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Fissure - Know your treatment options
An anal fissure is caused by a trauma to the tissue also referred to as the mucosa lining the anus. Trying to pass large or hard stools during your bowel movement is the prime cause of developing a tear in the tissue lining. Bleeding and pain experienced during bowel movements are indicators of a fissure. If other treatment options have failed to resolve the condition, a fissure surgery (sphincterotomy) might be suggested to you. Read on to find out more.
Condition
What is Fissure
An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement.view more
How to diagnose and When to Consult a Doctor?
See your doctor if you have pain during bowel movements or notice blood on stools or toilet paper after a bowel movement.
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Causes
- Passing large or hard stools
- Constipation and straining during bowel movements
- Chronic diarrhea
- Anal intercourse
Symptoms
- Pain, sometimes severe, during bowel movements
- Pain after bowel movements that can last up to several hours
- Bright red blood on the stool or toilet paper after a bowel movement
- A visible crack in the skin around the anus.
- A small lump or skin tag on the skin near the anal fissure
Causes
- Passing large or hard stools
- Constipation and straining during bowel movements
- Chronic diarrhea
- Anal intercourse
Symptoms
- Pain, sometimes severe, during bowel movements
- Pain after bowel movements that can last up to several hours
- Bright red blood on the stool or toilet paper after a bowel movement
- A visible crack in the skin around the anus.
- A small lump or skin tag on the skin near the anal fissure
When to undergo for surgery
Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.
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Our Specialists
Dr Prassana Venkatesh
M.B.B.S , M.S (Surgery)
6 years overall
Dr.Poornima
M.B.B.S ,M.S (Surgery)
5 Years
Dr. Sharanabasavaraj .C .Javali
MBBS, MS - General Surgery
8 years overall
Is it covered under insurance?
Is the treatment covered under insurance?
The Insurance plan varies from one company to another.It is advised to talk to the insurance provider before going to hospital or clinic for Fissure.
How is the recovery after surgery?
After the surgery, people should expect about three weeks for recovery.
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First I would like convey my thanks to medibuddy and their Care Buddy who assisted me till the discharge. Medibuddy provided hassle free consultation and for the operation. The entire insurance policy was taken care without involvement and it helped me to take care of myself. Finally I would like to thank the Unity hospital staff and their doctor
Surya Kumar
I sincerely thank MediBuddy for coordination and commitment towards the service rendered in making my total knee replacement surgery hassle-free. Your work is truly commendable, and I appreciate your professional attitude. So easy to talk to and work with, very helpful always! Massive thanks.
Abhilasha Vasant
The experience with MediBuddy and their Care Buddy was great. I had a fast approval on my claim. I have not faced any difficulties throughout the process. I would like to mention special for the Care Buddies for their continuous follow ups starting with the consultation till hospital discharge. Thanks team for following up even after the surgery.
Prasanna Kumar
First I would like convey my thanks to medibuddy and their Care Buddy who assisted me till the discharge. Medibuddy provided hassle free consultation and for the operation. The entire insurance policy was taken care without involvement and it helped me to take care of myself. Finally I would like to thank the Unity hospital staff and their doctor
Surya Kumar
I sincerely thank MediBuddy for coordination and commitment towards the service rendered in making my total knee replacement surgery hassle-free. Your work is truly commendable, and I appreciate your professional attitude. So easy to talk to and work with, very helpful always! Massive thanks.
Abhilasha Vasant
The experience with MediBuddy and their Care Buddy was great. I had a fast approval on my claim. I have not faced any difficulties throughout the process. I would like to mention special for the Care Buddies for their continuous follow ups starting with the consultation till hospital discharge. Thanks team for following up even after the surgery.
Prasanna Kumar
Frequently Asked Questions
Complications of anal fissure can include - 1 ) Failure to heal: An anal fissure that fails to heal within eight weeks is considered chronic and may need further treatment. 2 ) Recurrence: Once you have experienced an anal fissure, you are prone to having another one.
You may be able to prevent an anal fissure by taking measures to prevent constipation or diarrhea. Eat high-fiber foods, drink fluids and exercise regularly to keep from having to strain during bowel movements.
Yes, anal fissures can itch due to irritation of the tissue surrounding the anal canal, which can become very uncomfortable. To help stop the itch, make sure you thoroughly dry the area following a bowel movement. Applying non-medicated talcum powder or topical creams, such as hydrocortisone or zinc oxide also can help alleviate itching. Placing a piece of clean cotton gauze against the itchy spot may absorb excess moisture that could lead to itching. Whatever you do, do not scratch the itch. This will prolong the itching and delay healing. Clean the area with a gentle cleanser and pat dry.
Blood in the stool or on toilet paper following a bowel movement is a common symptom of an anal fissure. However, ongoing or heavy bleeding may indicate a more serious condition, so talk with your doctor right away if this occurs. With proper treatment, an anal fissure typically does not become infected. If your anal fissure does not heal in a timely manner, it is possible the tear may become infected, which could require medication to heal.
No, anal fissures are not a risk factor of colorectal cancer. They also do not lead to colorectal cancer. It may seem that way because anal fissure symptoms, such as rectal bleeding and blood in the stool are possible symptoms of colorectal cancer. If you experience these symptoms after an anal fissure has fully healed, you should speak to your doctor. Additional tests may be necessary to rule out more serious conditions, such as colorectal cancer.
