Conversation: The conversation between human and AI assistant.
[|Human|] Hi, Ive had an ongoing problem with an anal fissure for about a month, my inquiry is about home treatment. Is there anything I can do at home to help solve this problem. Im not comfortable going to my family doctor, in order to see another doctor or a specialist in the gastroenteral field do I need to get a referral?
[|AI|]  Hello, Welcome to Chat Doctor. From your Query I understood that you are suffering from Anal fissure. It is just a small tear in anal mucosa. It is usually due to hard stools and constipation. Not all the anal fissure needs medication and treatment. It usually heals of its own in six to eight weeks with proper lifestyle changes. You need some lifestyle changes1. Increase fiber diet in food especially soluble fiber diet.2.  Chat Doctor. 3. Do exercise regularly, at least for 20 minutes per day.4. Please avoid straining during any work. You may apply the nitroglycerin externally to promote healing of anal fissure. Most of anal fissure do not need surgery. Hope this helps. Take care.