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Anal Fissures


An Anal fissure is a small tear that occurs in mucous lining tissues of the anus. The condition is caused when the hard stools during a bowel movement causing extreme pain and bleeding. Anal fissures are very common and can affect people of any age.

Symptoms of an anal fissure

  • Pain during and after bowel movements
  • Traces of red blood on the stool
  • Itching or irritation around the anus
  • A visible tear in the skin surrounding the anus
  • A small lump or skin tag on the anal skin
Anal Fissure Treatment In Kochi

Causes of an anal fissure

  • Common causes of the anal fissure include:
  • Passing large or hard stools
  • Constipation
  • Straining during bowel movements
  • Low blood flow to the anal area
  • Chronic diarrhea
  • Childbirth
  • HIV
  • Tuberculosis
  • Syphilis
  • Herpes

Diagnosis of an anal fissure

The doctor performs a digital rectal exam to diagnose an anal fissure. The procedure involves using a short, lighted tube (anoscope) to investigate the anal canal. The location of anal fissure provides information about the cause of the condition. Other tests to diagnose anal fissure include:

  • Flexible sigmoidoscopy
  • Colonoscopy

Treatments for anal fissure

Several lifestyle changes and home remedies provide relief from pain and discomfort caused by anal fissures. These include:

  • Adding fiber to the diet: Fiber-rich food help keep stools soft and improve fissure healing and these include fruits, vegetables, nuts and whole grains.
  • Drink adequate fluids to prevent constipation.
  • Regular exercise and physical activity: Engage in moderate physical activity, such as walking for at least 30 minutes for few days of the week. The activity promotes regular bowel movements and increases blood flow to all parts of your body.
  • Avoid straining during bowel movements: Straining puts pressure on the mucous lining of the anal area and leads to the reoccurrence of fissures.
  • Soaking in warm water for 10 to 20 minutes several times a day help relax the sphincter muscles and promote fissure healing.

Nonsurgical treatments for anal fissure

  • Nitroglycerin: Applying medication containing nitroglycerin externally helps increase the blood flow to the fissure and promote healing.
  • Topical anesthetic creams provide pain relief.
  • Botox injection paralyzes the anal sphincter muscle and relaxes spasms.
  • Blood pressure medications help relax the anal sphincter.

Surgical treatments for anal fissure

Surgical procedure for anal fissure is known as lateral internal sphincterotomy (LIS). The procedure involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain. This action promotes fissure healing and is an effective medical treatment.
At Kims hospital we provide surgical and non surgical treatment methods to patients suffering from anal fissures and prevent reoccurrence of fissures. Our expert panel of specialist’s works in collaboration with the medical surgeon’s to provide a unique inclusive experience for the patients to relieve pain and discomfort caused by any medical condition. To know more about anal fissure treatment options and treatment cost, book an appointment now.

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