I suffered with an anal fissure for almost 6 months. Having bowel movements was like passing shreds of glass & the pain was so bad for hours afterwards. I would wake up the next day dreading the next bowel movement. I actually thought it was piles & didnt know what it was until after about 8 weeks. The doctor gave me the usual creams etc and it did seem to work for a few days but then would come back. I finally was able to somewhat control the pain but the fissure wasnt healing. After reading everything I could about it & peoples trials & errors I wanted to share with you what finally healed the fissure. Please note I have no medical experience and I am just sharing what worked for me.
First drink lots of water. I drink 12-14 8oz glasses everyday. I ensure I have fibre with all my meals. For 1 week I had a sitz bath with epsom salts in it & use to soak in it for 20 mins. At night before bedtime I took 30ml of Cremaffin stool softner for about 1 month. I know this is too long to be taken this as well as too much but this used to make bowel movements pain free. Afterwards I gradually reduced 5ml every 2 weeks. But what really healed the fissure itself was applying Sudocrem nappy rash cream. I applied it gently (with very short nails to make sure I didnt scratch myself further!!) just inside my anus as well as around the tag. I read that zinc oxide would help it heal and remembered my sons Sudocrem. I used to apply it about 4-5 times a day for about 1 week then reduced to 2 times a day. So far its been about 2 weeks and I have been pain free. I still take Cremaffin 10 ml every night & apply Sudocrem before bed. I hope this will help someone else too as cos as you know its the worst pain ever!!