Hi, An anal fissure is a tear or a cut in the skin lining the anal canal. It can cause pain, bleeding, and discomfort during bowel movements. Treatment for anal fissures typically involves conservative measures such as stool softeners, fiber supplements, and topical ointments to promote healing and reduce pain. In addition to using Proctocydl ointment, there are other ointments available that may help in the treatment of anal fissures. These include: * Nitroglycerin ointment: Nitroglycerin ointment helps to increase blood flow to the area, which can promote healing. It also relaxes the sphincter muscle, which can reduce pain during bowel movements. This ointment may cause headache or dizziness as a side effect. * Diltiazem ointment: Diltiazem ointment is a calcium channel blocker that helps to relax the sphincter muscle and reduce pain during bowel movements. This ointment may cause itching or burning as a side effect. * Hydrocortisone ointment: Hydrocortisone ointment is a steroid that helps to reduce inflammation and itching. This ointment may cause skin thinning as a side effect. It is important to consult with a healthcare professional before starting any new treatment for anal fissures. A healthcare professional can help to determine the best treatment approach based on your individual needs and medical history. In addition to topical ointments, other treatments for anal fissures may include sitz baths, botulinum toxin injections, and surgery in severe cases. It is also important to maintain good bowel habits, including staying hydrated, eating a fiber-rich diet, and avoiding straining during bowel movements, to prevent the recurrence of anal fissures. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question. Regards, Dr. Priyanka, General & Family Physician