If warranted, some hemorrhoids require procedures such as rubber band ligation or surgery for removal. Diagnosis Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. However, when treatments fail and anal fissures persist or come back, other measures can be tried, including: Using hydrocortisone-containing suppositories, foams, or creams to reduce inflammation; Applying other creams and ointments. I had pain and some bleeding during bowel movements. They typically cause pain when a person has a bowel movement, and pain can be severe for hours afterwards. Anal fissures are common and can easily anal fissure treatment doctor chronic, because after the anal fissure treatment doctor tear, bowel movements reinjure the area.