Increase dietary fiber intake
Drink plenty of water
Use stool softeners if needed
Take warm sitz baths
Apply topical anesthetic or prescribed ointment
Use topical nitroglycerin or calcium channel blocker cream as prescribed
Avoid straining during bowel movements
Avoid prolonged sitting on the toilet
Keep the area clean and dry
Use gentle, unscented wipes or water instead of harsh toilet paper
Treat constipation or diarrhea promptly
Use over-the-counter pain relief if appropriate
See a doctor if symptoms persist or worsen
Seek medical care for recurrent or chronic fissures
Consider botulinum toxin injection if prescribed
Consider surgical treatment if recommended by a specialist