Hello,
I've been suffering anal fissure for around 2 months as a 27 years old male. Let me talk about my experience.
2 month ago, I got a very hard stool passed out with a little bleeding on the toilet paper and pain. After several minutes I feel severe pain and spasm lasting for several hours. I searched online and self
diagnose as AF. I treat myself with good diet for two days, then no pain and blood. However, I stopped the healthy diet and it comes again after two week. This time it can not go away even I got diet back.
After 2 and half weeks pain I decided to see the doctor. But I am sure that the internal medicine made things worse. I told him the symptoms and my anal is pretty tight. He insisted to finger check my anal and that was the most pain I've experienced. After checking I got quite a bit bleeding, while I never had that much bleeding during bowel movement. In fact most cases I did not have bleeding at all. He then referred me to the specialist.
The specialist checked the anal visually and diagnosed as AF. Give me prescribed nitroglycerine 0.2%. After taking that medicine the degree pain is smaller and smaller. I have been taking that medicine for four weeks count as today. I still can feel the light pain during BW, just no pain after it. Sometimes I got bleeding again with drop into the toilet (never happened before IM). The doctor said it is fine, seem it is healing.
I just want to know if anyone has experience that pain is relieving but still has bleeding sometimes. Because I did not feel tear when I bleeding and bowel is soft. I am glad that the severe pain time has gone away. How long it will take for natural heeling without surgery for most of people.
By the way I really regretted to let my internal medicine to check when it is acute. May be it is a good experience for others.

Hey there,
I did experience blood with not much or any pain with my fissure at times and I agree the digital exam is very painful with a fissure...
If you have had your fissure for more that 6 weeks, it's considered chronic. An acute fissure will heal before that 6 weeks rolls around but once your fissure becomes chronic it can take months to heal or possibly years if it does without surgery. I think the key is to stay on the high fiber diet, stool softeners, avoid foods that can tear your fissure or make your poop harder, etc... for at the least 6months to a year. I have read that it takes up to a year for the anus to become healed completely and return to normal

My fissure was the type where my bm was painless but had more bleeding and the pain and spasm would come hours later,others have fissure where theres a lot of pain during bm but no bleeding at all.Fissures affect people differently.I would suggest you keep using the nitro for 2 more months,stool softeners and 20-30 grams of fiber in your diet.Like Dawn says it takes a year or so for your anus to regain full strength,I've healed mines with nitro back in Nov.2009 and I had two slight re-tears since then so I still stick with my diet and stool softeners.

Thanks for all your replies. Just wonder how long it takes afugh to heal?

With the consistent use of nitro it should take 8-10 weeks to heal.If it doesn't heal by then it's time for more aggressive treatment which is usually botox and if that doesn't work the next step is LIS.4 weeks use of it and you already feel an improvement so keep using it for 6-8 more weeks and let us know how it goes.