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Documented to be the best non-surgical option for prevention and healing of anal fissures. If your anal fissure is particularly severe or doesnt respond to treatment after 8 weeks, you may have to be referred to a colorectal surgeon, a doctor who specialises in conditions that affect the rectum and anus, for specialist treatment. an anal fissure (see the images below) is a painful linear tear or crack in the distal anal canal, which, in the short term, usually involves only the epithelium and, in the long term, involves the full thickness of the anal mucosa. File36258file36259for patient education resources, see the digestive disorders center, as well as anal absce. Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus. are there non-surgical treatment options for an anal fissure? Steroid creams may be applied externally to the area. In most cases, steroids are used four to six weeks after the development of the tear, or in conjunction with other treatment methods. An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line. It is a common condition affecting all age groups but particularly common in young adults men and women are equally affected. The classical symptoms are of anal pain during or after defaecation and the passage of bright red blood per anus. Detailed diagnosis & advice for anal fissure treatment in singapore available from the alpine surgical practice. Background the principle to avoid surgery for haemorrhoids andor anal fissure in crohns disease (cd) patients is still currently valid despite advances in medical and surgical treatments. In this study we report our prospectively recorded data on medical and surgical treatment of haemorrhoids and anal fissures in cd patients over a period of 8 years. Documented to be the best non-surgical option for prevention and healing of anal fissures.