I have had an anal
fissure for more than 6 months; it has failed to heal despite home remedies. Do
I need surgery?
Yes, if the anal
fissure has not healed after 6 months, it is unlikely to heal spontaneously.
Surgery is your best solution. The surgeon will cut a small part of the anal sphincter
muscles to relieve the spasm. This should induce healing in no time. To prevent
recurrence, add fiber to your diet, drink ample liquids, walk everyday and make
sure you are not constipated.
Please, you need to see a colorectal surgeon. The
majority of general surgeons are clueless when it comes to managing this
disorder. General surgeons do not understand anal fissure well and tend to
cause more complications from surgery.