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 pain-relief or healing ointments as prescribed
Keep the area clean and dry
Use gentle wiping or unscented wipes
Treat constipation or diarrhea promptly
Apply prescribed topical nitroglycerin or calcium channel blocker cream
Consider botulinum toxin injection if prescribed
Seek surgical treatment if the fissure does not heal with other treatments
See a doctor if pain, bleeding, or symptoms persist