Neemrana Anal Fissure Treatment The Best Doctors (2023)

FAQs

Which doctor is best for fissure treatment? ›

Proctologists, general practitioners, colorectal doctors, gastroenterologists, general surgeons, and anorectal surgeons are medical specialists who can easily diagnose and cure anal fissures.

Continuous drainage and non-healing of the wound in some cases can lead to the formation of abscess and fistula. Although there are very fewer chances of developing such infections after surgery. Such wound complications might be some results of the infections that are not clinically evident.

Anal fissures can be effectively treated with a simple, frequently used operation called a lateral internal sphincterotomy, which has a high success ratio. Also, compared to open surgery, laser surgery is way more safe and has a higher rate of success. More than 97% of laser surgery procedures are successful.

Surgery If your fissure does not heal in four weeks or you have had your fissure for a long time you may need surgery. The surgeon will cut the fissure open in a procedure called a sphincterotomy. This will hurt initially but the fissure will be gone and probably won't come back.

Anal fissures often heal within a few weeks with appropriate home treatment. Take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soak in warm water for 10 to 20 minutes several times a day, especially after bowel movements. This can help relax the sphincter and promote healing.

People whose anal fissures don't heal well may have an imbalance in anal pressure that prevents blood from circulating normally through the blood vessels around the anus. The reduced blood flow prevents healing.

Support your feet with a small step stool when you sit on the toilet. This helps flex your hips and places your pelvis in a squatting position. This can make bowel movements easier after surgery. Use baby wipes or medicated pads, such as Tucks, instead of toilet paper after a bowel movement.

You should expect some pain and discomfort in your bottom (anus) after anal fissure surgery. The pain is usually worst during the first seven days after the operation and should get much better after this first week. It's going to be more comfortable for you to poo if your poo is soft.

The pain may make it hard for you to have a bowel movement, causing constipation (having fewer bowel movements than usual). They can also cause bleeding from your anus. Anal fissures don't cause colon cancer or increase your risk of getting colon cancer.

How long do you have to stay in the hospital after fissure surgery? ›

Depending on your health condition, you may be discharged from the hospital either on the same day of the surgery or after 2-3 days of the surgery.

The operation usually takes about 15 minutes. Your surgeon will make a small cut on the skin near your back passage. They will cut the lower part of the internal sphincter muscle. This will relieve the spasm in the sphincter, allowing a better blood supply to heal the fissure.

Small fissures can heal up on their own without any treatment. If you have a very large fissure, it can require a visit to a proctologist to do surgery. The small to medium ones are treated with a cream that dilates the blood vessels and stimulates blood flow to the fissure.

Conclusion: Fissure even though a common disease can make it difficult for you to live a normal life. You must consider consulting a doctor at the earliest if you notice any symptoms of fissures, he or she can help you with the right diagnosis and treatment.

A fissure that fails to respond to conservative measures should be re-examined. Persistent hard or loose bowel movements, scarring, or spasm of the internal anal muscle all contribute to delayed healing.

Causes and Risk Factors

Passing a hard stool or prolonged episode of diarrhea. Lack of fiber in the diet and/or water with that fiber. Food that creates a rough passage through the digestive system, such as popcorn, nuts or tortilla chips.

Dairy products: Milk, cheese and other heavy cream products should be avoided while you are suffering from symptoms of anal fissure. Red meat: Red meat is the hardest to digest and can delay stool passing, thus is not advisable to consume for people with symptoms or tendencies of anal fissure.

For instance, people suffering from acute fissure are likely to get better within a few days or weeks with proper home remedies. On the other hand, with home treatment, it takes 8 to 12 weeks for a chronic fissure to heal.

Normally used to relax blood vessels, nitroglycerin ointment is the most effective medicine for relaxing the anal sphincter to treat anal fissure. A nitroglycerin ointment may need to be compounded by a compounding pharmacy.

Most cases occur in people who have constipation, when a particularly hard or large poo tears the lining of the anal canal. Other possible causes of anal fissures include: persistent diarrhoea. inflammatory bowel disease (IBD), such as Crohn's disease and ulcerative colitis.

Is fissure a serious problem? ›

It usually isn't a serious condition, and most people can treat it at home. However, recurring anal fissures or ones that don't readily heal can be cause for concern.

Surgery. Surgery may be recommended if other treatments have not worked. It is generally considered to be the most effective treatment for anal fissures, with more than 9 out of 10 of people experiencing good long-term results.

While these symptoms may indicate a variety of anal and rectal problems, anal fissures can usually be quickly diagnosed and treated through non-invasive means. A colorectal surgeon, also known as a proctologist, is trained in the gentle and rapid diagnosis of an anal fissure.

Many anal fissures heal on their own. However, it's important to visit your doctor when you see blood in your stool or experience pain around your anus. Your doctor can do a rectal exam. This helps them find fissure.

Fissurectomy. Your surgeon may suggest having a procedure called a fissurectomy alongside Botox injections. This involves cutting away the damaged skin from around the anal fissure.

If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle (sphincter) that goes around the anus (back passage) has become so tense that the flow of blood to the lining of the anus is reduced.

Further evaluation may be required if there is concern that another medical condition may have contributed to the development of the fissure. If the diagnosis is unclear, a sigmoidoscopy or colonoscopy is usually recommended, especially if there has been rectal bleeding.

Fissures are most commonly seen in middle-aged and younger patients, with mean age of onset 39.9 years. Fissures may also occur in children and the elderly. The most common site for males and females is the posterior midline, greater than 75% occur in this location.

Although most anal fissures do not require surgery, chronic fissures are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscles relax which reduces pain and spasms, allowing the fissure to heal.