I've been dealing with an anal fissure for the last three months, and in the past month, I've been using Smuth ointment after sitz baths and taking Cremaffin Plus at night. It seemed like things were getting better, with about 90% healed, but today I passed a hard stool and the tear happened again in the exact same spot. It's like history repeating itself, as it happened before in another direction but still in the same area. I'm really worried and wondering why this keeps occurring. Can you help me understand what's going on and what I should do?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

It sounds like you are experiencing recurrent anal fissures despite the initial healing. To help prevent further tearing and promote healing, you can try using Anovate cream after each bowel movement and continue with sitz baths. Additionally, you can take a stool softener like Duphalac to prevent hard stools and reduce straining during bowel movements. Make sure to stay hydrated and include fiber-rich foods in your diet to help with bowel movements. If the issue persists, consult your doctor for further evaluation and management.

Dr. Ranjith Suggests...

Consult a Colorectal Surgeon

Find a Colorectal Surgeon

Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.