Anal Fissures

Natural & Compounded Remedies for Anal Fissures

Gentle Relief Through Nutrition, Topical Treatments, and Homeopathy

Anal fissures are small but painful tears in the lining of the anal canal, often caused by constipation, hard stools, or irritation from excessive wiping. They frequently result in sharp pain during or after bowel movements and may be accompanied by bright red bleeding. Because the area is sensitive and exposed to moisture and waste, healing can be slow without proper support.

Fortunately, a range of natural and compounded treatments—including nutritional support, topical herbal therapies, homeopathic remedies, and custom pharmacy preparations—can promote faster healing and reduce discomfort.

Step 1: Relieve Constipation Naturally

Constipation is both a cause and a consequence of anal fissures. The first priority is restoring soft, regular bowel movements.

Recommended Remedies:

• Newton’s Flaxseed Oil Capsules or Liquid – 2–3 teaspoons daily to lubricate the colon and support easier elimination.

• High-Fiber Fruits – Apples, figs, prunes, and pineapple help restore regularity.

• Juices – Beetroot, carrot, and celery juices support digestion and hydration.

• Psyllium Husks – A gentle fiber alternative to bran; use with plenty of water.

• Avoid dairy and refined foods, which can contribute to hard stools.

Herbal and Nutritional Support

Topical and internal botanicals can accelerate tissue healing, reduce inflammation, and improve comfort.

Topical Products:

• Newton’s Chamomile & Witch Hazel Herbal Wash – Cleanse the area gently to reduce inflammation and tighten blood vessels.

• Calendula Ointment – Soothes itching, reduces inflammation, and promotes skin repair.

• Aloe Vera Gel – Cooling and reparative.

• St. John's Wort Oil and Plantain Infusion – Apply two to three times daily to help heal and restore tissue.

• Coconut Oil – Moisturizes and protects. Apply liberally throughout the day.

Internal Herbal Support:

• Stinging Nettle Juice – 1 teaspoon three times daily to support bowel health and reduce inflammation.

• Slippery Elm Enema – Soothes and protects the rectal lining.

• Tamanu Nut Oil – For topical use to calm and promote healing of sensitive skin.

Vitamins & Nutrients:

• Vitamin E (mixed tocopherols) – 800 IU daily, and also suitable for direct application to the fissure.

• Vitamin A and D Ointments – Support tissue regeneration (use under guidance).

• Other supportive herbs – Bistort, Senna (short-term only), and Zinc oxide.

Homeopathic Remedies for Anal Fissures

Newton’s Homeopathy Range includes:

• Graphites 6C or 30C – For fissures with hard stools and cracking skin.

• Nitric Acid 6C – For splinter-like pain with bleeding and burning.

• Paeonia 6C – For moist, painful fissures with long-lasting discomfort.

• Silicea 6C – For fissures with persistent pain and incomplete evacuation sensation.

Homeopathic drops or tablets can be tailored to individual symptom profiles. Consult a qualified homeopath or pharmacist for guidance.

Compounded Pharmacy Treatments for Anal Fissures

Newton’s Natural Compounding Chemists can provide customized formulations based on a practitioner’s prescription.

Commonly Requested Formulations:

• Topical Anesthetics:

  • Lidocaine 2–5% ointments or gels

  • Benzocaine-based preparations

  • Triple anesthetic creams (lidocaine + prilocaine + tetracaine)

• Muscle Relaxants:

  • Nifedipine 0.2–0.5% ointment – Reduces anal sphincter spasm

  • Diltiazem 2% gel – Alternative calcium channel blocker

  • Nitroglycerin 0.2–0.4% ointment – Effective but may cause headaches

• Anti-inflammatory Combinations:

  • Hydrocortisone with anesthetics

  • Custom steroid blends for localized inflammation

• Healing Agents:

  • Sucralfate – Promotes tissue regeneration

  • Zinc oxide – Soothing and protective barrier

These compounded medications are custom-made and may be dispensed as creams, ointments, suppositories, or gels, depending on the patient's needs.

Note: All compounded medications require a prescription from a registered healthcare provider. Our pharmacists can work with your doctor to formulate the most appropriate treatment.

Additional Supportive Measures

• Sitz Baths – Alternate warm and cool sitz baths to boost circulation and ease spasms.

• Moist Heat Therapy – Warm baths relax the anal muscles and aid in healing.

• Support Cushions – Donut or gel cushions can help reduce pressure during prolonged sitting.

• Weight Management – Reducing sweat and friction between the buttocks helps support recovery.

• Gentle Hygiene – Use only water or non-scented, soft tissue for cleaning.

Conclusion: Comprehensive Support for Anal Fissure Recovery

Natural remedies, homeopathic solutions, and professionally compounded treatments can work together to promote healing and relieve pain. At Newton’s Pharmacy, we offer a full range of internal supplements, herbal applications, and custom compounded preparations to help you recover naturally and effectively.