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What is anal fissure?

Fissure is a crack around the anal region. It typically causes severe pain and bleeding during bowel movements. The reason for fissure is trauma inside the inner lining of the anus. A hard bowel is responsible for fissure but chronic diarrhea can also be the cause. Do not leave it untreated. Delay in diagnosis may lead to an acute fissure becoming a chronic one and become more difficult to treat. If anal fissure is not diagnosed, it may also allow other conditions to go undetected and untreated, such as serious infections or even cancer.

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Overview

Anal Fissure
Names of anal fissure in different languages:
  • Anal fissure in Hindi - ‎एनल फिशर
  • Anal fissure in Tamil - குத பிளவு
  • Anal fissure in Telugu - ఆనల్ ఫిష్యూర్
  • Anal fissure in Marathi -गुदद्वारासंबंधीचा फिशर
  • Anal fissure in Bengali - অ্যানাল ফিশার
Types of anal fissure:
  • Acute anal fissure
  • Chronic anal fissure
Risk factors of anal fissure:
  • Advanced age
  • Constipation
  • Recent childbirth
  • Crohn’s disease
  • Inflammatory bowel disease
  • Anal intercourse
Home remedies for anal fissure:
  • Take sitz baths
  • Add fiber to your diet
  • Take stool softeners
  • Avoid straining during bowel movements
  • Drink adequate fluids
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  • All insurances covered
  • Paperwork support by Pristyn Care
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Why Pristyn Care?
  • Private room for patients with attendant stay & meals
  • USFDA approved anal fissure treatment
  • Insurance covers the treatment
  • Free cab pickup & drop facility
  • Free follow ups post surgery
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Treatment

Diagnosis

The doctor will ask about your medical history and will perform a physical test, which will include a gentle inspection of the anal region. Most of the times the tear is visible. This is the test that is done for the fissure diagnosis. A fissure is considered chronic if it lasts for more than eight weeks. The location of the fissure offers clues about the cause. A fissure bleeding that occurs on the side of the anal opening is likely to be a sign of Crohn’s disease. Your doctor will recommend these fissure test for the diagnosis:

Anoscopy: An anoscope is a tubular device that is inserted into the anus to help the doctor view the anus and rectum.,Flexible sigmoidoscopy and colonoscopy: In this process, the doctor will insert a thin tube into the bottom portion of your colon. This test is done when you are younger than 50 years and capable to rule out any risk factors for colon cancer.

Procedure

There are several home and natural remedies one can try to get relief from symptoms of a fissure. When these fail to deliver desired results, it is best to consult the nearest fissure specialist. All types of fissure treatments are available in Bhopal. The advanced laser-based techniques to cure fissure are quite effective compared to traditional surgery or home remedies. If your condition has reached a stage where surgery is needed, we recommend you consult with the best fissure specialist in Bhopal for the advanced surgical treatment instead of open surgery. Leveraging a technologically advanced procedure, treatment of fissure can be done with laser. If you are facing symptoms of the fissure, it is necessary to consult the nearest fissure specialist.

In Our Doctor's Word

Dr. Sajeet Nayar

MBBS, MS - General Surgery

19 Years Experience

"Many a times patients confuse fissure with piles. They keep taking home remedies or OTC medicines without knowing the exact cause. This often delays a proper diagnosis and eventually, the correct treatment. At times I have patients coming with severed conditions and combination of different anorectal diseases including grade 4 piles. This makes treatment difficult and recovery longer. So, as a rule of thumb, I will suggest do not trust home remedies/ OTC treatment for permanent cure of piles. If you experience continuous pain, bleeding and abscess, consult a good proctologist as soon as possible and let your doctor decide the best course of action."

Frequently Asked Questions

How much does fissure surgery cost in Bhopal?

Fissure surgery cost in Bhopal can range between Rs. 36,000 to Rs. 45,000. But this price range is subject to change from person to person due to various factors. To know the exact cost of fissure surgery in Bhopal, you can contact us.

When to see a doctor for anal fissure?

Anorectal diseases, like anal fissure should never be left untreated as these diseases can degrade your quality of life significantly. You should see a doctor immediately when you notice the symptoms, like, rectal bleeding, itching in the anal region, and sharp pain during bowel movements.

Are fissures and hemorrhoids the same?

An anal fissure is a small tear or cut in the lining of the anus. Hemorrhoids are a group of inflamed and swollen tissues in the anal area. If you suspect having any of these anorectal diseases, get consulted by the best proctologists at your nearest location.

What can happen if anal fissures are left untreated?

If anal fissures are left untreated, they can cause severe constipation, fecal impaction, pain in the anal area, sentinel pile, difficulty to do daily activities and can form an anal fistula. To avoid these, you should not delay the anal fissure treatment.

Do anal fissures reccur after undergoing laser surgery?

Some clinical studies say that 10% of people who underwent laser fissure surgery have developed anal fissure [recurrence of anal fissures] after 6-8 months. So, it is important to follow all the post-surgical tips suggested by the doctor to avoid recurrence.

How long does it take to complete laser fissure surgery?

Anorectal surgeons and proctologists who are experts in performing laser anal fissure surgery may take 15 to 45 minutes to complete it. But the duration of the laser surgery is subject to vary from one person to another due to the severity of the fissure and the presence of any underlying disease that can affect the surgical outcomes.

Are creams for anal fissure effective?

Yes, to an extent. Topical calcium channel blockers are considered to be effective ointments for the treatment of anal fissure. These are recommended when other common ointments fail to provide relief from the symptoms. Using these creams for anal fissure for at elast 6 weeks can help you get relief from the itching and burning sensations. But, if the fissure has grown very severe, you may need medical intervention.

Does anal fissure cause pus discharge?

Normally, the cracks and tears don’t cause pus discharge. But if the fissure site contacts infection, it can lead to pus discharge. Once the fissure gets infected, the condition can become chronic and quite painful. If not treated in time, the fissure can grow deeper and form a channel outside the skin.

Fissure Most-advanced laser surgery now in Bhopal

People in this fast-moving life consume a high level of junk food which leads to chronic constipation. A fissure is becoming a common health issue amongst people in Bhopal. The main reason being passing hard stools. There are many doctors who can treat fissure but they all recommend allopathy. The problem with allopathic treatment is that they cure the problem only on a temporary basis. Pristyn Care is known for providing the most effective fissure treatment. We use the latest laser-based procedures to cure fissure. The best part of using laser treatment is that they are absolutely painless and there is minimum bleeding. The doctors are specially trained to provide this laser treatment. We use the most advanced technology which ensures a seamless surgical experience for our patients. Contact our Pristyn Care health buddy to know more about laser surgery!

Pristyn Care in Bhopal provides the most advanced laser surgery to cure fissure

There are many ayurvedic hospitals in Bhopal which provide treatment for fissure. But the problem with these treatments is that they are not so effective. People in Bhopal complain that the pain returned as the fissure was not treated properly the first time. The most effective treatment for fissure is laser treatment which ensures the problem doesn’t recur. These are completely painless as well as recovery is much faster. Pristyn Care is one of the pioneers in the health sector which is providing the most advanced laser treatment at their clinics at an affordable cost.

Pristyn Care specializes in providing a hassle-free experience to their patients by taking care of the entire process of the treatment. Not only that, but we also provide unique facilities such as free transportation on the day of the surgery and free follow-up post-surgery. We promise you to provide a permanent solution to your fissure problem under one roof.

How to relieve fissure itching?

Here are a few simple tips that can help you relieve fissure itching:

  • Don’t scratch the fissure area. Scratching may irritate the skin. To find relief from the condition, you can apply compression to the area or take an oatmeal bath. You may want to scratch the area while in your sleep, so you should trim your nails to prevent hurting your area.
  • Wear breathable cotton underwear. Wearing cotton undergarments will help you keep your area dry. Avoid wearing pantyhose and tight fit inner garments because it may trap moisture and irritate the skin.
  • Clean your anal area gently – Use clean lukewarm plain water to your clean your anus. Use non-irritating mild soap. Do not scrub the area near your anal fissure. Make sure to clean the area with moist cotton balls or plain water if you have diarrhea or incontinence.
  • Avoid irritants – Do not use anything like perfumed soaps, bubble baths, genital deodorats, or harsh wipes in and around your anal fissure. If you need to clean your fissure area, use unscented toilet paper.
  • Watch your diet – Cut down on your intake of coffee, cola, spicy foods, citrus fruits, tomatoes or any food that may cause diarrhea. Don’t indulge in laxative overuse
  • Use gels and ointments – You can use zinc oxide gels or ointments, vaseline petroleum jelly or hydrocortisone cream to find quick relief from the itching and irritating symptoms.
  • Maintain firm bowel movements – Adding a lot of fiber to your regular diet can help you pass soft and timely bowel movements. For smooth bowel movements, you can also take help of fiber supplements such as psyllium (Metamucil) and methylcellulose (Citrucel).

What is the difference between anal fissure and anal fistula?

Anal fissure and anal fistula are two very common anorectal diseases. An anal fissure is a condition where an tear or a crack appearns in the skin near the anus. On the other hand, anal fistulas are tube-like passages that appears in the anal canal or the inner rectum. Most anal fissures are like paper cuts and ususally get healed within a few weeks. If left untreated, both anal fissure and anal fistula can develop into worse conditions. Untreated fistulas can even branch off into multiple openings.

The symptoms exhibited by both the conditions are very similar to each other. Pain in the anal area, discomfort while seating at the toilet seat and pain while passing a bowel movement, and blood in stools are some of the common symptoms for both anal fissure and anal fistula. But anal fistulas may also include pus secretion from the anal area, an extra opening near the anus or an increase in diarrhea.

Although different in nature, both the conditions require medical intervention. An anal fissure or anal fistula can be treated by a proctologist or an anorectal/ colorectal surgeon. At initial stages, both the diseases can be managed with medicines. But to treat the condition permanently, one would require a surgical approach, which can be done either through open surgery or laser surgery.

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Anal Fissure Explained- All you need to know about Fissure