fissure treatment in Punjabi Bagh

What exactly is an anal fissure?

An anal fissure is a tear in the anus tissue. The anus is the last section of your digestive system. It’s located at the end of your rectum. It has a muscle ring (sphincter) that opens to enable stool (feces) to flow through during a bowel movement. A fissure is produced by excessive straining of the anal tissue. This may occur with a difficult bowel movement. It causes discomfort and bleeding. Contact for Fissure Treatment in Punjabi Bagh by Dr. Sukhvinder Singh Saggu.

An anal fissure is one of the most prevalent noncancerous (benign) anus and rectum diseases.

What is the cause of an anal fissure?

The most common cause is large or hard stools because of constipation. Severe diarrhea, vaginal delivery, or an object placed into the anus may all produce a fissure.

What exactly are the signs of an anal fissure?

  • One of the most prevalent reasons of anal discomfort and bleeding is an anal fissure. 
  • Pain that lasts for hours during and after a bowel movement
  • Visible tear or cut in the area
  • Bright red bleeding during or after a bowel movement

How is an anal fissure identified?

  • Digital rectal exam. A speculum is an instrument that may be used. It is inserted into the anus and gradually extended. This permits the physician to view a larger portion of the anal region.
  • Blood test for occult feces. This test looks for blood in your feces.
  • If more tests are required, your doctor may do a colonoscopy or sigmoidoscopy.

Anal Fissure Treatment Traditional/Conservative Care

  • The majority of fissures heal with proper nutritional guidance and a change in lifestyle.
  • Anal fissures are often treated by taking steps to soften your faeces. Consuming a high-fiber diet (e.g., psyllium or ispaghula) or using OTC medications to soften your feces are examples of such approaches.
  • Warm water (Sitz) baths are also thought to benefit cleanliness, pain treatment, and muscular spasm reduction.
  • Local anesthetic or topical lotions may also help with fissure healing and can be used as a first-line conservative therapy for fissure pain reduction. These treatments may include glyceryl trinitrate, calcium channel blockers, lignocaine, and hydrocortisone.

Surgical procedure

  • Patients who are unresponsive to standard therapy are advised to have surgery to fix fissures. Recurrent fissures may also induce scar tissue development, rendering the anal opening incapable of full relaxation and necessitating surgical intervention. Evidence suggests that patients should be monitored for the response to conservative treatment for 4 to 12 weeks before surgery is recommended.
  • Patients with resistant or recurring chronic fissures who have severe symptoms may require surgical treatment, which involves cutting a small part of the muscle that relaxes or tightens to open or close the anus to pass stools in order to reduce spasm and pain (Lateral Internal Sphincterotomy). This surgery is associated with an excellent healing rate of around 95% in prescribed patients. 

Anal Flaps

  • This approach entails taking healthy dissected tissues from other body areas and using them to repair the fissure and increase blood flow to the affected site. This procedure may be chosen for treating long-term anal fissures caused by pregnancy or anal canal damage.
  • In recent years, novel treatments such as VAAFT – Video Assisted Anal Fistula Treatment – have been adopted. VAAFT employs a fine small camera that navigates the tract and destroys it with an electric current. This procedure closes the tract and aids in its eventual healing.

Contact for Fissure Treatment in Punjabi Bagh by Dr. Sukhvinder Singh Saggu on 9871056324