What topical medications can be used to treat anal fissures?

There are many patients suffering from anal fissures now. Suffering from anal fissures is a very painful thing. Not only constipation can cause anal fissures, but sometimes diarrhea can also cause anal fissures. Generally, patients with anal fissures will feel pain and have symptoms of bloody stools. Not only is the body painful, but the mental pressure is also great. It is best to develop the habit of cleaning your buttocks after defecation, which can effectively prevent anal fissures.

1. Topical application of nitroglycerin ointment.

Apply 0.2% nitroglycerin ointment to the anal fissure twice a day for 4 to 6 weeks. The results showed that 20 minutes after medication, the maximum resting pressure of the anal canal dropped from 122.1±44cmh2o to 72.5cmh2o, which is equivalent to a one-time "chemical sphincterotomy". 39 cases of chronic anal fissures were treated, 33 were cured, 14 of which were cured within 4 weeks; the pain during defecation disappeared within 2 weeks; 5 cases relapsed, 4 of which were cured after re-administration of the medicine; no case of anal incontinence occurred, but 8 cases had mild pain during treatment. This method is a better non-surgical method for treating chronic anal fissure, but it still requires randomized controlled and long-term follow-up studies of large numbers of cases.

2. Chinese medicine Sihuang ointment and Coptis chinensis ointment.

As well as Yu Lu ointment and Jin Huang Ru Yi ointment, etc., can be applied directly to the anal fissure. These can promote ulcer healing and thus treat anal fissures. Sitz bath with potassium permanganate solution can improve local blood circulation. Relieve anal sphincter spasms. It can reduce swelling and relieve pain, and is beneficial to the healing of anal fissure.

3. Jiuhua ointment.

The medicine is mainly composed of talcum powder, borax, Fritillaria cirrhosa, dragon bone, borneol, vermilion and other ingredients. It is a commonly used medicine in clinical treatment of external hemorrhoids, internal hemorrhoids, anal sinusitis and after internal hemorrhoid surgery. When it is used to treat anal fissure, it can reduce swelling, relieve pain, promote tissue regeneration and astringe. When using this medicine, you can first clean the anus (especially around the wound), and then apply the ointment directly to the affected area. You can apply it twice a day. Generally, it takes 1 week of continuous use to heal the area.

4. Watermelon frost spray.

The medicine is mainly composed of watermelon frost, borax (calcined), scutellaria baicalensis, coptis chinensis, phellodendron chinense, sophora flavescens, fritillaria thunbergii, belamcanda chinensis, indigo naturalis, borneol and other ingredients. It has the effects of clearing away heat and detoxifying, anti-inflammatory and analgesic. It is a commonly used medicine for the clinical treatment of throat diseases. Studies have found that using watermelon frost spray to treat anal fissures can also have antiseptic, analgesic, tissue-generating and astringent effects. When using this medicine, you can first clean the anus (especially around the wound), then mix the watermelon frost spray with an appropriate amount of honey into a paste, and apply it directly to the affected area, twice a day; you can also spray the spray directly on the anal fissure, twice a day. When using watermelon frost spray to treat anal fissure, it can usually be cured after 2 weeks of continuous use.