I've been dealing with an anal fissure for 2 months now and haven't taken any medicines until recently. For the past 15 days, I tried coconut oil and it helped heal about 90% of the fissure, but then it came back because of hard stools. For the last 5 days, I've been doing sitz baths three times a day for 20 minutes, taking Pilex tablets, and using Pilex ointment. I've also been eating high-fiber foods and drinking more water for a month. Will this treatment heal the fissure completely or is surgery the only option? How long should I wait to see if it gets better before considering the next step? I'm really worried about this.

Dr Kamran Mohammed

General Practitioner

• MBBS
• FIDM
• 5+ Yrs

Consult Now

It's understandable to be concerned about your anal fissure, especially after experiencing a recurrence despite initial improvement. While your current treatment, including sitz baths, Pilex, high-fiber diet, and increased water intake, is beneficial for managing symptoms and promoting healing, it may not be enough to completely resolve chronic fissures. It's advisable to continue these measures and monitor for any signs of improvement over the next 6-8 weeks. If the fissure doesn't show significant healing or you continue to experience pain and discomfort, consult with a doctor, who might recommend additional treatments, including botox injections or, in some cases, surgery.

Answered 14/08/2025