Can You Treat Anal Fissures with Over-the-Counter Ointments?

Medications for anal fissures?

Hello Doctor, I have a question: I experienced bleeding from an anal fissure due to hard stools, and I feel a slight stabbing pain.
Can I buy an ointment at the pharmacy to apply myself? Does Neomycin ointment require a prescription from a doctor? Thank you.

Xiao Jie, 20~29 year old female. Ask Date: 2016/10/13

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, you can use short-term laxatives and topical hemorrhoid ointments, which usually lead to self-improvement.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/10/13

More Info

Anal fissures are small tears in the lining of the anus, often caused by passing hard stools. They can lead to discomfort, pain, and sometimes bleeding during bowel movements. When it comes to treating anal fissures, over-the-counter (OTC) ointments can be beneficial, but it's essential to understand their limitations and the best practices for managing this condition.

First and foremost, OTC ointments like hydrocortisone cream can help reduce inflammation and itching, while other topical treatments may provide a soothing effect. However, these ointments do not address the underlying cause of the fissure, which is often related to stool consistency. Therefore, while they can provide temporary relief, they should not be the sole treatment method.

In addition to topical treatments, it's crucial to focus on dietary changes to prevent hard stools. Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and make bowel movements easier. Staying well-hydrated by drinking plenty of water is also essential. Some individuals may benefit from fiber supplements, such as psyllium husk, to ensure they are getting enough fiber in their diet.

Regarding the specific ointment you mentioned, Neomycin ointment is an antibiotic that can help prevent infection in minor cuts and abrasions. However, it is not typically used for treating anal fissures. While it may not require a prescription, it is always best to consult with a healthcare provider before using any medication, especially in sensitive areas like the anus. Overuse of antibiotics can lead to resistance and other complications.

If the pain persists or worsens, or if you notice significant bleeding, it is advisable to seek medical attention. A healthcare provider may recommend stronger topical treatments, such as nitroglycerin ointment or calcium channel blockers, which can help relax the anal sphincter and promote healing. In some cases, if conservative treatments fail, surgical options may be considered.

In summary, while OTC ointments can provide some relief for anal fissures, they should be part of a broader approach that includes dietary modifications and proper hydration. If symptoms persist or worsen, consulting with a healthcare professional is essential for appropriate diagnosis and treatment. Remember, taking care of your digestive health and maintaining regular bowel habits can significantly reduce the risk of developing anal fissures in the future.

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