My age 35, male. I have anal fissure problem since two months. I have used pilex tab & pilex forte ointment, but not cured anal fissure. My anal muscles (sphincter) very tight & outside anal muscles swelling there. Swelling not decreasing. Pain while going to washroom. How can I relax anal muscles (sphincter) (means loose anal muscles) present I am in africa. I have ointment cream gel (diltiazem hydrochloride 2 % w/w) escot cream (nifedipine & lidocaine cream) diltigesic organogel (diltiazem 2 % organogel) in this above ointment cream, which one relax anal (sphincter) muscles & reduce swelling how can I use this cream, can I put cream only outside anal muscles or even inside anal area can I put within how many days, can I cure swelling & relax anal muscles please answer fast thanks & regards waiting for your reply.