Dr.Kumargurubaran

Billroth Hospitals, B, block 43, Lakshmi Talkies Rd, Shenoy Nagar, Chennai, Tamil Nadu 600030

+919360391740

gastrosurgeondrkumar@gmail.com

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Anal Fissure

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An anal fissure is a crack or tear in the lower end of the anal canal.It is the most painful condition affecting the anal region.

Types Of Anal Fissures

Acute Anal Fissures – Fissures present less than 6 weeks are called acute anal fissures. The patient has severe sphincter spasm, a small crack in the lower anal canal.
Chronic Anal Fissure – Fissures present for more than 6 weeks are called chronic anal fissures. It is possible for a chronic anal fissure to have a tear large and deep enough to reveal the anal sphincter’s muscle fibers. 

Causes Of Anal Fissures

The inner lining of the anus is frequently damaged by bowel movements or other straining of the anal canal, which results in fissures.

This could result from frequent, loose bowel motions or firm, dry bowel movements. Anal fissures are more prone to form in patients with tight anal sphincter muscles. Fissures can also be caused by tumors, anal infections, trauma, and less frequently, inflammatory bowel disease.

Symptoms Of Anal Fissure

Severe pain during and after defecation, Burning in nature which lasts for half an hour to one hour because of which defecation, Severe constipation is present, Foul smelling anal discharge, Stools are hard, Drops of blood or streaks of fresh blood, Itching sensation in the anal region.

Diagnosis Of Anal Fissure

Usually, the doctor does the per-rectal examination and proctoscopy examination to diagnose anal fissures. Usually, the history is classical with pain and burning which starts after passing stools and may last for hours. A sigmoidoscopy or colonoscopy may be necessary to rule out associated colonic pathology.

Treatement Of Anal Fissure

Initially, the doctor advises high-fiber foods and avoiding constipation medications to reduce pain laxatives for free motion ointments for healing the fissure, and sitz baths for reducing the pain. In case the symptoms do not settle with medical treatment the doctor may advise to do interventions.
Fissurectomy – In this the fissure is excised.
Anal Dilatation – The anus is dilated reducing the resting anal pressure and helping in the healing of the fissure.
Lateral Sphincterotomy – In this, the internal anal sphincter is divided partially lowering the resting anal tone resulting in the healing of the fissure.
Laser Treatment For Fissure – In this, the calculated amount of joules of laser energy is delivered to the sphincter resulting in the relaxation of the sphincter, and also laser can be applied to the fissure resulting in the healing of the fissure.  

DR.KUMARAGURUBARAN is an expert in LASER TREATMENT FOR FISSURE and he has a huge experience treating thousands of patients with fissures and can be considered as one of the BEST DOCTORS FOR FISSURE TREATMENT.

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