What to do if hemorrhoid cream doesn't work on anal fissures

When hemorrhoid cream is ineffective for anal fissures, it may be due to mismatched drug ingredients or complicated conditions, and the treatment plan needs to be adjusted. Common causes include improper drug selection, severe anal fissures or concurrent infections. Treatment should be combined with medication, diet and lifestyle adjustments.

1. Improper drug selection. Hemorrhoid cream mainly targets hemorrhoid symptoms, while anal fissure treatment requires more targeted drugs. It is recommended to use ointments containing local anesthetics and anti-inflammatory ingredients, such as lidocaine gel or compound carrageenan suppositories. These drugs can relieve pain and promote wound healing. If symptoms persist, the doctor may prescribe nitroglycerin ointment to help relax the anal sphincter and improve blood circulation.

2. Anal fissures are severe or chronic. Mild anal fissures can be relieved with medication and care, but severe or chronic anal fissures may require further treatment. Doctors may recommend botulinum toxin injections to reduce sphincter spasms, or lateral internal sphincterotomy to relieve long-term pain. For recurrent anal fissures, surgery may be a more effective option.

3. Concurrent infection or inflammation. Anal fissures may be accompanied by infection or inflammation, which may result in poor results of hemorrhoid cream. In this case, antibiotics such as metronidazole or cephalosporins are required to treat the infection. At the same time, keep the anus clean to avoid bacterial growth. You can use warm water sitz baths 2-3 times a day for 10-15 minutes each time to help relieve inflammation and pain.

4. Adjust your diet and lifestyle. A high-fiber diet is essential for patients with anal fissures. It is recommended to increase the intake of vegetables, fruits, and whole grains, such as oats, spinach, and apples. Drink plenty of water to keep stools soft and reduce pressure during defecation. Avoid sitting or standing for long periods of time, and do appropriate exercise, such as walking or yoga, to promote intestinal peristalsis.

5. Psychological factors. Long-term pain may lead to anxiety or depression, affecting the treatment effect. It is recommended to relieve stress through relaxation training or psychological counseling and maintain a positive attitude, which will help recovery.

When hemorrhoid cream is ineffective for anal fissures, you need to start from multiple aspects, including drug selection, condition assessment, infection control, diet adjustment and psychological support. If the symptoms persist or worsen, seek medical attention in time. The doctor will develop a personalized treatment plan based on the specific situation to ensure effective pain relief and promote healing.