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Fissure

An Anal Fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. Anal Fissure may occur when passing hard or large stools during a bowel movement. Anal Fissures can be very painful and may cause bleeding during bowel movements.

You also may experience spasms in the ring of muscle at the end of our anus (anal sphincter). In case of chronic Fissure, surgery may be needed. Anal Fissures are very common in young infants but can affect people of any age.

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Causes

Anal Fissures usually occur as a result of Constipation or frequent diarrhoea. When passing stool that is hard and bulky, the lining of the anal passage may get irritated. This can cause cuts and tears. Other common causes include:
persistent diarrhoea
pregnancy and childbirth
syphilis
anal intercourse
tight anal sphincter muscles
reduced blood flow
to the rectal area
anal cancer
Symptoms
A visible tear in the skin
around your anus
A skin tag, or small lump of skin,
next to the tear
Sharp pain in the
anal area during bowel movements
Streaks of blood on stools
on toilet paper after wiping
Burning or itching
in the anal area

Risks If Condition Persists

Chronic Anal Fissure
The tear fails to heal. Over time, this can cause extensive scar tissue at the site of the Fissure.
Anal Fistulas
Abnormal ‘tunnels’ join the anal canal to surrounding organs, usually other parts of the bowel.
Anal stenosis
The anal canal becomes abnormally narrowed either due to spasm of the anal sphincter or contraction of the resultant scar tissue.
Extreme pain during bowel movements
That makes the person want not to pass stool.
Reduced quality of life
Clotting, Uncontrolled bowel movements and gas

About Treatment at Pelvinic

At Pelvinic, we perform a specialised Surgery for treating Fissure. Here are some advantages of our Surgery over the Traditional Surgical Procedure.
logo Less Pain
Our Surgery is Painless, compared to Open surgery procedure which is painful.
logo No tissue damage
Our Surgery cause minimal cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo No Diet Restrictions
Our Surgery doesn't cause cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo Fast Recovery
Can resume work immediatly
logo Minimally Invasive
Our Surgery is minimally invasive compared to open surgery for which its large
logo No Incontinence
Anal sphincter is well preserved so no chances of incontinence/ fecal leak
Our Team of Dedicated Doctors
Select City :
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Dr. Sandip Banerjee
DNB, MNAMS, FACRSI, FMAS, FIAGES, FAIS
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Dr. Meenakshi Banerjee
MS, FMAS, MRCOG
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Dr Akshat Wahal
MBBS, MS, MCH
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Dr Ashutosh Chauhan
MS, DNB (Surg), DNB( Surg Onco), MNAMS
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Dr Abhay Singh
MBBS, MD - General Medicine, Gastroenterologist
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Dr Saurav Mohan
MBBS, MD (Anaesthesia)
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Dr Rahul Bhatt
MBBS, D.A.
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Dr Sandeep Kumar
MBBS, D.A.
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Dr. Arnab Mohanty
DNB, FRCS, FMAS

Patient Testimonials

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Aged 43 years and mother of 3 children came to see Dr Banerjee with a stick As her excess weight (95 kg) was creating joint problems and instability. She was counselled and given 3 days liquid diet therapy. Following which Laparoscopic Sleeve Gastrectomy ( one form of weight loss surgery) was performed on her by Dr Banerjee. She lost 31
Mrs. Meenakshi
Ghazibad
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Mr& Anand& was suffering from severe chronic anemia ( Hb 3.5 gm) and massive lower GI bleed. He was optimised with blood transfusions, initial conservative management followed by successful management by doing Colorectal surgery. He is been seen smiling after regaining health life. Pelvinic wishes him a very happy and active life ahead.
Mr. Anand
Lucknow
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A smiling Mr Imtiaz Ansari ( Director, Acme organics pvt. ltd) with Dr Sandip Banerjee feeling happy to be a part of our Pelvinic family after his anal surgery.
Mr Imtiaz Ansari
New Delhi
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Another happy patient with satisfaction towards the kind of care she received for her health issues. Ms& Sukhmani& was operated for gall bladder removal surgery laparoscopically by Dr Sandip Banerjee& and is relieved
Ms. Sukhmani
Noida

Treatment Procedure for Fissure

A comprehensive rectal examination will be performed by an expert proctologist in our Fissure laser hospital. Our state-of-the-art digital equipment will help us to diagnose a case by minimally-invasive processes in the following ways:-
• Physical exam. This is of the anal area along with a rectal exam is usually used to confirm a diagnosis of Fissures.

• Digital rectum examination (DRE). Your healthcare provider inserts a gloved, greased (lubricated) finger into your rectum to check for any problems.

• Anoscopy. This may include inserting an anoscope into the rectum to allow the doctor to inspect the anal canal as long as the patient is not in too much pain.

• Proctoscopy. A lighted tube is put into your anus. This gives a view of your entire rectum.

• If the doctor believes that the Fissure is caused by an underlying condition, he may also ask for a colonoscopy and a flexible sigmoidoscopy.
Medication and simple lifestyle remedies are usually all that is needed to treat Fissures. Medication is usually prescribed to relieve the pain and itchiness associated with the Fissure and to improve blood flow to the rectal area.

A high-fibre diet and drinking plenty of fluids are advised to relieve Constipation and soften stool. In some cases, stool softeners and laxatives may be temporarily prescribed.
• Surgery is advised when medicinal treatment is not working for a particular profile. In fact, the surgical procedure chosen by a proctologist will also depend on the contemporary condition of a patient. Fissure treatment has been revolutionised over the years by arrival of new age ambulatory surgery or Day Care surgery is a clinical admission for a surgical procedure, with discharge of the patient on the same working day. We have a trained anesthesiologist, OT assistant, and nursing assistant to perform to do the advanced procedures like LASER.
• Laser surgery of acute Anal Fissure is a simple, non-invasive and painless surgical procedure with a low rate of complications. It can be viewed as an effective treatment for patients with Anal Fissure.
• Laser Fissurectomy Surgical treatment is the most effective procedure for chronic Anal Fissure. Treatment of chronic Anal Fissure must be individualized, depending on the clinical profile of patients. Doctors usually perform a procedure called lateral internal sphincterotomy (LIS), which involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing. Most people notice that the pain from an Anal Fissure goes away within a few days after the surgery.
• Our patients and our surgeon will decide on the best anesthesia to use during the surgery. Choices include:
• general anesthesia, which puts patients into a deep sleep throughout the surgery
• Saddle block is a low dose of spinal anesthesia which involves medication that numbs your body from the waist down being delivered by a shot into your back
• local anesthesia, which numbs only your anus and rectum

• Patient can expect rectal and anal pain after having Fissure surgery. So doctor will prescribe a painkiller to ease the discomfort.
• Patient can help in his/her own recovery by:
• Taking a sitz bath at least 3-4 times a day and after each bowel movement. A sitz bath is sitting in a bathtub of warm water for 10-20 minutes. This will help decrease the pain of muscle spasms and help you heal.


• Anal Fissures can return, but you can prevent this by eating lots of high-fibre foods, such as muesli, brown rice or pasta, prunes and other fruits and vegetables. Try to have five portions of fruit and vegetables each day and drink about two litres of fluid a day.
• Most Fissures can heal by following good elimination habits.
• Take plenty of water and fiber.
• Avoid foods such as popcorn, nuts or tortilla chips.
• Avoid constipating foods.

Why Pelvinic

Pelvinic - The Pelvic Floor Clinic, is a proctology specialty center. We offer treatment and cure for diseases in the pelvic area under one roof. Treatment is done by our experienced doctors using latest technologies at a very affordable cost.
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Highly skilled surgeons. Our doctors have a vast experience of over 50000 surgeries.
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50% more cost effective than corporate hospitals.
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Frequently Asked Questions

Ans anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter. The damage can cause that muscle to spasm, which can pull apart the edges of the fissure even more. The spasms can cause pain and slow down the healing. Bowel movements can also keep the fissures from getting better.An anal fissure is considered acute if it recently happened or if you’ve had it less than 6 weeks. It’s considered chronic if it’s been more than 6 weeks or it comes back often.

These tears are common, although you might think the pain and bleeding are symptoms of other conditions, like hemorrhoids. They can happen to both men and women. They can also happen to babies.Adults between 20 and 40 are most likely to get them. But you can have them at any age, even though your risk generally goes down as you get older.Anal fissures are seen more often with certain medical conditions, such as:

* Anal cancer

* Leukemia

* STDs and HIV

* Complications from other conditions, like Crohn’s or ulcerative colitis

They’re caused by trauma or injury that stretches your anal canal. Reasons for this can
include:
*         Constipation or passing large or hard stools
*         Explosive or ongoing diarrhea
*         Childbirth
*         Less often, having anal sex or putting things into your anus can overstretch
the skin and cause a fissure.
*         Too much pressure, tight anal sphincter muscles, and poor blood supply to your
anus may lead to their development and poor healing.
*         Anal fissures don’t usually give way to more serious problems. They don’t
cause cancer. But they can be very uncomfortable.
To help these fissures heal and keep them from coming back:
*         Eat a healthy diet that has plenty of fiber.
*         Stay well-hydrated.
*         Avoid being constipated.

Fissures are usually caused by trauma to the inner lining of the anus from a bowel movement or other stretching of the anal canal. This can be due to a hard, dry bowel movement or loose, frequent bowel movements. ... Less common causes of fissures include inflammatory bowel disease, anal infections, or tumors

Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus, improve blood flow, and relax the anal sphincter.
Too much pressure, tight anal sphincter muscles, and poor blood supply to your anus may lead to their development and poor healing. Anal fissures don’t usually give way to more serious problems. They don’t cause cancer. But they can be very uncomfortable
Medical Definition of Fissure It is a deep fold that involves the entire thickness of the brain wall. A fissure in the anus is abnormal. It is a painful crack in the edge of the anus and is very painful. Also called an anal fissure or fissure in ano
Medical Definition of Fissure It is a deep fold that involves the entire thickness of the brain wall. A fissure in the anus is abnormal. It is a painful crack in the edge of the anus and is very painful. Also called an anal fissure or fissure in ano
Anal fissures are tears of the sensitive mucosal lining of the anus. What are the signs and symptoms? With internal hemorrhoids, the only symptom may be rectal bleeding. Bright red blood may appear as streaks on toilet paper or stool, or bright red blood that drips into the toilet following bowel movements.
The sulci and fissures are both grooves in the cortex, but they are differentiated by size. A sulcus is a shallower groove that surrounds a gyrus. A fissure is a large furrow that divides the brain into lobes and also into the two hemispheres as the longitudinal fissure.
The longitudinal fissure (or cerebral fissure, median longitudinal fissure, interhemispheric fissure) is the deep groove that separates the two cerebral hemispheres of the vertebrate brain. Lying within it is a continuation of the dura mater (one of the meninges) called the falx cerebri
The central sulcus, or fissure of Rolando, separates the frontal and parietal lobes, and the deeper lateral sulcus, or fissure of Sylvius, forms the boundary between the temporal lobe and the frontal and parietal lobes
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