Collective Efforts to serve Humanity
About Anal Fissure
1 in every 5 persons develops a fissure during their lifetime.
Anal Fissure surgeries are generally performed by general or colorectal surgeons from IMG Healthcare who are specialized in treating anal fissures. Our colorectal surgeons have completed advanced surgical training in the treatment of diseases like anal fissures, as well as entire general surgical training. Our doctors are experienced in anal fissure surgery and can perform the treatment using minimally invasive or no-cut techniques. Fissures rarely heal on their own, and surgery may be the sole option for treatment. Our doctor, on the other hand, will advise you on the best treatment for your fissure.
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What is Anal fissure?
Anal fissures refer to a rip or tear in the thin membrane that lines the anal opening, through which stool (feces) pass out from the body. These could vary from moderate to extreme pain and are accompanied by bleeding, especially when passing stool. People often get confused between fissure and fistula. The former is the condition where the skin is torn while the latter is the abnormal connection or passage between organs. Also, there is a lot of difference between anal fissures and piles. Both piles and fissure affect the anus but the former refers to the swollen veins and tissues around the anus and the latter tears the skin.
Causes
Symptoms
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An anal fissure usually develops while passing hard or large stools. Also, chronic diarrhoea or constipation can also lacerate the skin around your anus. Other extended causes include:
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Lifting heavyweights
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Obesity
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Straining too much while bowel movement
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Childbirth
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Anal intercourse
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Anal Cancer
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TB or HIV
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Syphilis or Herpes
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Chronic constipation
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Diarrhea
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Tight anal sphincter muscles (the muscles that help in passing stools out of the body)
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Excessive bleeding from the anal opening
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Severe pain that increases during the passing of stool
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Small piece of fissure skin or a lump around the anal opening
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Yet few symptoms such as severe pain during and after a bowel movement may be an uncommon experience and last for a few hours.
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Other related symptoms include bright red blood on the stool or toilet paper after a bowel movement, a visible crack in the skin around the anus or a small growing skin tag on the skin near the anal fissure.
DIAGNOSIS
How will your doctor detect and treat anal fissures?
Your doctor would usually perform a physical examination to check for anal fissure disease. Sometimes, a colonoscopy, anoscopy or sigmoidoscopy is done to assess your condition. If you are found to require treatment, your doctor would suggest medication or surgery (called fissurectomy) that will help the anal fissure to heal. Some people also opt for homeopathic medicine for fissure treatment.
Physical examination:
Our doctor would gently examine your anal opening to determine if you have an acute or a chronic anal fissure. He may also perform a colonoscopy, anoscopy or sigmoidoscopy to understand your condition better.
Risks & Complications during the surgery:
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In the majority of the cases, anal fissure surgery is successful and the patient is satisfied. However, like any other surgery, there could be potential complications during the surgical process. Some of the complications and contradictions that can occur can include:
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Hemorrhage – Although very rare to occur, there is a possibility of hemorrhage or bleeding occurring during the surgery of an anal fissure. If an unexpected hemorrhage occurs, the doctor may need to perform additional surgery to stop the bleeding.
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Incontinence – Several patients report suffering from temporary incontinence immediately after the surgery. During this phase, the patient can experience leakage of stool and can face difficulty in holding gas. The problem is not likely to remain for more than 2-3 weeks and can remain until the patient recovers completely. Once the person heals completely, the problem of incontinence is highly likely to go away.
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Perianal abscess – Though the complication is not very common, there are people who have suffered from an abscess and also developed an anal fistula after the surgery of an anal fissure. In such cases, the patient may require another surgery to get the abscess drained.
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Tear extending to the surrounding muscle – Damage to the anal sphincter or surrounding muscle or nerves can be due to direct thermal or mechanical trauma and even due to some infection developed later. This can also result in incontinence. Meticulous surgery procedure is very important to avoid this issue by keeping the integrity of anal sphincters in check.
Risks & Complications if left untreated:
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The following factors can put you at risk of getting anal fissure:
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Intense diarrhea
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Chronic constipation
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Straining while passing stool
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Eating low-fiber diet
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Any weight-loss surgery in the recent time
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Trauma caused to the anal area due to any injury or accident
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Any inflammatory problem in the anal area.
How to prevent anal fissure?
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What Are The Post-Surgery Measures To Prevent Anal Fissure?
An anal fissure cannot always be prevented, but it is possible to reduce the risk of suffering this condition by taking some preventive measures post Laser Surgery for Fissure.
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Drinking sufficient water and eating fibrous foods
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Avoiding strain while defecating and exercising regularly
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Cleaning the anal area with mild soap and warm water and keeping it dry
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For infants with this disease, changing diapers frequently
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Treating diarrhoea immediately
ANAL FISSURE SPECIALISTS DOCTORS
Dr. ABCD
MBBS,
10 yrs of experience
Dr. ABCD
MBBS,
10 yrs of experience
Dr. ABCD
MBBS,
10 yrs of experience
Surgery
Surgery/Operation for Anal Fissures:
A simple surgery called Lateral Internal Sphincterotomy (LIS) may be performed to initiate the healing of chronic anal fissures. To ease the pressure in the anal cavity, a small bit of the anal sphincter muscles are surgically removed to ease pain and promote fissure healing.
Laser Fissurectomy:
Laser-based surgery for anal fissures has much lesser pain and enhances the speed of recovery. It involves the use of diode lasers to accurately remove surrounding tissue and promote faster wound healing.
If your doctor prescribes these surgeries, medisync helps you get the best surgery prices performed by experienced fissurectomy doctors across Bangalore and Mysuru.
