once a day until the trobbing stopped.

5. I bought a good quality "donut" pillow. I alternated sitting and walking/standing.

6. At night I slept on my side with a slim pillow between my knees.

It took about three weeks until I felt "healed. " The main thing to remember is to balance your system in terms of ph and fiber so that you don't continually re-injure yourself. Use a homemade suppository before BMs.

I have also stopped taking antiacids and switched to a mixture of 2 tbs. ACV (the one with the "mother") and fresh lemon juice in a tall glass of water for my acid reflux.

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.

hope this helps. at least you don't have the poop on your finger.... just be sure your thumb is clean.

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.

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.

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....

Yesterday I started on homeopathic Aesculus Hippocastanum 30c (horse chestnut) and Sulphur 30c. Using a homeopathic cream to deal with the external pain of the hemmoroids.

Today feels like a brand new me! Will continue (obviously) with this treatment for as long as it takes, but in over four months or possibly more I have never had the relief that I have now, and believe me I have tried everything from Vit B, Zinc, ACV to castor oil, to drinking Cayenne Pepper tea for 11 days and everything else you can think of.

Will update this in a couple of weeks. Do hope it helps anyone else that had tried everything on the site without success.

Suanne.

First of all-- Let me share the whole regimen he has been on: Changing his diet to include more raw or lightly cooked fruits and vegetables and less processed or sugary or oily junk foods or starchy sides (such as rice or pasta or mashed potatoes). Then Orally on a daily basis: Psyllium Whole Husks which he mixes with juice and drinks at night.. Also one tablespoon of olive oil also at night, one tablespoon raw honey one capsule of cod liver oil and one tablet B6 (100 mg) and a multivitamin with zinc (the store didn't have just zinc alone so we used this with some good effect). This regimen seems to help make a much softer/smoother bm that he can pass without straining and also helps with stress level and healing processes. The fissure takes a while to heal, however, and pain still has been occurring unpredictably, on and off, even with this oral regimen-- Day to day he doesn't know if he will be fine or suffer with debilitating pain where he can't drive or go to work.. From what I have read this pain is as bad as being in labor... Topically he has found that witch hazel applied with a cotton pad to the area gives some relief (temporarily) as well as sitting in a warm bath. However, the day is still shot and he is really not able to do much except to moan and groan and fret about this. What I want everyone to know is what we JUST tried this morning that had IMMEDIATE soothing effect for the internal pain. Nothing we have tried up to now has made such an immediate difference...had read about the healing effectiveness of a mix of things and decided we should be prepared to try if he had another flare up.

Yesterday I bought an oral syringe (pharmacy didn't carry rectal syringe. I made sure it had a smooth rounded end to it (several have a pointy end which you do not want as it can possibly re-injure the area) I mixed about a 1/2 tablespoon of Manuka Honey (100% pure) with about a 1/2 teaspoon of Virgin Coconut Oil and a splash of Aloe Vera juice. Once it was well mixed I took as much of it as I could get into the syringe (which I had first coated the outside end of the syringe with coconut oil) and then gave it to my husband to administer rectally. Very important to not put the syringe to far in (just the tip up to the 2 ml mark at most) so that you don't risk damaging the area. This gave him IMMEDIATE relief so that he could go right back to sleep and from what I have been reading on line, Manuka honey has healed fissures completely within three days of daily treatment. We shall see if this works. All I can say is I am SO relieved he is not bellowing and stomping the floor in the middle of the night and hyper-ventilating and panicking that he will end up losing his job because of this affliction. I gave him a sanitary pad to use in case the stuff comes out and all I can say is how relieved I was that his pain was substantially helped.

This may be our Miracle Cure...We will do this every night before sleep and hope for no more incidents. If I remember I will post again to let you know if this treatment is 100% successful in curing and healing him.. Just wanted to share as this site has been so helpful for treating other ailments during the last few years. I recommend checking out Earth Clinic's website to everyone I speak with who is suffering from any ailment. Hope this helps someone out there!

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!

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 let 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 Krebs Zinc. I can feel the difference compared to the gluconate or citrate form.

For natural zinc source in diet - Pumpkin Seeds are a favorite.

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.

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.

I injected about 3-4mm of pure olive oil inside anus before bowel movements. It lubricates the anus and makes stool pass easily. Although inject olive oil after bowel movements and before sleeping helps the skin to heal very. very fast....

I hope it helps others.

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!

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.

1. If you have the urge to go, don't stop it - just GO

2. Sitz baths really helped in pain relief. Atleast twice a day is a must (more if possible)

3. Keep the rectum area well lubricated all the time. I tried multiple things but what helped me most was Ghee(Rarified butter). This is a very common product in Indian cuisine. I ate one tablespoon of ghee (sometimes more) everyday and also applied it externally two-three times a day. Also make sure to apply it before a bowel motion. Trust me, it works like a miracle on the pain.

4. Incorporated more fiber in the diet. I like Fiber One original cereal (1 serving has 57% of daily fiber requirement). Some foods I swear by are: cabbage, brocolli, sweet potato, apples, pears, papaya and mango.

5. I took botox injections in the rectal area. This is not very known in the US but is apparantly quite common in Australia. They help relax the rectal muscles and restore blood flow to the region which helps in healing of fissures. Ask your doctor about it. It took me about 2 weeks before I started noticing a reduction in pain.

6. I also take vitamin D supplements. Avoid acidic foods. Eat well and enough so that it is easier to have a bowel motion. Sleep is a great healer.

All the Best! Have faith - this is not a severe condition but yes, the pain is severe. It does get better, it does heal!

- Witch Hazel - after every bowel movement, make sure to clean the anal area with witch hazel. You can do it inside too like other readers mentioned, just buy a pair of rubber exam gloves to protect your hands and to keep bacteria out of that area. It's really important to keep the area clean to help decrease inflammation and to speed healing. You can buy (can't mention the brand, but it's a hemmorhoid brand) witch hazel wipes in the store, or you can just make some yourself with some witch hazel (try not to buy witch hazel that contains alcohol, ouch! ) and a cotton pad.

- Coconut Oil - see my method for creating coconut oil supplements on the hemmorhoid remedies page. Helps lubricate the area and speed healing.

- Soften bowel movements - if your anal fissues were due to constipation, it is important that you soften your future bowel movements to prevent any further tearing to the tissue during the healing process. You can use an over-the-counter stool softener (NOT laxative) to do this. Also increase your water intake and increase your vegetable/fruit intake.

- Change your position - like other readers have mentioned, changing your position in the bathroom can help relieve some of the strain on the anus. I prop my feet up on a stool to elevate them to bring my body more into a "squatting" position. You can experiment to see which position works better for you. This helps to strain less in the bathroom which means less pain and less damage to the injured area.

- Sitz baths - I take them every hour or so or after bowel movements to decrease pain. You can find epsom salts pretty cheap at the store. I also go in the ocean for the same reason, maybe it's psychological, but I think the salt water helps.

Hope this helps!

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.