What is Anal Fissure?
The anal canal is a short tube surrounded by anal sphincter muscles. It is the end part of the rectum- the colon’s (large intestine) bottom section. An anal fissure is a split, small cut, or tear in the lining of the anal canal. It is commonly seen in the back portion of the anus, in line with the buttock cleft. Anal Fissure Treatment in Hyderabad is available with Sree Nandaka Advanced Surgery Clinic. It is performed by expert surgeons and doctors and they use both non-surgical and surgical approaches to deliver best safe procedure outcomes.
Causes of anal Fissure
Often a trauma or injury to the inner lining of the anus or stretching of the anal canal leads to an anal fissure. It could happen due to any of the following reasons:
- Constipation/ passing of hard stools- The pressure exerted to pass out stools leads to tearing of the delicate skin of the anus.
- Diarrhea- The frequent passing of watery stools forcefully through the anus can cause tearing of the lining of the anus.
- Tight anal sphincter muscle- It can increase the tension inside the anal canal and make the anal lining more likely to tear.
- Childbirth- During delivery of the child, there is pressure on the anus which can lead to fissure.
- Unnatural sex- Commonly, anal fissure caused due to this sex is seen in homosexuals.
- Latrogenic- An insertion of a USG probe, rectal thermometer, enema tube, or endoscope through the anus can cause anal fissure.
- Underlying medical conditions- Rarely, conditions like tuberculosis, leukaemia, sexually transmitted diseases, Crohn’s disease, and viral infections can lead to anal fissures.
Symptoms of Anal Fissure
Typically, anal fissure is associated with the following symptoms:
- sharp pain when stool is passed, often followed by a deep burning pain that may last several minutes to a couple of hours
- bleeding when defecating either there is bright red blood spotted in the stool or toilet paper following bowel movement
- a small lump or skin tag-like growth next to the anal fissure called Sentinel Pile usually felt in patients with chronic anal fissure.
Treatment of Anal Fissure
Acute anal fissures are treated with medications or non-surgical therapies while chronic anal fissures are first tried to be treated with medical management but if it's severe, surgeries are recommended.
At Sree Nandaka Advanced Surgery Clinic, our devised first line of treatment for anal fissures in Hyderabad includes:
- Medicines- There are herbal medicines that can help lessen inflammation in the anal area and stool softeners and laxatives to treat constipation. To reduce anal sphincter muscle spasms or relax the muscles, ointments containing nitroglycerin/glyceryl trinitrate and nifedipine are recommended.
- Diet- A fibre-rich diet and more fluids/water intake can help prevent constipation.
- Sitz bath- To reduce the anal discomfort post defecation, sitting in warm water after bowel movement is recommended.
- Pelvic floor physiotherapy- It helps reduce anal sphincter muscle spasm.
Surgical Treatments for Anal Fissure in Hyderabad
In case conventional treatment approaches fail for anal fissures, a surgical line of treatment is needed. It involves any of the following:
- Bot-ox injections- Bot-ox, derived from a bacterium, is injected into the internal anal sphincter muscle to temporarily relax it. It reduces the muscle tension and increases blood flow to the sphincter which allows the anal fissure to heal until the effect of Botox injection lasts (within 3 months).
- Partial Lateral Internal Sphincterotomy- It is a minimally invasive surgery where a small cut is made in the internal sphincter to reduce straining during bowel movement and provide relief from anal pain and discomfort.
- Laser surgery- To perform bloodless and painless internal sphincterotomy, a laser is used. The laser can debride the chronic fibrotic scar. It prevents prolonged discomfort in the treated area and allows quick recovery. For more details on Laser Treatment for Fissure in Hyderabad get in touch with experts at Sree Nandaka Advanced Surgery Clinic.
Self-help measures to relieve symptoms of anal fissure
For existing anal fissures to heal, allowing easy passage of stools, as well as reduced chances of developing anal fissures in the future, adopting some self-help measures can work.
The self-help measures include:
- Having plenty of fibre in your diet
- Staying well hydrated
- Keeping body active
- Not ignoring the urge to pass stools
- Practising healthy washroom habits like clean drying the anal area after bowel movement
- Having laxatives if constipated
- Avoiding use of scented soaps or bubble baths that could irritate the skin in and around the anus
- Changing diapers frequently (in case of anal fissures in babies).
For more details get in touch with the experts at Best Doctors For Fissure Treatment in Hyderabad at Sree Nandaka Advanced Surgery Clinic.
FAQS on Anal Fissure Treatment in Hyderabad
How is anal fissure diagnosed?
Confirmed diagnosis of anal fissure is done by reviewing the patient's medical records, knowing the patient's symptoms, and externally inspecting the anus. Rarely, the patient is ordered for diagnostic tests to eliminate other possible causes of rectal bleeding or fissure.
Is surgery necessary to treat anal fissures?
An anal fissure can be less or more than 6 years old (acute or chronic). In either case, it can be treated with lifestyle modifications. However, if the disease is in an advanced stage, surgery is needed.
Is surgery for anal fissure painful?
Laser surgery performed for anal fissure is painless and involves no blood loss. To ensure no discomfort during the procedure, local anaesthesia is provided to the patient. Painkillers are generally prescribed to get relief from post-operative pain.
Which is the best surgery to treat anal fissures?
Laser Sphincterotomy has proven to be effective in treating anal fissures in most cases. For details consult Best Anal Fissure Doctors in Hyderabad at Sree Nandaka Advanced Surgery Clinic.
How long does it take for anal fissure to heal?
Anal fissure generally heals within 3-4 weeks of receiving simple home remedies and medications. In case laser surgery has been performed, the complete healing happens in 1-2 weeks.
How can I permanently heal my anal fissure?
You can heal your anal fissure through some lifestyle modifications and medications including sitz bath.
Can anal fissures lead to colon cancer?
Not at all! There is no link found between anal fissures and colon cancer. Neither can the anal fissure cause colon cancer nor can it increase the risk of occurrence of colon cancer. However, more serious conditions may show similarities in symptoms of colon cancer. Therefore, the colorectal surgeon may request some tests including colonoscopy to rule out the other possibilities of rectal bleeding.
What are the anal fissure complications?
If the anal fissure fails to heal within a few weeks or the anal tissues keep tearing repeatedly, the fissure can turn chronic and result in some complications. The complications include severe constipation where the stool goes back into the rectum instead of passing out; anal stenosis (narrowing of anal passage); and anal fistula (fissure gets infected, drains pus, and forms a passage to the outside skin).
Can an anal fissure resolve on its own?
An anal fissure can heal in a few weeks if the patients keep their stool soft with medicines, avoid constipation, drink plenty of liquids, eat more fibre, and do sitz baths.
How do I know that I am having fissures or haemorrhoids?
Fissure is a tear in the lining tissue of the anus whereas haemorrhoids are the swollen blood vessels inside the anal canal or just outside the anal opening. Haemorrhoids form when there is repeated straining during bowel movements. Both are caused by the passing of hard stools.
Schedule an appointment
Feeling anal discomfort and experiencing blood in stool? Don’t hesitate! Meet our top-rated colorectal specialists at Sree Nandaka Advanced Surgery Clinic to get details on Cost of anal fissure surgery in Hyderabad. They can help diagnose your condition and provide you with an appropriate treatment plan without straining your budget.
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Address:
Plot no 770, Jayabheri Park,
Behind BigBazar, Kompally,
Hyderabad, Telangana 500014, India.
Email ID
sreenandaka@gmail.com
Contact No.
+91-9000835000,
+91-9000861000
