Anal Fissure

Anal Fissure Treatment in New Delhi

Fissures or anal fissures are tears in the skin of the anal canal. They extend from the opening of the anus and usually occur in the midline. Fissures could be superficial or could run deep and closer to the sphincter muscle.

anal fissure treatment new delhi

Symptoms of Anal Fissures –

  1. Bleeding or traces of blood (usually bright red in color) as red streak on stools or on the toilet paper.
  2. Acute pain the the area around the anus after passing stool. Lack of voluntary control of the anus causing inability to control gas and fecal soiling.

Causes of Anal Fissures – 

  1. Stretching of the anal mucosa beyond its limits.
  2. Internal anal sphincter muscle spasms. These spasms affect the blood supply to the anal mucosa.
  3. Constipation and passing of hardened and large stool.
  4. Prolonged diarrhea.
  5. Decreased blood supply to the area.
  6. Sexual preferences.
  7. Diseases like Acquired Immunodeficiency Syndrome (AIDS), Syphilis, Herpes, Human Papilloma Virus (HPV), Inflammatory Bowel Disease (IBD), Crohn’s disease, Ulcerative Colitis, Carcinoma etc. can cause fissures.
  8. Poor toileting especially in young children.

Diagnosis of Anal Fissures –

Anal fissures can be diagnosed by a professional practitioner by just looking at the affected area and by asking a series of questions to confirm the symptoms and the condition.

Treatment of Anal Fissures –

  1. Medication – Medication for local application can be prescribed to help relax the sphincter muscle and bringing about healing in the affected area. Injections may also be recommended to relax the sphincter muscle. These methods are usually used for acute and chronic fissures.
  2. Lateral Internal Sphincterotomy (LIS) Surgery – In case the medication therapy fails to bring about substantial healing, surgical procedures can be used. Lateral internal sphincterotomy involves partially dividing the internal anal sphincter under anaesthesia. The partial division of the internal anal sphincter reduces spasms and brings about improved blood supply to the affected area. A continuous supply of blood helps the fissures heal. The patients undergoing this fissure surgery experience pain that is lesser than the pain and discomfort caused by the fissures and they can resume their routine activities in 2 – 3 days after the fissure surgery.

Prevention of Anal Fissures –

  1. Avoid straining while passing stool.
  2. Avoid constipation by having regular meals.
  3. In case of constipation or diarrhea, patients must take appropriate treatment.
  4. Consume fiber rich foods and drink ample amounts of water.
  5. Maintain hygiene after defecation.
  6. Using sanitary wipes and soft wet tissues.

Dr. Nikhil Agnihotri, expert Laparoscopic Surgeon provides Anal Fissure Treatment with fissure surgery such as Lateral Internal Sphincterotomy in Delhi, India. Contact us to know more about treatment and cost. 


Authored By Dr.Nikhil Agnihotri

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