Are you feeling sharp pain every time you go to the toilet? You may be suffering from an anal fissure. Do not worry — you are not alone. Millions of people in India face this problem. The good news is that fissure treatment is possible, and many fissures heal fast with the right care.
At Kaizen Fistula Care, patients receive advanced and compassionate care for fissures and other anorectal conditions.
In this blog, Dr. Samrat Jankar, a leading fissure specialist in Pune, shares expert tips on how to heal a fissure fast, naturally, and medically.
What Is a Fissure?
An anal fissure (also called fissure in ano) is a small tear or cut in the skin around the anus. It can cause:
- Sharp pain during and after passing stool
- Burning sensation for hours after motion
- Bright red blood on toilet paper or stool
- Itching or irritation around the anus
Fissures are very common. They affect people of all ages — including babies, young adults, and elderly people.
Can Fissures Heal on Their Own?
Yes — acute fissures can heal on their own with simple lifestyle changes. But chronic fissures rarely heal without medical help.
The fissure heal time depends on:
- How deep or severe the tear is
- Whether you are managing constipation
- Whether you are following a proper diet and hygiene
- Whether you are taking prescribed medicines
Most acute fissures heal within 4 to 8 weeks with proper home care. Chronic fissures may need procedures like Botox injection or surgery.
How to Heal a Fissure Fast — Top Expert Tips by Dr. Samrat Jankar:
1. Take Sitz Bath (Warm Water Soak) — Most Important Step
A sitz bath means soaking your lower body in warm (not hot) water for 10 to 20 minutes.
How to do it:
- Fill a tub or special basin with warm water
- Sit and soak for 15–20 minutes
- Do this 2 to 3 times daily — especially after passing stool
Benefits:
- Relaxes the anal muscles
- Increases blood flow to the fissure
- Reduces pain and swelling
- Promotes faster healing
This is the most recommended fissure cure at home.
2. Eat More Fibre — Fix Constipation First:
Most anal fissures happen because of hard stools. If you fix your constipation, you fix the root cause.
Foods to eat:
- Fresh fruits (papaya, banana, guava)
- Green vegetables (spinach, methi, carrots)
- Whole grains (oats, brown rice, daliya)
- Pulses and lentils (dal, rajma)
- Curd and buttermilk
Foods to avoid:
- Spicy food (mirchi, pickles)
- Fried and junk food
- Maida-based items (white bread, biscuits)
- Red meat
- Alcohol and caffeine
Dr. Samrat Jankar’s Tip: Eat 25–30 grams of fibre daily and drink 8–10 glasses of water. This alone can prevent 70% of fissure cases.
3. Drink Plenty of Water:
Dehydration makes stools hard and painful. Drinking enough water keeps stools soft and easy to pass.
Target: Drink at least 2.5 to 3 litres of water per day.
This is one of the simplest and most effective fissure cure tips.
4. Use Topical Creams (Ointments) as Prescribed:
Your doctor may prescribe topical ointments for faster fissure healing.
Common options include:
- Lignocaine/Lidocaine cream — for pain relief
- Nitroglycerine (GTN) ointment — relaxes the anal muscle, improves blood flow
- Nifedipine gel — calcium channel blocker, reduces spasm
- Diltiazem cream — a muscle relaxant for chronic fissures
Do not self-medicate. Always use ointments under a doctor’s guidance. The wrong cream can delay healing.
5. Use Stool Softeners (Short-Term):
If your stools are very hard, your doctor may suggest a mild stool softener like lactulose syrup or ispaghula husk (Isabgol).
These soften the stool and reduce pressure on the fissure during bowel movements.
Use only as prescribed — not for long-term.
6. Do Not Strain During Bowel Movement:
Straining is the biggest enemy of a healing fissure.
Tips to avoid straining:
- Never sit on the toilet for too long (max 5 minutes)
- Do not use your mobile phone while on the toilet
- Go to the toilet only when you feel the natural urge
- Use a small stool under your feet (squatting position is better)
7. Keep the Area Clean and Dry:
After each bowel movement:
- Clean gently with plain warm water
- Pat dry softly with a clean, soft cloth or tissue
- Do NOT scrub or rub the area
Keeping the fissure area clean prevents infection and helps it heal faster.
8. Wear Loose, Cotton Undergarments:
Tight synthetic underwear can cause friction and worsen the fissure.
Always wear loose, soft cotton undergarments to allow air circulation and comfort.
9. Avoid Sitting for Long Periods:
If you work at a desk job, take a short walk every 30–40 minutes. Sitting for long hours puts pressure on the anal area and slows fissure healing.
A donut-shaped cushion can also help reduce pressure when sitting.
10. Do Light Exercise and Yoga:
Light walking (30 minutes daily) helps bowel movement and reduces constipation.
Yoga poses are helpful for fissure patients:
- Pawanmuktasana (Wind-Relieving Pose)
- Balasana (Child’s Pose)
- Vajrasana (after meals)
Avoid exercises that put strain on the anal area, like cycling or heavy weight lifting.
When Does a Fissure Need Medical Treatment?
See a doctor immediately if:
- The fissure is not healing after 4–6 weeks
- Pain is severe and unbearable
- There is heavy bleeding
- You see pus or discharge from the area
- Fissure keeps coming back again and again
These are signs of a chronic fissure that needs proper fissure treatment in Pune or your nearest city.
Medical Treatments for Chronic Fissures:
- Botox Injection: A Botox injection relaxes the tight anal sphincter muscle for 3–4 months, giving the fissure enough time to heal completely. It has a 60–80% healing rate.
- Lateral Internal Sphincterotomy (LIS): This is a minor surgical procedure where a small cut is made in the anal sphincter muscle. It reduces the tightness and allows the fissure to heal. This is one of the most effective fissure treatments for chronic cases, with a success rate of over 90%.
- Laser Treatment: Advanced laser techniques offer precise treatment with less pain, minimal bleeding, and faster recovery.
At Kaizen Fistula Care, Dr. Samrat Jankar uses the latest and most advanced techniques for fissure treatment in Pune with minimal pain and quick recovery.
Final Words from Dr. Samrat Jankar:
“A fissure is painful, but it is very treatable. Most patients feel much better within a few weeks with the right care. Do not feel embarrassed about this condition — it is a medical problem like any other. Come and talk to us. We are here to help you heal fast and live comfortably.”
— Dr. Samrat Jankar, Fissure Specialist, Kaizen Fistula Care, Pune
Common Questions About Fissure Healing (FAQ's):
Yes, mild acute fissures can heal with diet changes, sitz bath, and hydration. But if it is not better in 4–6 weeks, see a doctor.
Acute fissures heal in 4–8 weeks. Chronic fissures may take 3–4 months with treatment.
A fissure is not life-threatening, but it is very painful and affects your quality of life. Chronic fissures need proper treatment to avoid complications.
A high-fibre diet (fruits, vegetables, whole grains), plenty of water, and avoiding spicy, fried food is the best diet.
Yes, it can recur if you go back to bad diet habits or get constipated again. Maintaining a healthy diet and lifestyle prevents recurrence.
No. Many chronic fissures respond well to Botox injection, topical creams, or other non-surgical options. Surgery (LIS) is done only when other treatments fail.
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