Anal Fissure Treatment in Chandigarh, Punjab, India — Dr. Rajeev Kapoor
What Is an Anal Fissure?
Typical Causes & Symptoms
- Straining on hard or large stools (constipation)
- Frequent diarrhea, childbirth trauma, or anal trauma
- Intense, tearing pain during and after bowel movements, lasting minutes to hours
- Bright red blood seen on toilet tissue or in stool
- Spasms of the anal muscles and occasionally a small skin tag near the tear
How Is It Diagnosed?
Diagnosis typically involves a careful physical examination by a colorectal specialist. The fissure may be seen directly; in chronic cases, identifying characteristic signs such as skin tags helps confirm the diagnosis
Recovery & Long-Term Support
- Most patients experience marked pain relief within days of starting treatment
- Lateral internal sphincterotomy often leads to healing in about three weeks
- Follow-up includes dietary guidance, stool softeners, and gradual return to normal bowel habits
- Prevention of recurrence involves maintaining soft bowel movements and avoiding strain
Treatment Options
Home Care & Conservative Measures
- Sit in warm water (sitz baths) after bowel movements to ease pain
- Increase fiber intake, stay well-hydrated, and use stool softeners to minimize straining
- Maintain gentle hygiene to avoid irritation
Medical Therapies
- Use of topical medications like nitroglycerin or calcium channel blockers to relax the anal sphincter and promote healing
- In select cases, botulinum toxin (Botox) injections are used to reduce muscle spasms and allow healing
Surgical Treatment for Chronic Fissures
When conservative and medical treatments don’t resolve the fissure (usually beyond 6–8 weeks), surgery can be considered. The most effective procedure is lateral internal sphincterotomy, which gently cuts a portion of the internal anal sphincter to relieve spasm and improve blood flow. This method is highly effective, with healing rates around 96%, and is conducted as a day-care or short-hospital-stay procedure
Other specialized options (e.g., controlled anal dilation, fissurectomy, advancement flap procedures) may be considered in complex or refractory cases.
Recovery & Long-Term Support
- Most patients experience marked pain relief within days of starting treatment
- Lateral internal sphincterotomy often leads to healing in about three weeks
- Follow-up includes dietary guidance, stool softeners, and gradual return to normal bowel habits
- Prevention of recurrence involves maintaining soft bowel movements and avoiding strain
Begin Your Path to Healing
Why Choose Dr. Rajeev Kapoor?
As a seasoned colorectal surgeon based in Chandigarh, Dr. Kapoor brings:
- Expertise in both conservative and advanced surgical treatments for anal fissures
- Patient-centered approach, ensuring comfort, dignity, and effective outcomes
- Access to modern facilities enabling safe, minimally invasive solutions
- High success rates paired with compassionate post-operative care
