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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.

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Condition

Causes

Symptoms

Specialists

Insurance

Condition

first 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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second condition

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

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Dr Prassana Venkatesh

M.B.B.S , M.S (Surgery)

6 years overall

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Dr.Poornima

M.B.B.S ,M.S (Surgery)

5 Years

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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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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.