For early anal fissure bleeding, the first step is to soften the stool by eating more foods high in rough fiber to maintain smooth bowel movements as much as possible. This prevents hard and dry stools from irritating the fissure, causing bleeding or worsening pain. Additionally, after defecating, it is necessary to take a sitz bath using warm saltwater or an anal cleansing solution. It is generally recommended to sitz bath for five to six minutes, which can have anti-inflammatory and hemostatic effects. After the sitz bath, apply Dragon Ball ointment or nitroglycerin ointment locally to promote ulcer healing. Typically, symptoms can significantly improve within seven to ten days of medication. However, if the patient has chronic anal fissure with prolonged pain after each bowel movement, surgical treatment is needed due to fibrous scar formation in the internal anal sphincter. In such cases, an anal fissure excision surgery might be undertaken, followed by dressing changes using medications like red oil ointment gauze or golden ointment. (Please follow medical advice regarding medication.)