Hello ma'am, my anal fissure has swollen is it a matter of concern or is it normal. I have been taking daflon 500 and applying ano sucral ointment. It has been more than a month.

Question

Anal fissure is a tear in the sensitive lower anal canal which is painful. The swollen part could be sentinel tag. It requires a anal tone relaxing agent which helps in healing due to increased blood flow in the region. Apply nifedipine/diltiazem containing ointment thrice daily for better healing and sitz bath with luke warm water and betadine solution. Kindly contact your local surgeon for a evaluation and whether it requires surgery or continuation of medical management.

Vishwajeet Sahanee · Accepted Answer

Anal fissure is a tear in the sensitive lower anal canal which is painful. The swollen part could be sentinel tag. It requires a anal tone relaxing agent which helps in healing due to increased blood flow in the region. Apply nifedipine/diltiazem containing ointment thrice daily for better healing and sitz bath with luke warm water and betadine solution. Kindly contact your local surgeon for a evaluation and whether it requires surgery or continuation of medical management.

Anjanjyoti Sarma · Answer

Hello lybrate-user, if your diagnosis of anal fissure is confirmed and correct, then apply an ointment which contains nifdepin or diltiazem like escot or fidonal., with your finger, before and after passing stool. I thick your ointment (sucral ano) is not helpful for fissure. Also,to sit in warm steer (sitz bath) and taking plenty of water is helpful.