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Breakthrough treatment proves 90 success rate on painful anal fissures. For the most part, anal fissures heal themselves over the course of a few weeks if treated well at home. An increase in fiber and water intake help speed up this process. But after a few weeks if youre still suffering from your fissure, you should probably make an appointment with your doctor to rule out any other underlying conditions that might be having an impact on this issue. I am a doctor of management who has researched treatments for anal fissures because i suffered from this problem for several years. I sought help from my general practitioner, my dermatologist, and a surgeon over an extended period. The surgeon told me to try desitin original diaper rash ointment for some immediate relief of painful burning. About half of all fissures heal by themselves and need no treatment at all. If fissures dont heal on their own, other treatments may involve prescription creams such as nitrates or calcium channel blockers. You may even need botox injections into the muscle in the anus (called the anal sphincter). Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own with self-care. Chronic anal fissures -- those that last longer than 6 weeks -- may. Breakthrough treatment proves 90 success rate on painful anal fissures.