Dr. Anoop Srivastava
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Anal Fissure Treatment

An anal fissure is a small tear in the lining of the anal canal that can cause severe pain during and after bowel movements.

Overview

An anal fissure is a small tear in the lining of the anal canal that can cause severe pain during and after bowel movements.

Symptoms

Symptoms can include sharp pain during bowel movements, pain that continues afterward, bright red blood, burning, itching, or irritation.

Causes

Fissures may develop after hard stools, constipation, diarrhoea, straining, childbirth, or increased anal sphincter spasm.

Diagnosis

Diagnosis usually begins with history and clinical examination. Additional investigations may be recommended for persistent, recurrent, or atypical symptoms.

Treatment

Conservative care may include fibre, fluids, stool softeners, warm sitz baths, and prescription medication. Chronic fissures may require laser treatment, lateral internal sphincterotomy, or another appropriate procedure.

Recovery

Patients receive individualized advice on hydration, fibre, bowel habits, medication, follow-up, wound care, activity, and diet after surgery.

Frequently Asked Questions

Can an anal fissure heal without surgery?
Yes. Many acute fissures improve with dietary changes, medications, and conservative treatment. Surgery is generally considered when symptoms persist or the fissure becomes chronic.
Is laser treatment available for anal fissures?
Laser treatment may be an option for selected patients after clinical evaluation.