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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
  • 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
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Treatment

Diagnosis

The doctor will have to do a physical examination of the anal region to find the cut and the probable cause of the fissure. If a fissure lasts for more than 8 weeks, it is called chronic fissure which can turn severe with time. The doctor can also ask for flexible sigmoidoscopy, where a thin tube is inserted in the bottom part of the colon.

Colonoscopy can also be performed to confirm the fissure. A thin tube is inserted in the rectum to examine the entire colon.

Procedure

Surgery is the best-suited alternative when every other remedy and treatment fails to cure the disease permanently. Among all the available treatments for fissure, the most advanced laser-assisted procedure is very successful. It is any day better than traditional surgery. If your condition has reached a stage where surgery is needed, we recommend you consult with the best doctor in Pune for the advanced surgical treatment.

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 anal fissure surgery in Pune?

Fissure surgery in Pune can cost you around Rs. 45,000 to Rs. 55,000. This can change based on multiple factors such as doctor fee, type and location of the hospital, the severity of the fissure, etc

Are anal fistula and anal fissure the same?

Anal fistula and anal fissure are two different anorectal diseases. An abnormal tunnel-like connection between the bowel and perianal skin is the anal fistula. Whereas anal fissure is a tear or paper-like cut in the lining of the anus.

Is it good to perform strenuous exercise in anal fissure?

No, doing strenuous exercises is not recommend when you have an anal fissure. Instead, it is better to do simple and regular exercises which help to increase the blood flow throughout the body and heal anal fissures.

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 recover after laser fissure surgery?

Once you undergo anal fissure surgery, you may take 1-3 days to resume your daily activities. However, to recover and heal completely without any complications, you may take 3-4 months. If you wish to recover quickly, you should follow all the precautions as directed by the doctor.

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.

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.

The Most Advanced Anal Fissure Treatment in Pune

Anal fissures are the cracks and broken lining around the anal skin that usually require immediate medical attention. The condition is associated with pain and bleeding while defecation that makes it unbearable. People can also suffer from fissures after straining during childbirth or other diseases like anal cancer, herpes, or HIV. Though treating the fissures at an earlier stage is easier, most people hesitate to consult a doctor because of embarrassment. But if you ignore the problem in the initial phase, you will eventually have a disorder that will degrade your quality of life on a daily basis. Hence, getting the best treatment is the most appropriate way to cure anal fissure permanently.

Pristyn Care laser-assisted anal fissure treatment can help you in this situation. We use the advanced technique to treat fissures for minimal pain, bleeding, and quick recovery. The laser technique is a minimally invasive procedure that can be performed by our doctors and surgeons easily. Contact Pristyn Care in Pune today and book an appointment with the specialists that can successfully cure anal fissures without any complications.

Get The Permanent Cure for Anal Fissure Via Laser Surgery

Any person can suffer from anal fissures. So, don’t let a disease affect your whole life and seek medical advice right away. Consulting a doctor is the right thing to take the first step towards treatment. Adopting conservative methods is fine for acute fissures. However, if your condition is severe, you need to look for a permanent cure that will allow the anal sphincter and mucosa to heal properly. What’s even worse is that delaying treatment will increase the risks of hemorrhoids and anal fistula and you will be left with no other option than undergoing a surgical procedure.

At Pristyn Care, you can talk to the medical experts and determine the best line of treatment. Our surgeons are well-trained to perform laser-assisted surgery which will remove the damaged muscles and allow the anal tissues to heal. Over time, as the wound after surgery heals, your life will become better and the pain and blood during bowel movements will disappear.

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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