Best Ointment For Fissures: How To Apply, Best Ointment, And Side Effects

Medical contexts frequently use the term “Fissure” to describe small openings or deep grooves that can develop in the body, affecting the skin, mucous membranes, internal organs, and other body components. The best ointments for fissures cater to various areas of the body where these conditions occur. Here are a few instances of fissures in various places:

  • Skin Fissures: In dermatology, skin fissures are minute, straight cracks on the skin’s surface. They often manifest on the lips, palms, or other body parts subject to repetitive stretching or drying, such as the heels. Skin fissures can hurt and can develop as a result of things like dry skin, too much moisture, friction, or specific skin disorders.
  • Anal Fissures: The lining of the anus can develop minute tears or cracks known as anal fissures. They are frequently a result of the passage of large or complex stools during bowel movements and are typically brought on by damage to the anal canal. Anal fissures can cause significant discomfort and even bleed during bowel movements.
  • Vaginal Fissures: The fragile skin of the vulva and vaginal entrance can develop vaginal fissures, also known as vulvar fissures. They could be brought on by a number of things, including annoyance, trauma, hormonal changes, or specific infections. Vaginal cracks can be painful, uncomfortable, and even bleed.
  • Oral Fissures: The tongue, in particular, can develop fissures in the oral cavity. These are referred to as lingua plicata, or fissured tongue. It is a benign disorder marked by large furrows or grooves on the tongue’s surface. The majority of the time, a fissured tongue is not harmful and does not need to be treated until it produces symptoms or consequences.

Experience the Relief: Best Ointments for Fissures

Best ointment for fissures

When it comes to treating fissures, several ointments have shown promising results in providing relief and supporting the healing process. Here are some expert-recommended options:

  1. Topical Anesthetics: Numbing the Pain Away

Topical anesthetics, containing ingredients such as lidocaine or pramoxine, are formulated to provide temporary pain relief by numbing the affected area. These ointments can help alleviate the discomfort associated with fissures, making bowel movements and daily activities more manageable.

  1. Hydrocortisone Cream: Reducing Inflammation and Itching

Hydrocortisone cream, a mild steroid, is known for its anti-inflammatory properties. It can effectively reduce swelling and itching caused by fissures, promoting a more comfortable healing process.

  1. Petroleum Jelly (Vaseline): Protect and Heal

Petroleum jelly, commonly known as Vaseline, acts as a protective barrier over the fissure, preventing further irritation and allowing the area to heal. Its gentle nature makes it suitable for mild cases of fissures.

  1.  Calendula Cream: The Soothing Power of Nature

Calendula cream, derived from the marigold plant, is renowned for its soothing and anti-inflammatory properties. This natural ointment can offer relief from discomfort and promote the healing of fissures.

  1. Aloe Vera Gel: Natural Healing for Mild Fissures

Aloe vera gel, extracted from the aloe vera plant, is known for its healing and cooling properties. Applying aloe vera gel can help soothe the area and support the body’s natural healing process for mild fissures.

How to apply ointment for anal fissure

Best ointment for fissures
  • Clean the region: Gently wash the afflicted area around the anus with warm water and mild soap before applying the ointment. To make sure the area is thoroughly dry, pat it dry with a clean, soft cloth or dry it with a hairdryer on a low, cold setting.
  • Wash your hands thoroughly with soap and water to keep them clean and lower the chance of contracting an infection.
  • Apply a tiny amount: Follow your healthcare provider’s instructions and take the recommended dosage of ointment. It is typically advised to apply the ointment to the affected region with a gloved finger or a clean fingertip.
  • Apply the ointment gently to the fissure: Apply the lotion to the anal fissure carefully and softly. Try to avoid putting too much pressure on or provoking more irritability.
  • Observe the suggested frequency: As directed by your doctor or on the label of the prescription, apply the ointment as directed. This could entail using the ointment once or more times daily.
  • Cleaning up: Wash your hands well to remove any leftover ointment after using them. To clean the region around the anus, if necessary, use gentle, fragrance-free baby wipes.

Side effects of ointments for anal fissures

Some people may encounter side effects from anal fissure ointments, however, not all people do. Depending on the ointment’s active ingredients, the adverse effects may differ in detail. For a thorough understanding of the possible side effects connected with a best ointment for fissures, it’s crucial to carefully study the product information or talk with your healthcare practitioner. In light of this, the following are some potential adverse outcomes that could happen:

  • Burning or minor irritability: Some people may feel slightly burning when the medication is applied. It normally only lasts a short while and goes away eventually.
  • Rarely, some ointments can result in skin rashes or irritation in the region where they are administered. If you suffer intense or ongoing itching or a rash, stop using the product and talk to a medical practitioner.
  • Symptoms of an allergic response include swelling, redness, hives, and breathing difficulties in certain individuals who are sensitive to certain chemicals in the ointment. Make an immediate trip to the hospital if you experience any allergic reaction symptoms.
  • Dizziness or headache: Some creams, especially those that include nitroglycerin, can make you feel woozy or headachey for a short while. Usually not a cause for concern, these symptoms go away on their own.
  • Blood pressure changes: Ointments containing calcium channel blockers (e.g., nifedipine, diltiazem) or nitroglycerin may have an impact on blood pressure levels. When the ointment is applied excessively or in higher quantities than advised, this is more likely to happen. It’s crucial to take the medication as directed and to speak with a doctor if your blood pressure significantly changes.
  • Rebound or tolerance effects can occur after using some ointments for an extended period of time, particularly those that contain drugs like nitroglycerin. This implies that the best ointment for fissures may lose some of its effectiveness over time or that stopping it suddenly may result in withdrawal symptoms. It’s crucial to adhere to your doctor’s recommendations and address any worries you have about long-term use.

When to see a doctor

  • Consistent pain: It’s crucial to see a doctor if you experience chronic or severe pain in the anal region, particularly when you’re removing feces. They are able to identify the source of the discomfort and suggest the best course of action.
  • Excessive bleeding: It’s crucial to get medical help if you observe significant or ongoing anus bleeding. Anal fissures can sometimes cause minor bleeding, but excessive bleeding could be a sign of a more serious condition that needs to be assessed and treated.
  • Symptoms not improving: It is advised to contact a doctor if after using over-the-counter medications or recommended best ointments for fissures a reasonable amount of time, your symptoms have not improved or are getting worse. They can reevaluate your situation and make suggestions for alternative therapies.
  • Recurrent fissures: If you have a history of recurrent anal fissures or if they continue to appear despite prior treatment, you should see a doctor. They have the capacity to assess potential root issues and offer effective management techniques.
  • Complications that can occur as a result of anal fissures include infection, the development of an abscess, and the emergence of a fistula, which is an unnatural tunnel connecting the anus to an organ close by. It is crucial to get medical help right once if you suffer symptoms including fever, escalating pain, pus discharge, or swelling around the anal area.

How to use ointments for anal fissures

Best ointment

Anal fissures can be quite uncomfortable, but best ointments for fissures can help soothe the area and promote healing. Here’s a general guide to using anal fissure ointments:

  • Clean the area: Before applying any ointment, it’s important to gently clean the anal area. Use mild, unscented soap and warm water to clean the area. Pat dry with a soft towel.
  • Wash your hands: Always wash your hands thoroughly before and after applying the ointment to maintain hygiene and prevent the spread of bacteria.
  • Apply a small amount: Apply a small amount of ointment to the tip of your finger. It’s best to start with a pea-sized amount as using too much can lead to excessive moisture or irritation.
  • Apply the ointment gently: Gently apply the ointment to the affected area around the anus. Use your fingertip or a clean cotton bud to spread a thin layer of ointment over the fissure and surrounding skin. Avoid rubbing or applying excessive pressure.
  • Avoid introducing contaminants: Be careful not to touch the ointment tube or your fingers directly to the affected area as this can introduce bacteria. If necessary, use a clean cotton bud to pick up the ointment from the tube.
  • Repeat the process: Follow the instructions for the specific ointment you are using regarding the frequency of application. Ointments are usually applied two to three times a day, or as advised by your healthcare professional. Follow the recommended dosage and duration.
  • Store the ointment properly: Read the instructions on the ointment package to understand its storage requirements. Some ointments need to be stored in a cool, dry place, while others may need to be refrigerated. Make sure the cap is tightly closed to prevent contamination.
  • Maintain good hygiene: In addition to using best ointment for fissures, it’s important to maintain good hygiene to help the healing process. After bowel movements, use mild, unscented toilet paper or wet wipes to gently clean the area. Avoid wiping excessively as this may irritate the fissure further. Dab the area dry instead of rubbing.
  • Follow your doctor’s advice: If you’ve been prescribed a best ointment for fissure, it’s important to follow your doctor’s instructions. They may also recommend additional measures such as dietary changes, fiber supplements, or stool softeners to help the healing process.

Preventing Anal Fissures

Preventing anal fissures requires certain lifestyle and dietary habits. Here are some tips to help prevent anal fissures:

  1. Eat a high-fiber diet: Eating a diet rich in fiber helps keep stools soft and bulky, reducing the need to strain during bowel movements. Include foods such as fruits, vegetables, whole grains, legumes, and nuts in your diet.
  1. Stay hydrated: Drink plenty of water and fluids throughout the day to keep your stools soft and prevent constipation.
  1. Practice good toileting habits:
  • Don’t delay or ignore the urge to go.
  • Avoid straining when passing stools.
  • Take your time on the toilet and try to relax. Straining or rushing can contribute to anal fissures.
  1. Use gentle wiping techniques: After bowel movements, use mild, unscented toilet paper or moistened wipes to clean the anal area. Pat the area gently rather than rubbing, which can cause irritation.
  1. Avoid over-cleaning: Over-cleaning the anal area with harsh soaps or excessive wiping can cause irritation. Stick to gentle cleansing techniques and avoid using scented products that can irritate the area.
  1. Avoid sitting on the toilet for long periods: Spending too much time on the toilet can put unnecessary pressure on the anal area. Try to limit your time to avoid straining and pressure.
  1. Exercise regularly: Regular physical activity helps promote healthy bowel movements and prevents constipation.
  1. Manage constipation: If you experience constipation, consider using stool softeners or fiber supplements as recommended by your healthcare professional.
  1. Practice good hygiene: Keep your anal area clean and dry. Avoid using harsh soaps or irritating products. Choose mild, unscented soaps and gently pat the area dry after washing.
  1. Seek prompt treatment for existing conditions: If you have underlying conditions such as hemorrhoids or inflammatory bowel disease, seek appropriate treatment to manage them effectively. These conditions can increase the risk of anal fissures.

*Disclaimer: Please note that the information provided in this article is for educational purposes only and should not replace professional medical advice. Consult a healthcare professional for personalized guidance and recommendations regarding the use of  best ointment for fissures or any other medication.

Author Contribution: Reviewed by Rajeshwar Rao, Pharm D, Dr. Ram Reddy, MD – General Physician.

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