Do You Experience Sharp Pain, Burning Sensation, or Seeing Red Blood When Pooping?
Anal Fissure Treatment in Navi Mumbai
- Dr Nitish Jhawar, with 23 years of experience
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What is an Anal Fissure?
An anal fissure is a small tear or cut in the skin lining the anus. This tear often causes sharp pain during and after bowel movements. Some people may notice blood on the toilet paper or in the stool, which can be alarming.
Anal fissures are common and usually occur because of constipation or straining when passing hard stools. If not treated early, this small tear can turn into a chronic anal fissure, making everyday activities uncomfortable.
Why Choose Early Treatment?
Early treatment of an anal fissure is important to prevent it from becoming chronic, which can lead to more severe pain and complications. If left untreated, the fissure may not heal on its own and could require anal fissure surgery to fix. Simple steps, like adjusting your diet or using medications, can help early on, but for long-term relief, especially in chronic cases, seeking the help of a specialist is crucial.
Dr. Nitish Jhawar, an expert in anal fissure treatment in Navi Mumbai, provides advanced care, including minimally invasive procedures like laser surgery and lateral internal sphincterotomy (LIS), which offer faster recovery and effective long-term results. Choosing early treatment can help you avoid unnecessary pain and more complex treatments down the road.
What Causes Anal Fissures?
Straining (constipation):
Straining while passing hard stools can tear the delicate lining of the anus, leading to fissures.
Chronic diarrhoea:
Frequent loose stools can irritate and inflame the anal area, causing fissures over time.
Anal trauma (childbirth, exams):
Physical stress during childbirth or medical examinations can cause small tears in the anal lining.
Inflammatory bowel conditions (e.g., Crohn’s):
Chronic inflammation from conditions like Crohn's disease can weaken the anal tissue, making it prone to fissures.
Risk Factors for Anal Fissure
Low-fiber diet:
A lack of fiber in your diet leads to harder stools, increasing the likelihood of straining and fissures.
Dehydration:
Not drinking enough water can make stools harder, which causes strain during bowel movements.
Sedentary lifestyle:
Lack of physical activity can slow digestion, leading to constipation and increased risk of fissure
Symptoms of Anal Fissures
Sharp pain during or after bowel movements:
A sudden, intense pain in the anus, especially during or immediately after passing stool, is a common sign of a fissure.
Blood on toilet paper or stool:
Fresh, red blood may appear on toilet paper or in the stool, indicating a tear in the anal lining.
Itching or irritation around the anus:
The fissure can cause persistent itching and discomfort around the anal area.
Visible tear or crack in the anal skin:
In some cases, a small cut or crack can be seen around the anus, which is a clear sign of a fissure.
Symptoms lasting longer than six weeks (chronic fissure):
If the pain and other symptoms persist for more than six weeks, it indicates a chronic fissure that may need medical treatment.
Persistent pain despite home treatments:
If over-the-counter treatments and lifestyle changes do not alleviate the pain, it’s time to seek medical advice.
Non Surgical Treatments For Anal Fissure in Navi Mumbai Recommended by Dr. NitishJhawar
Lifestyle Modifications:
A high-fiber diet and increased water intake can soften stools, reducing strain during bowel movements. These simple changes help prevent further tearing and aid in healing anal fissures naturally. Avoiding straining is key to preventing recurrence, especially for those dealing with chronic fissures.
Topical Medications:
Ointments like nitroglycerin or calcium channel blockers help relax the anal sphincter, reducing muscle tension and promoting healing. These medications are often the first line of treatment for anal fissure surgery in Navi Mumbai, helping many patients avoid surgery.
Botox Injections:
Botox injections temporarily relax the anal sphincter, providing relief from pain and allowing the fissure to heal. This is a less invasive option for those who want to try a non-surgical approach before considering more advanced treatments like laser surgery or lateral internal sphincterotomy.
Surgical Treatments Options for Anal Fissure Surgery In Navi Mumbai
When non-surgical methods don’t provide enough relief, surgical treatments are available to heal chronic anal fissures effectively. In Navi Mumbai, advanced procedures are offered by specialists like Dr. Nitish Jhawar, ensuring patients receive the best care possible.
Lateral Internal Sphincterotomy (LIS)
LIS is the most commonly performed surgery for chronic anal fissures and is widely considered the gold standard. The procedure involves cutting a small portion of the internal anal sphincter muscle to relieve pressure and pain, allowing the fissure to heal properly.
- Success Rate: Over 90%, making it a highly effective option.
- Ideal for: Patients with chronic fissures not responding to non-surgical treatments.
- Benefits: Provides long-term relief with minimal risk of complications.
Laser Surgery for Anal Fissures
Laser surgery is a minimally invasive option where laser energy is used to remove the fissure. This leads to faster healing and reduced post-operative discomfort.
- Ideal for: Patients seeking quicker recovery with minimal tissue damage.
- Benefits: Less pain, minimal bleeding, and a swift return to daily activities.
- Availability: Advanced laser surgery for anal fissures in Navi Mumbai is offered by experienced surgeons.
Advancement Flap Surgery
This procedure involves covering the fissure with healthy tissue from nearby areas to promote healing.
- Best for: Complex cases or when other treatments have failed.
- Benefits: Helps heal non-healing or recurrent fissures by introducing healthy tissue.
- Considerations: Typically recommended when sphincter-sparing procedures are necessary.
Fissurotomy
A fissurotomy involves the removal of the fissure to allow fresh, healthy tissue to grow in its place.
- Ideal for: Patients whose fissures have not healed with other treatments.
- Benefits: Direct removal of damaged tissue to promote healing.
- Procedure: This can be combined with other treatments like sphincterotomy for better results.
How’s the Recovery from Anal Fissure Surgery?
Post-Surgical Recovery Time
Most patients recover from procedures like lateral internal sphincterotomy (LIS) or laser surgery for anal fissures within 1-2 weeks. While you may feel relief soon after surgery, full healing can take a few additional weeks, depending on the severity of the fissure and the type of procedure.
Post-Operative Care Tips
- High-fiber diet: Stick to a diet rich in fiber and drink plenty of water to avoid straining during bowel movements, which is essential for proper healing.
- Sitz baths: Taking warm sitz baths several times a day can help soothe the surgical area, reduce discomfort, and speed up recovery.
- Follow-up consultations: Regular check-ups with your doctor are important to monitor healing and prevent any recurrence of fissures.
Minimal Risk of Complications:
Modern techniques like laser surgery and LIS are safe and effective, with a very low risk of complications. Incontinence is rare, and most patients experience significant relief from their symptoms without long-term issues.
Why Should You Trust Dr. Nitish for Anal Fissure Surgery in Navi Mumbai?
Dr. Nitish Jhawar is a highly experienced laparoscopic and colorectal surgeon at Apollo Hospital, Navi Mumbai and Zen Multispeciality Hospital Chembur, Mumbai. With over 23 years of expertise, he specializes in advanced minimally invasive techniques for treating conditions like anal fissures.
Dr. Nitish has earned recognition for his patient-centered approach and precise surgical methods, including laser surgery, lateral internal sphincterotomy (LIS), and the advancement of flap surgery, ensuring quicker recovery times and minimal discomfort for patients.
His extensive training from leading international institutes in the USA, Austria, and India, along with his fellowship from the Association of Colorectal Surgeons of India (FACRSI), makes him one of the best surgeons in the region for treating complex proctology conditions.
Dr. Jhawar is known for offering personalized care, explaining procedures thoroughly, and ensuring that surgery is only recommended when absolutely necessary.
Patients consistently praise him for his caring nature, professionalism, and ability to make them feel at ease. Whether it’s managing chronic fissures that require surgery or offering non-surgical treatments, Dr. Nitish’s expertise ensures effective and safe care
For anyone experiencing anal fissures, Dr. Nitish is a trusted expert in Mumbai providing the latest, least invasive surgical options, resulting in faster recovery and better outcomes.
Frequently Asked Questions About Anal Fissure Surgery In Navi Mumbai
An acute anal fissure typically heals within 4 to 6 weeks with conservative treatments like dietary changes and topical ointments. If the fissure persists beyond this period, it may become chronic and require more intensive treatment, including surgery.
If an anal fissure doesn’t heal on its own, it can become chronic, causing persistent pain and discomfort. In such cases, medical treatments like Botox injections, topical medications, or surgery (such as lateral internal sphincterotomy) may be necessary to promote healing.
No, surgery is not the only option for chronic fissures. Non-surgical treatments like Botox injections, topical ointments, and lifestyle changes can help manage the condition. However, if these methods fail, surgery such as LIS or laser treatment may be recommended for long-term relief.
The success rate of Lateral Internal Sphincterotomy (LIS) is over 90%, making it the gold standard treatment for chronic anal fissures. This procedure effectively relieves pain and promotes healing by reducing pressure in the anal sphincter.
After anal fissure surgery, most patients experience some discomfort for a few days, but the pain from the fissure itself usually resolves within a week. Full recovery may take several weeks, and any post-surgical pain can be managed with pain relievers and proper aftercare.
While anal fissures can recur after surgery, it is uncommon. Maintaining a high-fiber diet, staying hydrated, and avoiding straining during bowel movements can help reduce the risk of recurrence.