I am having some sort of irritation while bowel movement and its seems that something has been stuck from last 1 week. I consulted doctor today he said that I am having an anal fissure. He gave me medicines for 1 month (Gutwin 400 and one more) and asked me to make changes in the diet and said it will heal. I am concerned about how serious is this issue and what time will it take to heal? I am not having any bleeding during bowel movement. Just a sort of uneasiness while sitting. Please help me.

UphiGastroenterologist16yrs exp

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Hello, Warm baths are soothing and they may help the back passage (anus) to relax which may ease the pain. A cream or ointment that contains an anaesthetic such as lidocaine may help to ease the pain. You should only use this for short periods (up to 5-7 days). If you use it for longer, the anaesthetic may irritate or sensitise the skin around the anus. You can obtain one of these creams or ointments on prescription. You can also buy some of these products at pharmacies, without a prescription. The cream/ointment should be applied before going to the toilet. A cream or ointment that contains steroid medication may be prescribed by a doctor if there is a lot of swelling (inflammation) around the fissure. Steroids reduce inflammation and they may help to reduce any swelling around a fissure. This may help to ease any itch and pain. You should not use it for longer than one week at a time. Wash the anus carefully with water after you go to the toilet. Dry gently. Don't use soap whilst it is sore as it may cause irritation. Painkillers such as paracetamol or ibuprofen may help to ease the pain (but avoid codeine - see below). Thanks. 

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