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Will doctor suggest surgery or medicine first for anal fissure?

3 weeks ago

if we go for consultation of anal fissure, will doctor suggest surgery or will prescribe medicine treatment first?

Asked By Ashwini | Male | Age 45

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3 weeks ago

Answers (2)

Pristyn Care Team

Simplifying Healthcare

May 31 2026

In most cases, doctors first try to treat an anal fissure with medicines, dietary changes, increased water intake, stool softeners, and warm sitz baths. Many acute fissures heal with these conservative treatments and do not require surgery.

However, if the fissure is chronic, keeps recurring, or does not improve despite proper treatment, a surgeon may recommend a procedure for long term relief. A proper examination helps determine the severity of the fissure and the most suitable treatment option.

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Dr. Abhay Shankar

Top Doctor

M.B.B.S., M.S. (General Surgery), FMAS, FIAGES|13 Years Experience Overall

May 31 2026

First we want to see the condition..them will decide it is acute or chronic fissure
Then will decide management like medicine or surgical

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