From time to time I experience an anal fissure , which always appears to be at the same spot within the wall of the anal sphincter.
What you're about to read may sound uncomfortable but to alleviate the discomfort and excruciating pain; I can assure you, it isn't.
I've had great success by applying ilex protectant paste to the inside of the anal sphincter.
When a fissure is suspected, after cleansing and after a BM; I wrap a wet wipe around the tip of my finger and insert it into the anus; I do this two or three times, re-wrapping a clean area of wet wipe around my finger and inserting, until the wet wipe comes out clean; once clean, I repeat again but this time, I press the wet wipe wrapped finger onto the sphincter wall and into the area where I believe the fissure is, on doing so, once the fissure location is found, a feeling of instant relief is experienced, which can also result with faint pink traces of blood appearing on the wet wipe.
Now, with fissure location identified; WITHOUT wrapping a wet wipe around my finger, I apply a small amount of ilex paste to the tip of my finger and insert into the anus whilst pressing the paste into the fissure; again, a feeling of instant relief is experienced.
I normally only need to do this the once and that episode of fissure has normally healed by the next BM.
It's only the tip of the finger that's being inserted, if the fissure is deep within the anal canal, then maybe suppository insertion is required.
It does state for EXTERNAL USE ONLY on the ilex tube and packaging but over the last few years, whenever a fissure has occured, I've been applying ilex as I've described and with no adverse effects; also, my Stoma Nurse said it's a technique they suggest now.