Anal Fissure Treatment in Mohali
An anal fissure is a small tear in the lining of the anal canal. It commonly causes pain during bowel movements and may be associated with minor bleeding. Anal fissures can occur in individuals of any age and are often related to constipation or passage of hard stools.
Management depends on the duration of symptoms and response to initial treatment.
Understanding Anal Fissure
The anal canal is lined by delicate tissue that can tear when stretched excessively. Increased sphincter muscle tone may reduce blood flow to the area, contributing to delayed healing in some cases.
Anal fissures are classified as:
- Acute fissure – Recent tear, usually short duration
- Chronic fissure – Persistent tear that may show signs of scarring
Common Symptoms
Symptoms may include:
Sharp pain during or after passing stool
Burning sensation in the anal region
Small amount of bright red bleeding
Discomfort while sitting
Pain may persist for minutes to hours after bowel movement in some cases.
Diagnosis
Diagnosis is usually made through:
- Clinical history
- Physical examination
- Local inspection of the anal region
Further investigations are considered if symptoms are atypical or recurrent.
Conservative Management
Many acute anal fissures respond to non-surgical treatment, which may include:
- Dietary modification with increased fiber intake
- Adequate hydration
- Stool softeners
- Warm sitz baths
- Topical medications to reduce sphincter spasm
Treatment is individualized based on symptom severity.
Role of Surgery
Surgery may be considered in cases where:
- Monitoring during hospital stay
- Gradual reintroduction of diet
- Follow-up consultations
- Management of underlying causes when applicable
The commonly performed procedure is lateral internal sphincterotomy, which aims to reduce sphincter spasm and promote healing.
The decision for surgery is made after appropriate clinical evaluation.
Pre-treatment Assessment
Before surgical intervention, patients typically undergo:
- Clinical evaluation
- Review of medical history
- Assessment of overall health status
This helps determine suitability for the procedure.
Post-treatment Care and Follow-Up
After treatment:
- Patients are advised regarding bowel regulation
- Follow-up consultations are scheduled
- Dietary and lifestyle guidance may be provided
Most individuals can resume normal activities as advised.
About the Author of This Information
Dr. Rajeev Kapoor is a practicing surgeon based in Mohali, Punjab. He provides clinical services in the field of gastrointestinal, colorectal, and general surgery. This website is intended for informational and educational purposes only.
Disclaimer
The information provided on this page is for general educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Treatment decisions should be made after consultation with a qualified medical professional, based on individual clinical evaluation.
