About

An anal fissure is a tear in the thin, tissue that lines the anus. The fissure can happen when hard or large stools are passed during a bowel movement. And with bowel movements, anal fissures cause pain and bleeding. One may also experience spasms in the ring of the muscle at the end of the anus.

Cause

Anal fissures are generally caused by trauma to the anal canal or anus. The trauma can be caused by the following:

• Prolonged diarrhoea
• Chronic constipation
• Insertion of foreign objects into the anus
• Difficulty to have a bowel movement

Other causes for Anal Fissure also include:
• Tight or spastic muscles
• Scarring in the anorectal area
• Overly tight or spastic anal muscles
• Crohn’s disease
• Decreased blood to the anorectal area.

Symptoms

Various signs and symptoms of an anal fissure include the following:

• Constipation
• Blood on toilet tissues
• A visible tear in the anus
• Itching and burning that could be painful
• Foul smelling discharge
• Discomfort when urinating, or inability to urinate.

TREATMENT FOR ANAL FISSURE

Anal fissures tend to heal within a few weeks and if you take steps to keep your stool soft by taking more fiber and fluids. By soaking in warm water for 20 to 30 minutes several times a day after bowel movements can also help to heal.

Partial Laser Treatment: This is performed under general anaesthesia. It is basically a minimally invasive procedure where a small incision is made in the patient’s internal sphincter. This particular procedure provides quite a relief from the severe pain and also brings down the strain during the bowel movements. A highly experienced and knowledgeable surgeon like Dr. Ram Prasad makes sure the whole treatment is completed in quite a smooth manner.

Laser Treatment for Fissures: Only done at the Piles Clinic, this particular procedure is done by using advanced and innovative technology. In this procedure, there is no pain and there is no blood loss also. It will help get rid of the pain and discomfort for once and for forever. Internal sphincterotomy is also a method where a small incision is made in the anal sphincter so that the pain and pressure are gotten rid of. There are a lot of advantages of laser treatment for fissure. Few of them include – No discomfort, same day surgery and the patient can go home the same day, zero to minimal blood loss, minimal downtime, and no discomfort.

Fissure Treatment without Surgery: The doctor will prescribe anaesthetic creams such as lidocaine hydrochloride that will be helpful for pain relief. Nitroglycerin will be prescribed to help increased blood flow to the fissure and promote healing and also help relax the anal sphincter. When other conservative measures fail the treatment, nitroglycerin is considered the medical treatment