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What is Fissure?

A fissure, also known as anal fissure is a small cut or tear in the thin, moist tissue (mucosa) that develops in the lining of the anal opening. It may lead to itching, pain, and bleeding while making bowel movements. An anal fissure may occur when you pass hard stools. One may also experience spasms in the ring of muscle at the end of your anus (anal sphincter).

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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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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 fissures 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 Patna. The advanced laser-based techniques to cure fissures 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 Patna 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

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.

How much fissure treatment cost in Patna?

The cost of fissure treatment depends on various factors, such as, severity of the disease, doctor’s consultation fee, choice of hospital, type of treatment recommended by the doctor, hospital admission/discharge and bed charges, pre and post treatment medications, etc. Due to these factors, the actual cost will be different for each patient. On average, fissure treatment in Patna will cost you around Rs. 41,500 to Rs. 55,000.

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.

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.

Visit Pristyn Care for the safest and most advanced pain-free treatment in Patna. The patient can also have a cashless surgery if he has an active insurance policy. A free cab to pick up the patient for the surgery and drop the patient back home after the surgery would be provided by Pristyn Care. There would also be a patient buddy from Pristyn Care to help the patient and his family during the treatment. Providing seamless surgical experience, the doctors at Pristyn Care use the best laser treatment which has the following advantages:

  • Painless surgery
  • Fewer post-surgery complications
  • Short hospital stay as it is daycare procedure
  • Short recovery time
  • Minimally invasive procedure so the chances of infection are really low

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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