Anal Fissures are exceptionally difficult to heal. They can also be extremely painful with debilitating pain lasting many hours after a bowel movement. But a little-known treatment has had success unparalleled to anything except fissure surgery. Research on the internet shows surgery resulting in a 96% success rate after 6 months. The Pranicura Treatment for anal fissures which involves a simple daily process and application of a patent pending ointment has shown a 90% success rate, but when you remove the people who didn’t complete the full 8 week recommended healing time, the success rate is very close to that of surgery. Results were documented in a survey of 571 anal fissure sufferers using Pranicura (from 2015 – 2017).

An anal fissure is typically assumed to have been caused by constipation or a large stool. Something tore the anus so these are the usual suspects. Pruritus ani (chronic anal itching) can also be the cause of fissures of the anus. This chronic anal itching needs to be stopped as well or else the fissures will continually reopen. The Pranicura Treatment was engineered to relieve anal itching as well. As the leading expert in the treatment of pruritus ani, I’ve also communicated with hundreds of fissure sufferers over the years and together we developed the Pranicura Treatment that stops anal itching AND helps heal the entire anal area including fissures. (I am not a medical doctor and the suggestions given here are the result of research and experience, not medical training.)

If you believe your anal fissures have been caused by scratching your bottom, you can try the best home remedy for treating chronic anal itching.

If you are sure your anal fissure was caused by a hard stool or chronic constipation then you need to soften your stools of course. Common medical advice is to use fiber supplements. Possibly a better more consistent and cheaper alternative is to use magnesium supplements. Usually 200 – 500 mgs or more on a daily basis (find the level that works for you) is quite often the magic cure for constipation. Very large doses of magnesium are what is usually prescribed for cleaning out your bowels prior to a colonoscopy. It has obviously been deemed a safe element by healthcare professionals. (Check with your doctor if you have any allergies or concerns about magnesium supplements.)

Fissures have an extremely high recurrence rate.This fact is very depressing to fissure sufferers. Fissures over and over again can really affect one’s quality of life. How does one heal an anal fissure AND keep it healed? The first part of the answer is to find the cause and eliminate it. Usually that is hard stools or itching. You must have a fix for that or your fissure will never heal or it will re-open often. So first, figure out what caused the fissure and make sure it won’t happen again.

The second half of the answer is to heal and take care of your anus. A simple daily process of using inexpensive water-based baby wipes after bowel movements for a final clean, (and any time you feel irritation or itching during the day or night) and then pat your bottom dry with toilet paper. This is your new “anus care” regimen for LIFE. Apply “appropriate” ointment 2-6 times a day until you are fully healed with no sign of the fissure for a week or two. This will LIKELY take 6-12 weeks!Fissures take a LONG time to heal because every day they are being stretched open and contaminated with bacteria from bowel movements. Patience and consistency are the keys. Follow this easy process and be patient. After you are convinced the fissure is healed, continue to apply ointment twice a day for a week or two longer just to make sure. Then you cut down on applications slowly. Once a day, then once every other day, then once a week, and finally apply only as needed. Apply “only as needed” means any time you feel irritation or see any blood. You continue to clean with a baby wipe and pat dry with toilet tissue for life. Apply the “appropriate” ointment only as needed.

So, what is the “appropriate” ointment? It’s a zinc oxide based ointment that contains a minimal amount of petrolatum or any oils.Petrolatum is found in most ointments so this isn’t the easiest thing to find eliminated. You can ask your pharmacist for a recommendation or try a zinc oxide diaper rash cream that has minimal petrolatum. We found this ingredient along with most oils, natural and petroleum based to weaken skin tissue and possibly allow fissures to recur. (There is no scientific evidence to support this. It’s an observational conclusion.) Most zinc oxide ointments contain petrolatum but they may work for you. Pranicura does not contain petrolatum and contains an analgesic for pain. Instead of just zinc oxide, calamine is used which is roughly 95% zinc oxide and 5% iron oxide. Calamine is a known anti-itch compound. Lastly, Kaolin is used to keep the anal area moisture level correct. Not too wet like petrolatum and oils can cause. We believe Pranicura to be the best overall anal ointment ever invented.It stops itching, has minor antimicrobial effects, and helps heal the entire anal and perianal area. It costs 5 times as much as diaper rash creams so try them first. In fact, we recommend that you try them first. People come to Pranicura typically as a last resort prior to having anal fissure surgery.

Here is a link for more information and customer reviews on the Pranicura Treatment for anal fissures.