Give Advice on Treating Anal Fissures
September 2026
Questions about treating anal fissures are coming up due to approval of Seaford nifedipine 0.3%/lidocaine 1.5% rectal cream in Canada.
Anal fissures are tears in the rectal tissue usually caused by local trauma from constipation or chronic diarrhea. Bowel movements in patients with an anal fissure can trigger bleeding and pain that may last hours.
Expect patients to try conservative treatments first...warm sitz baths, increased fibre (psyllium fibre, etc), and increased fluids.
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