Types of Anal fissures
- Acute Anal Fissures : Superficial fissures present for less than 6 weeks.
- Chronic Anal Fissures : Fissures present for more than 6 weeks, have thickened edges with skin tags.
- Primary Anal Fissures : These occur due to direct or primary causes that damage the mucosal lining of the anal canal.
- Secondary Anal Fissures : These develop secondary to other underlying medical conditions like Crohn's disease.
- Chronic constipation and straining while passing stools
- Chronic diarrhea
- Anal sex
- Obstructed defecation syndrome - A functional pooping disorder
- Infant dyschezia - Difficulty pooping seen among infants.
- Sexually transmitted infections (STIs)
- Inflammatory bowel disease (IBD)
- Anal tumors
- Tuberculosis (TB)
- Diaper rash A skin rash that affects a baby’s diaper area
- A visible tear or slit in the skin around your anus
- A small lump, boil, or skin tag is seen near the tear
- Severe, throbbing anal pain during bowel movements
- Persistent pain after a bowel movement that can last up to several hours
- Streaks of blood in the stools
- Burning sensation and itching in the anal area
- Keeping your anal area clean and dry
- Consuming a fibrous diet to promote easy bowel movements
- Treating diarrhea immediately
- Drinking plenty of water and exercising regularly to prevent constipation
- Changing the infant’s diapers frequently, especially after a bowel movement
- The treatment of a fissure depends on the duration and the severity of the condition. Conservative methods are the first line of treatment to provide relief. However, medications and surgery are recommended if the fissure fails to respond to these methods. Treatment methods are the same for infants, older children, and adults.
Fissures may heal within a few weeks through home treatments that include:
- Consuming a high-fiber diet consisting of fresh fruits, vegetables, and whole grains to promote easy bowel movements.
- Hydrate with at least 2 liters of fluid daily to soften your stool.
- Sitz bath- Soak in a plain warm water bath for 15 to 20 minutes daily, especially after a bowel movement.
- Use petroleum jelly around your anal region that promotes healing by locking moisture and preventing dryness.
- Nitroglycerin ointment : Acts as a vasodilator by expanding the blood vessels. This helps restore the blood flow and relaxes the anal sphincter muscles.
- Calcium channel blockers : These are alternative medications to relax the blood vessels and your anal muscles.
- Botox : Botox injections are given to your anal sphincter muscles to relax them. It is an excellent muscle relaxant. The effects last for 3 to 4 months.
- Bulk laxatives : These medications soften your stool to help relieve the pressure on the anal muscles during strained bowel movements.
- Fecal impaction : This results from constant constipation that causes the hard stools to get stuck inside your rectum.
- Anal fistula
- Anal stenosis : Narrowing of the anal canal that makes it harder to pass stools.
- Failure healing : An anal canal that does not heal after 8 weeks is considered a chronic anal fissure.
- Recurrence
- A tear that extends to the surrounding structures : Anal tear, if left untreated, can extend to other structures, especially the internal anal sphincter muscles.
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- If your fissures do not heal through medications or recur even after healing, surgery is the best option for you.
- Lateral Internal Sphincterotomy (LIS)
- Laser Fissure Surgery
- It is a minor surgical procedure which reduces pressure inside the anus and promotes blood circulation to heal the tissues.
- It will take around 20-30minutes.
- Surgeon will insert a scope into your anus. The camera images help the surgeon view the anal canal better.
- Surgeon will guide small medical tools at the end of the scope to cut the internal anal sphincter.
- It is a bloodless procedure that uses a beam of laser targeted at the anal sphincter muscles.
- The damaged tissues are dissolved through the heat energy generated by the laser beam.
- The procedure takes around 15 to 20 minutes.
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What Our Patient Say About Our Caring
Under went laser treatment for fissure. It was painless and recovery was fast. He explained that it's a very simple surgery, whatever said its still a surgery and I was scared. But it was well done and now am completely recovered. Had gone for follow up and was given the suggestions about lifestyle and diet so that it never come back in life time.
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I was having fissure and piles since many years.
I was also having liver disease because of which my platelet counts and blood clotting was altered, so surgeons at other hospitals refused to do surgery on me. Then we consulted Dr Uday Ravi sir, he took all precautions and did laser surgery. Now my life is gar better and am comfortable. Thanks full for taking risk and do my surgery.
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Dr Uday sir is best for laser treatment for fistula. He did my fistula surgery with laser and now it has completely healed. I am very thankful to uday sir for ending my suffering