First of all I take 4 Citrucel chews every morning with a full glass of water. I eat a high fiber diet including flax shakes and I try to drink as much water as possible. I also take a product in the evening called "Calm" which is a magnesium citrate product that has helped with the bowels a lot. I also drink a small glass of prune juice every once in a while and with all of this my bowels are soft and regular. This is the key to keepimg the fissure from getting worse, you have to have smooth, soft bowel movements. Now for the final fix someone suggested getting a prescription for nifedipine ointment which I did get from my Dr. You do need to go to a compounding pharmacy to get the product but I have to say since using this ointment and being constistent with keeping my bowels soft I am feeling 100% better. I hope this can help some of you because I know how painful and embarrising these fissures can be. If I can answer any other questions feel free to ask me. May God Bless You all with good health!