Increase fiber intake
Drink plenty of water
Use stool softeners if needed
Avoid straining during bowel movements
Do not sit on the toilet for long periods
Take warm sitz baths
Use topical anesthetic or prescribed ointment
Keep the area clean and dry
Use gentle wiping or unscented wipes
Treat constipation or diarrhea promptly
Use pain relievers if appropriate
See a doctor if symptoms persist or recur
Seek medical care for severe pain, bleeding, or signs of infection
Consider prescription treatments such as nitroglycerin, diltiazem, or botulinum toxin
Consider surgery if chronic fissure does not heal with other treatments