“The opposite is the case in IBD,” says Holubar. “IBD patients have low-pressure fissures from overuse and chronic diarrhea, so the key to treating it is getting the diarrhea and the inflammation under control with medication.”
However, because there is ongoing inflammation close to an open wound, there is an increased risk of infection, notes Dr. Wong.
To ease irritation, Holubar recommends a sitz bath (a shallow warm-water bath you sit in to relieve discomfort) and a protective ointment, as previously mentioned.
“At home, it’s very important to keep the area clean and dry,” says Wong. “Even after a sitz bath, you can use a low-heat hair dryer to dry without wiping and then wear cotton underwear to make sure you’re comfortable, clean, and dry.”
Wong insists that people with IBD call their doctor to have their fissures checked because an underlying issue or an infection may be present. Topical treatment is an option; antifungals and other medications are sometimes used. Making sure your medication regimen is working to control Crohn’s disease inflammation is the best way to avoid or manage anal fissures related to the condition.
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