Anal Fissure

An anal fissure is a small tear or cut in the lining of the anus, typically caused by passing hard or large stools. It can cause sharp pain, bleeding, and discomfort during or after bowel movements.

Best Doctor of Anal Fissure Treatment

Best General Surgeon in Gurgaon

Dr. Subhash Chandra Sharma is a highly experienced General Surgeon practicing in T.R.U.E Hospitals, Gurgaon, with over 47 years of expertise in the field. Dr. Sharma completed his MBBS in 1978 and MS in General Surgery in 1981, both from Aligarh Muslim University.

He offers a wide range of surgical services, including sebaceous cyst excision, incisional hernia repair, bariatric (gastric bypass) surgery, endosurgery, and various abdominal procedures.

I believe in personalized care, listening closely to each patient, understanding their unique needs, and partnering with them to create the most effective treatment plan.

Available at: T.R.U.E. Hospitals, Gurgaon
Timing: Mon–Sun | ⏰ 24×7 Open

Anal Fissure Treatment – Surgery & Benefits of Operation

Timely treatment for anal fissures is crucial, as untreated fissures can turn into a chronic condition that causes ongoing discomfort and complications. At T.R.U.E Hospitals, we offer best-in-class treatment for anal fissures using advanced laser surgery technology, overseen by experienced anorectal specialists and supported by personalized care and no-cost EMI options for affordability.

Types of Anal Fissure

There are two main types of anal fissures, categorized based on how long they’ve been present:

  • Acute Anal Fissure: These are recent tears, usually caused by trauma such as straining during bowel movements. They can often heal within a few weeks using home remedies, dietary changes, and topical medications.
  • Chronic Anal Fissure: Fissures that last longer than six weeks are considered chronic. They may be linked to underlying health conditions like inflammatory bowel disease or infections and often require surgical treatment for complete healing
  • Treatment Options for Anal Fissure

    The choice of treatment depends on the severity and duration of the fissure. There are both non-surgical and surgical treatment options available:

    Non-Surgical Treatments

  • Dietary modifications: Increasing fiber intake and staying well-hydrated helps soften stools and reduce straining.
  • Topical medications: Ointments like nitroglycerin or calcium channel blockers relax the anal sphincter and promote blood flow, aiding healing.
  • Stool softeners: Help reduce pressure during bowel movements.
  • Surgical Treatments

    1. Open Surgery for Anal Fissure (Lateral Internal Sphincterotomy)

    Open surgery is the traditional approach for treating chronic fissures. It involves the following steps:

  • The patient is sedated under general anesthesia.
  • The surgeon makes a small incision to access the anal sphincter.
  • A portion of the internal sphincter muscle is carefully cut to reduce pressure and allow the fissure to heal.
  • Any damaged tissue is removed, and the incision is closed with sutures.
  • Post-operative monitoring ensures proper healing and pain control.

  • 2. Laser Surgery for Anal Fissure

    Laser-assisted surgery is a modern, minimally invasive procedure that offers a safe and precise treatment option for chronic anal fissures, especially when non-surgical methods have failed:

  • The patient is given anesthesia (local or general) to ensure comfort.
  • A thin laser probe is inserted through the anal opening to access the fissure.
  • The laser is used to precisely target and treat the fissure, while also making a small incision in the anal sphincter muscle to reduce tension.
  • The procedure causes minimal bleeding, reduces the risk of infection, and preserves surrounding tissues.
  • After surgery, the patient is moved to recovery and can usually return home the same day.

  • At T.R.U.E Hospitals, we combine medical expertise, state-of-the-art laser technology, and patient-centered care to offer effective, comfortable, and long-lasting relief from anal fissures. Whether you're dealing with acute symptoms or a chronic condition, our team is here to help you heal—safely and confidently.

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    FAQ About Anal fissure Treatment

    Is an anal fissure serious?

    While not life-threatening, fissures can be extremely painful and may affect daily life. Chronic or recurrent fissures may require surgical treatment.

    How long does it take for a fissure to heal?

    Acute fissures usually heal in 2 to 4 weeks with proper care. Chronic fissures (lasting over 6 weeks) may need medical or surgical intervention.

    Can a fissure heal without surgery?

    Yes, most acute fissures heal with lifestyle changes, topical medications, and warm sitz baths. Surgery is considered only if symptoms persist.

    What foods should I avoid if I have a fissure?
    • Spicy foods

    • Caffeine and alcohol

    • Low-fiber, processed foods
      Instead, eat fiber-rich foods and drink plenty of water to keep stools soft.

    Is surgery for fissure painful?

    Fissure surgery (like sphincterotomy) is a minor procedure done under anesthesia. Recovery is usually quick, and most patients experience relief from pain within a few days.