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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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
  • Complete paperwork assistance
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


If you consult a doctor for treating anal fissure, the doctor will initially ask about your medical history and inspect your anal region by performing a physical examination. Depending upon the severity of your condition, the doctor will further recommend you to go through certain diagnostic tests like anoscopy, colonoscopy, and flexible sigmoidoscopy to rule out any other underlying condition.


Based on the diagnosis, if your condition is in the initial stages, the doctor may prescribe you to go through a number of non-surgical treatment procedures such as:

  • Externally applied nitroglycerin (Rectiv) ointments to increase the blood flow, promote healing and help the anal sphincter to relax.
  • Topical anesthetic creams such as Lidocaine hydrochloride (Xylocaine) to relieve the pain.
  • Botulinum toxin type A (Botox) injection to relax spasms by paralyzing the anal sphincter muscles.
  • Blood pressure medications like Procardia or Cardizem to help relax the anal sphincter muscles.


If your symptoms are severe or if you are diagnosed with a chronic anal fissure that is resistant to other treatments, the doctor might recommend you to go through a certain number of procedures that include:

  • Lateral internal sphincterotomy (LIS): This is a surgical procedure during which cuts or incisions are made around the internal sphincter muscles in order to release the tension of the sphincter muscles and promote healing of the anal fissure.
  • Laser Sphincterotomy: This is the best and safest procedure of treating anal fissure that involves the use of a laser fibre that emits high energy laser beams, directly focussed on the anal fissures to increase proper healing.

Among all the available treatments, laser-assisted surgical procedure is highly successful in treating anal fissure. It is a commonly preferred procedure as it involves minimal blood loss, no cuts, stitches or scars and the complications are also reduced to a greater extent. If you are suffering from severe symptoms, you can get in touch with Pristyn Care and consult the best proctologists in Mumbai to get your fissure wound treated in the safest and painless method.

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

What is the cost of fissure surgery in Mumbai?

The cost of fissure surgery depends on various factors and can cost you between Rs. 44,000 to Rs. 55,000 in Mumbai. But this is not the same price range for every person because of the doctor fee, charges of diagnostic tests, the severity of fissure, etc.

How to prevent anal fissures from returning?

After undergoing anal fissure surgery, it is advised to follow a few precautions which help you to avoid the recurrence fissure.

  • Consume high fiber foods such as citrus fruits, bananas, peas, whole grains, etc.
  • Drink water [3-4 liters a day].
  • Eat vegetables that are with high-water content.
  • Don’t sit for long hours.
  • Avoid straining during bowel movements.
Will I suffer from pain during laser fissure surgery?

Before performing the anal fissure laser surgery, you will be sedated, or the surgical area will be numbed using either general or local anesthesia. So, you won’t suffer from pain and discomfort through the surgical process. However, once the surgery is completed, you may feel mild pain and discomfort, which subside over time.

How long will I take to do my daily activities after anal fissure surgery?

If you undergo anal fissure surgery, you may take 1-3 days to get back to your daily routines. But to heal and recover completely after the surgery, you may take 2-3 months.

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.

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.

Can anal fissure be cured at home?

Like any other small tears and cuts on the skin, anal fissure may heal within a few weeks. But if your condition of anal fissue has grown severe, you may need to check with a general physician who can help you get the best treatments for your anal fissure.

What is the permanent cure for anal fissure?

Regardless of the severity of your anal fissure, surgery is considered to be the permanenet cure for anal fissure. In case of anal fissure surgery, the chances of succes is much higher than open surgical treatment.

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.

Why choose Pristyn Care to undergo laser fissure surgery in Mumbai?

At Pristyn Care in Mumbai, you can avail the safest, effective and most advanced fissure treatment at an affordable cost.

  • We house some of the best fissure specialists in Mumbai, who have years of experience in performing laser fissure surgeries with a success rate above 94%.
  • Proctologists/General Surgeons working with Pristyn Care do a thorough consultation in the case of every patient to understand their condition and then determine the best approach for your fissure treatment.
  • To ease out your commuting process, we also provide free cab facilities to bring you from home to the hospital and help you return back after the surgery.
  • Pristyn Care strives to make the whole surgical experience for every patient a seamless one. A dedicated ‘care buddy’ is assigned to every patient on the day of the surgery to provide the patient with a hassle-free experience to take care of all the formalities and paperworks on your behalf.
  • A free-of-cost follow up is provided to every patient within the first seven days of the surgery.

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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Our Patient Love Us

  • RN
    Rahul Naik 13 days ago

    “Shadab Alam helped me get through from start to end. Everything was smooth, thank you. ”

  • S
    Sanjana 23 days ago

    “Very good and proper service and care provided by Pristyn Care. From the time of consultation to discharge, everything was taken care of, especially by Shadab Alam. I was operated on by Dr. Sanjay Pal. Just after consulting him for the first time, I was 100% sure that the operation was going to be successful. I was so much in pain for nearly a month, met so many doctors, and at last, tried to meet Pristyn care doctors and was convinced that Dr. Pal was the right doctor for me. I would really like to put in that surgery through laser is the best option for fissures and piles. Today is the second day after my surgery and now I have less pain. Thanks a lot to my coordinator Shadab Alam and Dr. Sanjay Pal and his team and also to the Aaradhya health care hospital where I underwent surgery. ”

  • VS
    Vijay Sachdev 1 month ago

    “Dear team, My husband had undergone surgery yesterday and got discharge today. I am happy to share the overall experience of the help and support provided by your entire team was awesome ! Please find my feedback for the team members who helped us from start to finish. Shaab: He ensure the timely procedure and right from beginning till admission of the patient he really helped a lot . He was so patience with my all queries and was always approachable. Ajit : He was available the moment we reached hospital and was there till end of surgery which was moral support for the attendant that is me. YUVRAJ: Yuvraj's journey from admission of hospital till the discharge is really commendable. He ensure timely delivery of food for patient as well as attendant,Also he proactively explained and keep updating the insurance procedure at the time of discharge. Also the timely uber booking after discharge.I really appreciate his help and support and not only this but before closing this he called to check if the patient was feeling OK. Which really is appreciable. I am thankful to Yuvraj, Shadab and the entire team of pristyn for providing such a great support and help during this time . I also will ensure to recommend pristyn to all my dear and near ones and also with my colleagues. Wishing Pristyn a lot of success ahead !! Also a big thanks to Doctor Amol Gosavi for smooth surgery and treatment. Thank you Team !!”

  • Dk
    Devraj koliyar 1 month ago

    “Thank you Mr. Shadab Alam and Dr. Amol Gosavi for being with me throughout the surgery. Truly recommended. services were really excellent.”

  • AS
    Aarti Singh 1 year ago

    “You deliver everything which you have promised. Great experience received from your end. Akil and doctors are so co-operative, the hospital provided a Special room, all are free from operation to medicine, no any problem after the operation, thanks Pristyn Care. ”

Surprisingly seamless experience. I feel that Pristyn Care offers the best laser surgeries.

Best Anal Fissure Treatment In Mumbai
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