Multiple anal fissure

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The GP may refer you for specialist assessment if they think something serious may be causing your fissure. Medicines There are a number of different medicines your GP may recommend to help reduce your symptoms and allow your anal fissure to heal. You may have a follow-up appointment a few weeks after starting your treatment. It comes in the form of either a gel or an ointment, and is usually only used for 1 to 2 weeks because the fissure should start to heal within this time. Any side effects should pass within a few days once your body gets used to the medicine. However, it does carry a small risk of complications.

If you have particularly severe anal pain, your GP may prescribe a topical anaesthetic to numb your anus before passing stools. Around 7 in every 10 chronic fissures heal with GTN therapy if used correctly. These work by helping your poo retain fluid, making it softer and less likely to dry out. It's usually used if other medicines haven't helped.