Surgery for Anal Fissures

An anal fissure is a small tear or cut in the anal skin. This is a very sensitive area and can be very painful. Fissures are very common but are often confused with pain or other causes of bleeding, such as Piles

Symptoms

• The most common symptom is pain during or after defecation or bleeding.
• Blood is usually bright red and is often found on paper or outside the stool.
• The pain associated with a crack can often lead to a “stool terror” in which the patient is afraid of pain and avoids bowel movements. This only exacerbates constipation and the problem itself.

Treatment

In many cases, treating your constipation or diarrhea can cure the fissure. An Anal fissure are usually managed with non-surgical treatment, with more than 90% healing without surgery. High fiber diets, bulking agents (fiber supplements), stool softeners, and plenty of water can help relieve constipation, promote loose stools, and help the healing process. Increased dietary fiber can also help improve diarrhea. It is healed in a warm bath for 10-20 minutes every day and promotes relaxation of anal muscles. This also helps with healing. If this does not heal a laceration with a commercial regimen, special drugs may be needed to help relax the sphincter and help heal. Chronic fissures are more likely to require prescription drugs and surgery.

Surgery

A small percentage of patients with fissures require surgery. A laceration procedure, called a Lateral Sphincterectomy, involves cutting a small piece of incontinence. This surgery is very effective (> 95%) and the recurrence rate after surgery is low. Relax the anal canal, heal the skin, reduce pain and convulsions. If a sentinel pile is present, it can also be removed to promote crack healing. Sphincterotomy rarely interferes with the ability to control bowel movement and is most commonly performed as a short outpatient procedure. There are other risks to surgical treatment, and surgeons deal with these. Full healing occurs in weeks, but the pain often goes away after a few days.

The fissure can easily recur, and it is very common for a healed lace to recur after severe defecation. Even after the pain and bleeding have ceased, you should continue to adhere to a high-fiber diet or fiber supplement therapy, aiming for good bowel habits. If the problem recurs for no obvious cause, further evaluation may be required.

A fissure that does not respond to treatment should be re-examined. Permanent hard or loose bowel movements, internal anal sphincter spasms, or spasms all contribute to delayed healing. Other medical problems such as inflammatory bowel disease, infections, and anal growth (skin tumors) can cause symptoms such as cracks.

Vithai Piles clinic provide Ayurvedic treatment for fissure & laser treatment for fissure in Pune. Book your appointment? Call us at +919405659585 / +919403223306