Anal Fissure Management Primary Care Setting: Treat for 6 weeks with: 1. Dietary advice 2. Bulk fibre supplements 3. Stool softeners 4. Glyceryl trinitrate (GTN) ointment 0.4% twice a day. Recommend paracetamol PRN for possible side effects of headache. 5. Consider local anaesthetic treatments e.g. Anusol or Lidocaine gel #Anal #Fissure #Management #treatment