Treatment for anal fissure usually starts with lifestyle changes. Increase your intake of fiber and fluids to soften stools and make bowel movements easier. Sitz baths can help relieve pain and inflammation. Topical medications such as creams or ointments that reduce pain and promote healing may be prescribed. In some cases, botulinum toxin injections or surgical procedures may be necessary if conservative treatments fail. Avoid straining during bowel movements and maintain good anal hygiene. Regular follow-up with a healthcare provider is important to monitor progress and adjust treatment if needed. ????