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Overview

Fissure - Symptom, Treatment And Causes

What is Fissure?

A lining tear in the lower part of the rectum results in pain while passing stools. Anal fissures usually don’t result in grave problems. Anal fissures generally heal at home with proper treatment after some time. They are termed as acute or short term fissures. If your anal fissure doesn’t heal after 12 weeks, then it may be a chronic fissure. A long term fissure might require medical treatment. It is quite a normal and treatable problem. All age groups of people may be affected, even otherwise healthy and young people.

Causes

Trauma or injury in the anal cavity may cause an anal fissure. Injury might happen when:

  • You pass large stools.
  • You have constipation and find it hard to pass stools
  • You repeatedly have diarrhea
  • You give birth to a child

Rectal exams, anal intercourse or foreign object insertion can cause fissures as well. In few instances, Crohn’s disease might cause a fissure. Few doctors believe that the sphincter tension might cause fissures. The inner anal sphincter isn’t controllable whereas the outer sphincter can be controlled at will. Thus this muscle has a lot of tension. If the pressure builds up too much, it may cause a spasm and reduce the blood flow causing a fissure. This pressure might slow the healing process for an existing fissure. Your doctor can help in diagnosing anal fissures depending on a physical exam and the symptoms.

The exam might include:

  • Separating the buttocks and examining the fissure
  • A digitalized rectal exam. The doctor glove fingers the anal cavity
  • Anoscopy – A lighted short scope is used to observe the anal cavity

The doctor might wait for the fissure to heal before proceeding with anoscopy or rectal exams. If the exam is critical, local anesthetics may be used for numbing the area. A doctor may also look into any other conditions that may cause the fissure. Having more than one fissures or having it in a region where they don’t usually happen might indicate a graver problem, like an immunocompromised system or IBS.

90% of all short term fissures heal on their own or with Home Remedies. These include the use of fiber supplements and stool softeners and periodic sitz baths. 40% of chronic anal fissures heal with home treatment. Not all home treatments are effective in treating fissures. If the fissure lasts longer than 12 weeks then prescription medicines may be needed. These include high BP medicines, nitroglycerin cream and Botox injections.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Short-term: resolves within days to weeks
Symptoms
Pain in the rectum. Severe constipation Blood in stool. Itchiness around anus

Popular Health Tips

What Is Fistula? What Causes It?

MS - General Surgery, MBBS
General Surgeon, Varanasi
What Is Fistula? What Causes It?

A fistula is an abnormal connection between two hollow spaces (epithelial surfaces), such as blood vessels, intestines, or other hollow organs. Fistulas are usually caused by injuries or surgeries resulting in infection or inflammation. Also sometimes fistulae are created for therapeutic purpose.

Types of fistulas include:

  1. Blind - with only one open end. Also known as sinus tracts
  2. Complete - with both external and internal openings
  3. Incomplete - a fistula with an external skin opening, which does not connect to any internal organ

Location:

  1. Eye, adnexa, ear, and mastoid process: Lacrimal fistula, carotid cavernous fistula, mastoid fistula, craniosinus fistula, labyrinthine fistula, perilymph fistula, and preauricular fistula
  2. Circulatory system: Coronary arteriovenous fistula, arteriovenous fistula of pulmonary vessels, pulmonary arteriovenous fistula, cerebral arteriovenous fistula, arteriovenous fistula, and fistula of artery
  3. Respiratory system: Pyothorax with fistula and tracheoesophageal fistula
  4. Digestive system: Duodeno biliary fistula, salivary gland fistula, fistula of stomach and duodenum,  gastrocolic fistula, gastrojejunocolic fistula, enterocutaneous fistula, gastric fistula, fistula of appendix, anal and rectal fissures and fistulas, anal fistula, anorectal fistula, fistula of intestine, enteroentral fistula, fistula of gallbladder, biliary fistula, and pancreatic fistula
  5. Musculoskeletal system and connective tissue: Fistula of joint
  6. Urogenital system: Vesicointestinal fistula, urethral fistula, vesicovaginal fistula, cervical fistula, enterovaginal fistula, and rectovaginal
  7. Congenital malformations, deformations and chromosomal abnormalities: Congenital preauricular fistula, Portal vein-hepatic artery fistula, congenital fistula of lip, Congenital fistula of salivary gland, congenital absence, atresia and stenosis of the rectum with fistula, congenital fistula of rectum and anus, congenital fistulae between uterus and digestive tract, and congenital rectovaginal fistula

Causes:

  1. Inflammatory bowel disease causes of anorectal, enteroenteral, and enterocutaneous fistulas.
  2. Complications from gallbladder surgery can lead to biliary fistula.
  3. Radiation therapy, obstructed labor can lead to vesicovaginal and rectovaginal fistulas. Also, vesicovaginal and rectovaginal fistulas may also be caused by rape with foreign objects.
  4. Obstetric fistula develops when the blood supply to the tissues of the vagina, bladder (and/or rectum) is cut off during prolonged obstructed labor.
  5. Head trauma can lead to perilymph fistulas.
  6. Trauma to other parts of the body can cause arteriovenous fistulas.
  7. External causes include traumatic arteriovenous fistula and persistent postoperative fistula.

Physical examination: to determine the extent and pathway of the fistula

Treatment:

  1. Treatment for fistula depends on the cause and extent of the fistula.
  2. Surgery is often required to assure adequate drainage of the fistula. Surgical intervention combined with antibiotic therapy is usually required
  3. In some cases, fistula is temporarily covered e.g. cleft palate fistula is treated with a palatal obturator to delay the need for surgery to a more appropriate age.
  4. Surgical procedures commonly used are fistulotomy, placement of a seton (a cord that is passed through the path of the fistula to keep it open for draining)
  5. Filling the fistula with fibrin glue

In case you have a concern or query you can always consult an expert & get answers to your questions!

1381 people found this helpful

Is It Fissure Or Fistula? Don't Get Confused!

MS - General Surgery
General Surgeon, Sri Ganganagar
Is It Fissure Or Fistula? Don't Get Confused!

If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.

So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.

What is anal fissure?
An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.

What is anal fistula?
Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.

Symptoms of anal fissure and anal fistula
Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.

For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.

Treatment options
To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.

Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1804 people found this helpful

Perianal Abscess - How It Can Be Managed?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Perianal Abscess - How It Can Be Managed?

The human body is an intricate mechanism that functions amazingly. And when there is any trouble it does not fail to show signs of trouble, and all we need to do is, to notice it and solve our problems. This is applicable to all types of health issue, including a perianal abscess.

What is perianal abscess?
The extremely painful condition of anal abscess occurs when one cavity in the anus starts getting filled up with pus. Very often it appears as a painful swelling similar to boil just near the anus. Usually, it appears red in color as well as slightly warm to touch. If the location of the anal abscesses is in the deeper tissue, then it might be less visible and it occurs in people suffering from inflammatory bowel disease.
The worst part is that in certain cases, anal abscesses might lead to more painful anal fistulas. Generally, fistulas occur only if the abscesses fail to heal and break open on the skin’s surface. Therefore, it is important that the abscess heals properly or else it may lead to intolerable pain and may even require surgery.

How do you know if it is a perianal abscess?
The immediately noticeable and probably the most common anal abscess symptom is constant and throbbing pain around the anal area. Swelling accompanies the pain and its rate increases during bowel movements. Various other common signs include bleeding or rectal discharge, constipation, fatigue, etc. Besides swelling or tenderness, the affected individual might also suffer from skin irritation all around the anus.
Patients with deeper abscess might also show symptoms such as chills, fever, malaise, etc. Various reports state that certain people also feel a lump or nodule at their anus’s rim. Facing difficulty while urinating might also be experienced by some people affected by perianal abscess.

What to do if you suspect a perianal abscess?
One must immediately seek medical if they experience any of the above-mentioned signs or symptoms. Clinical evaluation along with digital rectal exam is sufficient for the proper diagnosis. But, in some cases, patients might need other tests to screen for rectal cancer, diverticular disease, inflammatory bowel disease and sexually transmitted infections. Your physician might also suggest for a CT scan, an MRI or an ultrasound.
Just after the diagnosis, a prompt surgical drainage would be carried out by the doctor before the abscess erupts. Deeper or larger abscess might require hospitalization as well as an anesthesiologist’s assistance. In most cases, patients are prescribed certain medications for pain relief just after the procedure. Antibiotics are mainly given to those people who have comparatively weaker immunity or suffer from diabetes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3195 people found this helpful

Fistula-in-Ano or Anal Fistula - How It Can Be Treated?

MS, FACRSI
General Surgeon, Jabalpur
Fistula-in-Ano or Anal Fistula - How It Can Be Treated?

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

  1. Pain- Constant pain which gets worse when sitting down
  2. Irritation around the anus, like swelling, redness and tenderness
  3. Discharge of blood or pus
  4. Constipation or pain while evacuation
  5. Fever

Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

  1. Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
  2. Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.

Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation. If you wish to discuss about any specific problem, you can consult a General surgeon.

1840 people found this helpful

All About Anal Fissures

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
All About Anal Fissures

Anal fissures are the small tears formed in the anal lining. They are also known as anal ulcers. An anal fissure causes a lot of pain and bleeding during your bowel movements. Usually a fissure heals automatically in a few days time. It can be treated with simple home remedies as well.

Causes:

  1. You can suffer from an anal fissure if you pass hard and large stools. 
  2. Also strained childbirth or suffering from violent spells of diarrhea might get you an anal fissure. 
  3. Chronic constipation may also be cause of a fissure. 
  4. Other rare causes may be anal cancer, HIV, tuberculosis or herpes. 

Individuals of all age groups can suffer from anal fissures. It is not a very serious problem and heals on its own in a few weeks. Although it can heal itself, there are certain treatments which can help relieve the pain you get from an anal fissure.

Symptoms:
An anal fissure has quite a lot of symptoms for you to understand what you are suffering from:

  1. There will be a very visible tear around the anal region. You will be able to spot the tear on the skin very easily.
  2. A small lump of skin may form next to the tear.
  3. When you will be undergoing your bowel movements, you will feel a very sharp pain in the anal region.
  4. You will find spots of blood on the stool passed.
  5. You will also feel a burning or an itching sensation in the anal region.

Treatment:
Although most fissures do not require treatment, there are a few remedies that will help cure them faster:

  1. Stool softeners: You get certain medicines at the chemist, which are known for their stool softening functions. These stool softeners help to soften the hard stools and initiates smooth bowel movements.
  2. Eat fibrous foods: Eat foods rich in fiber like fruits, whole grain cereals, raw vegetables, etc.
  3. Take warm baths: Take a bath in warm water as it relaxes your anal muscles, helps to relieve irritation in the region, and increases blood flow in the anorectal region.
  4. Use ointment: Apply nitroglycerin ointments and topical pain relievers to promote blood flow to the anal region and to relieve discomfort from the region respectively.

Related Tip: "What Are Anal Fissures and How Can You Deal With Them?"

3748 people found this helpful

Popular Questions & Answers

I had a fissure/fistula laser surgery happened 10 days before. Now I can see pus from anal rectal. Not getting any pain and irritation. Kindly give me suggestions.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. AS there is pus, it seems infection. Immediately consult your surgeon on phone till that time continue sitz bath in lukewarm water added dettol antiseptic liquid and antibiotics given by the doctor Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care
1 person found this helpful

I have anal fistula .pus is coming every time and sometimes blood is also coming. Lots of pain while sitting .I took antibiotics but not useful as pus is coming continuously. Is der any treatment without surgery or should I go with surgery .kindly suggest .is der any treatment in homeopathy, if yes then how much it take time to heal.

MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Vijayawada
Hello U might be having a fistula and fissure complex it's better to see a General surgeon near by depending on the severity and location of fistula the treatment varies just leave a positive feedback if helpful.

Air I have anal fissures from last two months and tried ayurvedic medicines and some laxatives .my pain has decreased very much only slight discomfort during defecation but I have a skin tag outside my anus and its pink in color and bleeds sometimes I don't understand what it is currently I am using dilt ointment as suggested by surgeon plss help.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. This is sentinel tag does not go away by medicines or ointment best help with sitz bath and laxatives which will keep stool soft. If more problematic can get surgery for life time cure, but when not much discomfort, surgery is not advisable Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
1 person found this helpful

Sir, I have an anal fissures from last two months .in starting it was painful but now it doesn't cause pain but slight discomfort. I have taken an ayurvedic treatment and laxatives .now my surgeon has recommended a diet ointment .my only concern is I have a skin tag outside the anus which is pink in color and bleeds sometimes I don't understand what it is a sentinel pile or papilla?

DNB(Gastroenterology), Gujarat University
Gastroenterologist, Ahmedabad
If you have constipation than take 1) Liquid cremaffin 3tsf at bed time 2) Take hot sitz bath (put warm water in a tub and sit in the water for 10-15 minutes) If you are still not Ok than consult surgeon.

I am 24 four year old male and I have facing problem with anal fistula disease. What is the treatment of anal fistula beside operation because I was operate it 2 years back but it again happen and not fully developed till now.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Barpeta
Try to avoid conatipation by increasing water and vegies intake daily. Hot sitz bath with betadine solution is very helpful. Oint ESCOT twice daily, digitally .sply before going to the toilet. Or Lateral Sphinterotomy.
1 person found this helpful

Table of Content

What is Fissure?

Causes

The exam might include:

Play video
Anal Fissure
Hi, I am Dr Ashok Gupta, practising since last 37 years as a general surgeon, Laparoscopic surgeon and Gastroenderoscopist. Today we are going to discuss the most common problem that is Anal Fissure.

Anal Fissure is such a problem which is very prevalant in our community, may be the raeson of the pattern of the diet, constipation, inactivity, Obesity Diabetes and other inactive way of diet. Anal fissure is the breech in the skin which are there from the anal walls to the rectum in lower part. This is about 2-3 cm in size and this anoderm is more sensitive and lacking in sweat glands and hairs. Once the hard motion is being passed or the person is constipated, there occurs a breech in the skin which leads to severe pain while passing the stool sometime otherwise also. This linear breech is not going to heal by any chance, it mostly requires medical interference. Medical treatments are responsive at times but once it get failed, then surgery is only the answer.

The surgery is very simple in this case. We just relax the sphincter because sphincter always give the spasm to the fissure which is not allowing it to heal and it always gives the problem in later times. The surgery being done under general anaesthesia and spinal anaesthesia, just to relax the sphincter.

After the cure is there, so it is not going to create problems. But the complicated anal fissure has to be dealt with the "fissure act me" in which the fissure is being removed.

If you have nay query or if you want to contaact me, you can come to my clinic Tirupati Medical Centre in Malviya Nagar. Also, you can contact me through Lybrate.
Play video
Benign Anorectal
Hello friends, I am Dr. Sandip Banerjee, and I am a consultant laparoscopic surgeon, bariatric and colorectal surgeon. I am practicing in my clinic, named as Pelvinic. I am also a head surgeon in Apollo Spectra Kailash Colony.

Today I am going to talk about benign anorectal conditions which are problems involving your anus and rectum, and which is involving a large amount of population in our country. So the primary problem arising out of this is because of a constipation. Constipation is affecting almost 13 % of the population, much higher than what diabetes and hypertension are affecting our population. So because of a constipation there are few problems which day in day out in the routine life, and involves any group, any class of patients.

The first thing I m going to discuss is a fissure in anus. Fissure is a painful condition in anus which mostly is because of an ulcer formation, or the breach of skin in the anus which develops due to the passage of hard stool. And the main symptoms of this is a painful difficulty to sit, postural problems, and painful defecation, with a minimum association of passage of minimum amount of fresh amount of blood during defecation. The solution lies in the treatment with medical management mostly. And 70 to 80 percent of the patient benefit out of the medical management. Only the remaining of the patients who develop a chronic fissure, who are not being cured by medical management, they are the one fit for surgery.

The second one is in hemorrhoids, which are called piles. So all of us do have an anal cushions normally, and which once gets prolonged due to chronic straining developed pathological piles. Now, the piles were graded according to the size, and the type of problems which patients are facing. It can be graded from grade one to grade four. The initial grade piles, which are grade one and two, in which the patients do have problems related to like bleeding or mucous discharge or some sort of difficulty while passing stool. But there is no history or no complaints of something coming out of the anus. So they are the early grade piles. In early grade piles, either they need some sort of a treatment in terms of medicine, or at times when it is really bothersome, then we do advise some nonsurgical treatment like laser radiofrequency ablation, cryotherapy, and even banding. But for the haemorrhoids which are quite big, like grade three and four, in which the patients mainly complain of something coming out of the anus, and they need to manually reposition it. So, they are the one which needs a definitive surgery. And the surgery which has come late in a high success rate is the stapler surgery for haemorrhoids. The stapler surgery which has been used for last 10-15 years is seen with a lot of success, that has revolutionized the piles surgery, in which the patients only need a day in a hospital, goes back to home, without any pain, without any problems thereafter. The chances of recurrence even less than 0. 001%. Then there are some acute conditions in which you develop an abscess in the anus, and you must know that abscess in the anus should always be drained. It should always be surgically drained, and there is no other way just to linger it on with medication.

Because if an abscess in the anus or the perianal region is being neglected, that abscess may develop into a tract which is called a fistula, and once you have developed a fistula then it s very difficult to treat. Now, fistula in anus is a tract which is connecting the outer skin with the inner anus. So what happens is that a patient, once they develop a fistula, they have typical complaints of persistent perianal discharge in forms of pus, and then suddenly the discharges end, and then patients are quite okay. For few days, the patient may develop some swelling, there is severe pain, and then sudden discharge again comes back. So in this way the cycles goes on and develops into a complex tract.

It s very important to know what is the tract of a fistula. While treating fistula we see whether it san high or a low fistula. So low fistula need not need any further imaging things, because out of experience we can find it out while doing proctological examinations that it s a low fistula. Low fistula has a very high success rate of surgical cure. Whereas in high fistula it requires some sort of an MRI imaging. MRI imaging helps us to know the different kind of tracts, and once knowing the tracts we need to perform some different forms of surgery based on the tract. It can be a laser, it can be radio frequency ablation, it can be a vaaft surgery, it can be a lift surgery. Based on the complex nature of the fistula, the cure rate is quite. The cure rate is having a recurrence rate of 3-7% world over. And I have been using radio frequency ablation for different types of fistulas. Even laser has been applied, and I ve met with a quite a good amount of success in my patients.

The other 2 things which I want to discuss is about rectal prolapse. Now the patients do complain of something coming out as a chunk through the anus while defecation, and it s a quite a big amount as compared to hemorrhoids. Patients do have a problem associated with rectal prolapse, either they have chronic diarrhoea, or constipation. So it can be either constipated prolapse or a diarrheal prolapse, and for that too it needs a treatment, and definitive surgery. Definite treatment is a surgery, and it involves a laparoscopic cure from the abdomen. And the last is pilonidal sinus. And pilonidal sinus develops as a small chronic discharging fissure in between the anus buttocks, and that also needs a very good flap surgery. So hope you will like this information, and for any type of solution, any type of cure, you can contact me either in Pelvinic, or through Lybrate, or in Apollo Spectra Kailash Colony. Thank you.

And the last is pilonidal sinus. And pilonidal sinus develops as a small chronic discharging fissure between the buttocks, and that also needs a very good flap surgery.

I hope you like this information, and for any type of solution or any type of cure, you can contact me either in Pelvinic, or through Lybrate, or in Apollo Spectra Kailash Colony. Thank you.
Play video
Know More About Anal Fissure
Anal fissure - Symptoms and treatment
Play video
Tips on Treatement of Piles, Fissure, and Fistula
Hello, friends, I am Dr Ashok Gupta. I am general surgeon come gastro endoscopist. I practising since the last 35 years and many of the lives has been treated, cured and saved. Today we are talking about piles, fissure and fistula.

In modern lifestyle our food habits and livings have been changed tremendously. This is in among the all age group, all classes. Piles is the disease whih is causing the person incapable of doing his day-to-day normal activities.

The symptoms of this disease is burning, itching and sensation in the anus. It makes the person very much uncomfortable to lead a normal life.

This can be diagnosed easily by proctoscopy examination which is done under local anaesthetic jelly and in very less time you can diagnose the problem and after that, it can be treated by various techniques, whatever is needed. The surgery is the mainstay of the treatment but now many non-invasive methods they have also come. But the surgery is giving a good result. We can make the haemorrhoidectomy under spinal anaesthesia and the postoperative stay is also very less.

You can connect with me on lybrate.com. If you have any questions, any queries you are most welcome to connect with me so that the problem can be solved in its earliest.

Thank you.

Having issues? Consult a doctor for medical advice