I'm a 34-year-old guy dealing with these annoying anal fissures for about 5 years now, and they seem to keep coming back. It's been happening since 2011, and when they appear, the pain is just unbearable. I've been following the doctor's advice more fiber, stool softeners, using Lox 2 jelly, and taking sitz baths. They heal only to reappear like every 2-3 months, especially after episodes of very soft or hard stools. There's this fleshy part around my anus that sticks out, which I think makes things worse. A couple of months ago, I had a sigmoidoscopy, and while everything seemed normal, they did find a small fissure and small piles. The doc just said to keep on with the Lox 2 jelly and add some AnoBliss too. I'm wondering if there's a way to heal these fissures permanently without surgery. Is it alright to keep using Lox 2 jelly every time I go to the bathroom? And, are these recurring fissures something that could potentially lead to rectal or anal cancer?