Anal fissures usually heal in a few weeks if you take steps to keep your stool soft, such as increasing your fiber and fluid intake. Soaking for 10 to 20 minutes several times a day, particularly after bowel movements, can help relax the sphincter and promote healing. If you have a chronic anal fissure that has not responded to other treatments, or if your symptoms are severe, your doctor may advise surgery. Doctors typically perform a procedure known as lateral internal sphincterotomy (LIS), which involves cutting a small portion of the anal sphincter muscle in order to reduce spasms and pain and promote healing.
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