A Guide to Curing Anal Fissures

Fissures are tears in the skin of your anus, typically caused by trauma such as the passage of a hard stool, bouts of diarrhea, childbirth, narrowing of the anal canal or ulceration of a hemorrhoid. Tears that do not heal become fissures due to inflammation from repeated trauma and coexisting factors such as internal hemorrhoids.

We recommend our Treat+Protect Bundle to best combat stubborn fissures. Our Treat+Protect Bundle is our most complete regimen for a combination of chronic hemorrhoids and chronic tears (aka fissures). This treatment regimen contains our Maximum Strength and Advanced ointments along with instructions on how to heal a fissure.

How to Use

Use our Maximum Strength formula until swelling has been reduced. Use our Advanced formula for two weeks after that.

1. Start by applying our Maximum Strength formula. You can use this instructional video as a guide. Follow the tips in the next section for wholistic recommendations to keep in mind as you continue treatment.
2. Continue use until the swelling of hemorrhoids has gone down significantly. This may only take three days and up to two weeks.
3. Once swelling is gone, apply our Advanced Protection & Prevention Formula to the skin of the anal canal (the two inches of skin lining the inside of your anus opening) and on the outside of the anal opening, wherever tears are present.
4. Continue use until tears have started to heal and are no longer irritated by bowel movements, for up to two weeks. If tears, swelling, bleeding or uncomfortable symptoms exists longer than that, we recommend scheduling a visit to your doctor to discuss the possibility of underlying conditions.

Doctor Butler’s Wholistic Treatment Recommendations for Treating Fissures

1. Use Doctor Butler’s upon waking up, after your first bowel movement, before bed, and one additional time per day, for a total of up to four times a day. Follow directions in the How to Use section above.
2. Drink 6-8 glasses of water daily and follow a high fiber diet which includes whole wheat cereals, bran, fruits and vegetables. Try to limit spicy foods, nuts, seeds, corn, popcorn, caffeine, milk and alcohol.
3. Use a psyllium bulking agent available at grocery stores.
4. If you have normal to firm bowel movements, drink 2 Tablespoons of mineral oil daily as a lubricant (for 2 weeks only since it has been known to decrease vitamin absorption when taken long term). For loose bowel movements, be sure to follow step 2 above.
5. If irritation occurs with the use of Doctor Butler’s ointments, stop any exterior anus use and reduce the amount of ointment being applied to the anal canal. If condition becomes worse, discontinue use.
6. More than two bowel movements a day can be a symptom of irritability which can create a high level of acidity. This can affect the ability to heal. Avoid caffeine, milk and excessive alcohol. Using an over the counter anti-diarrhea medication may reduce the frequency of bowel movements on a temporary basis.

More Information About Treating Fissures

Fissures may heal faster if an OTC antibiotic ointment is placed on a gauze pad and applied directly to the fissure. The gauze pad should be secured in place with a small piece of tape day and night. The rubbing action should help stimulate new tissue growth.

In the case of persistent fissures, apply our Advanced Protection & Prevention Formula ointment (sold separately) directly to the fissure. Additionally, a vasodilator (prescription only; increases bloodflow) can be applied 

In the event a fissure hasn’t completely healed after trying the treatment above, we suggest you reach out to your general practitioner for advice. Anal fissures aren’t uncommon and can happen at any age. If your fissure becomes infected you will probably end up having surgery to fix the problem. Anal fissures may become chronic if not treated.

Anal fissures are somewhat more common in women as soon as they give birth. They often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. If you are experiencing a fissure, a common source of relief is the the use of a sitz bath.

In Summary

Anal fissures, also called rectal fissures, can be unbelievably unpleasant. They affect people of all ages. As a rectal fissure is basically a wound, treat it before it becomes complicated by an infection. Try the best anal fissure ointment from Doctor Butler’s.