What is an Anal Fissure?
An anal fissure is a small tear or crack in the lining of the anus. It causes sharp pain and bleeding during and after bowel movements. Fissures are often caused by passing hard or large stools. They can be acute (short-term) or chronic (lasting more than 8 weeks).
Symptoms
- Sharp, severe pain during and after bowel movements
- Bright red blood on toilet paper or in the stool
- Visible crack in skin around the anus
- Burning or itching sensation
- Muscle spasm and tightening of the anal sphincter
- A small skin tag next to the fissure (sentinel pile)
Types
- Acute fissure – Recent onset, often heals with conservative care within 6–8 weeks
- Chronic fissure – Lasts more than 8 weeks, raised edges, usually requires surgical treatment
- Primary fissure – Caused by constipation or hard stools
- Secondary fissure – Associated with conditions like Crohn's disease
Treatment Options
- Conservative care – Stool softeners, dietary fibre, sitz baths, topical creams
- Botox injection – Temporarily relaxes sphincter to allow healing
- Lateral Internal Sphincterotomy (LIS) – Small incision to reduce spasm — highly effective
- Laser treatment – Minimal pain, quick recovery
- Ksharsutra therapy – Ayurvedic approach for chronic fissures
Why Choose Us?
- 98% success rate in fissure treatment
- Painless procedures under anaesthesia
- Same-day discharge for most procedures
- Dedicated dietary and post-operative guidance
- Confidential and compassionate care