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GI and Laparoscopic

Fissure in Ano


Best treatment of Fissure in Ano in Hyderabad

The treatment for a fissure in ano typically involves a combination of dietary changes, increased fiber intake, topical medications, and warm sitz baths. In severe cases, surgery may be required. It's important to consult with a healthcare professional for proper diagnosis and treatment.

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Dr Krishna Chaitanya
Dr. Krishna Chaitanya
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GI and Laparoscopic Surgeon
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---- Overview ----

Fissure in Ano

A fissure in ano is a small tear or cut in the lining of the anus. It causes pain, bleeding, and discomfort during bowel movements. Treatment includes lifestyle modifications, such as dietary changes and sitz baths, along with medications. Severe cases may require surgical intervention. Consulting a healthcare professional is recommended.

what are the causes of Fissure in Ano?

A fissure in ano can be caused by various factors. The primary cause is often related to constipation or passing large, hard stools, which puts excessive strain on the anal canal and leads to tearing. Other causes include chronic diarrhea, inflammatory bowel disease, childbirth, anal trauma or injury, anal sex, poor anal hygiene, and certain medical conditions like Crohn's disease or HIV/AIDS. These factors can weaken the anal canal and increase the risk of fissure formation.


what are the Symptoms of Fissure in Ano?

The symptoms of a fissure in ano can vary but commonly include:

  • Pain during bowel movements: Sharp or burning pain is experienced while passing stools, which can last for hours afterwards.
  • Bleeding: Bright red blood may be seen on toilet paper or in the toilet bowl after a bowel movement.
  • Itching or irritation: The area around the anus may feel itchy or irritated.
  • Discomfort or spasms: Some individuals may experience muscle spasms in the anal area, leading to discomfort.
  • Difficulty with bowel movements: Fissures can cause constipation or make it difficult to pass stools.
  • Fissure may be visible: In some cases, a small tear or split in the skin near the anus can be seen.
  • Sensitivity or tenderness: The skin around the anal area may be sensitive or tender to touch.

It's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.


what are the Investigations of Fissure in Ano?

The diagnosis of a fissure in ano is primarily based on clinical examination and evaluation of symptoms. However, there are certain investigations that may be conducted to confirm the diagnosis or rule out other underlying conditions. These investigations include:

  • Digital rectal examination (DRE): The doctor inserts a lubricated, gloved finger into the rectum to check for any abnormalities, such as a fissure, and assess the sphincter muscle tone.
  • Anoscopy or proctoscopy: A thin, flexible tube with a light source (anoscope or proctoscope) is inserted into the anus to visually inspect the anal canal and identify any fissures, inflammation, or other abnormalities.
  • Imaging tests: In some cases, additional imaging tests like ultrasound or magnetic resonance imaging (MRI) may be recommended to evaluate the anal canal and surrounding structures in more detail.

These investigations help to confirm the diagnosis of a fissure in ano and determine the appropriate treatment approach.


what are the treatment options for Fissure in Ano?

The treatment options for a fissure in ano can vary based on the severity and duration of the condition. Here are some common treatment approaches:

  • Dietary modifications: Increasing fiber intake and consuming adequate fluids can help soften the stools, making them easier to pass and reducing strain on the anal canal. This can involve incorporating more fruits, vegetables, whole grains, and fiber supplements into the diet.
  • Topical medications: Over-the-counter or prescription creams, ointments, or gels containing topical anesthetics, analgesics, or muscle relaxants can help alleviate pain, reduce inflammation, and promote healing of the fissure. These are usually applied directly to the affected area.
  • Sitz baths: Soaking the anal area in warm water for 10 to 15 minutes several times a day can provide relief, reduce muscle tension, and promote healing.
  • Stool softeners: In cases of constipation, stool softeners or laxatives may be recommended to prevent straining during bowel movements and ease passage of stools.
  • Medications: In certain cases, medications like calcium channel blockers or nitroglycerin ointment may be prescribed to help relax the anal sphincter muscle, promote blood flow, and aid in healing.
  • Botox injection: In resistant cases, injections of botulinum toxin (Botox) into the anal sphincter muscle can help relax the muscle and promote healing.
  • Surgery: If conservative treatments fail to provide relief or in cases of chronic or severe fissures, surgical intervention may be necessary. Surgical options include lateral internal sphincterotomy (cutting the internal anal sphincter muscle) or advancement flap repair.

The appropriate treatment option depends on the individual's condition and should be determined in consultation with a healthcare professional.

---- FAQs ----

Fissure in Ano

In some cases, a fissure in ano can heal on its own with proper self-care and lifestyle modifications. However, if the fissure is persistent or causing significant pain and discomfort, medical intervention may be necessary to promote healing and alleviate symptoms.

The healing time for a fissure in ano can vary depending on the individual and the severity of the fissure. In many cases, with appropriate treatment and lifestyle changes, the fissure can heal within a few weeks to a few months. However, chronic or severe fissures may take longer to heal and may require more intensive treatment approaches.

Yes, a fissure in ano can recur even after it has healed. It's important to continue practicing good anal hygiene, maintaining a high-fiber diet, and avoiding constipation to prevent recurrence. Additionally, managing any underlying conditions or factors that contribute to the development of fissures can help reduce the risk of recurrence. If a fissure does recur, it's advisable to seek medical attention for appropriate treatment and prevention strategies.

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