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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

Anal Fissures - What Treatment Options Should You Follow?

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, FAIS, Fellowship In Minimal Access Surgery
General Surgeon, Mumbai
Anal Fissures - What Treatment Options Should You Follow?

Anal fissures arereferred to as a small cut or a tear in the lining of the anus. The cut or crack on the skin is the main cause of the severe pain. The person might observe bright red bleeding during and after passing bowel movements. Sometimes, when the fissure goes deep it exposes the muscle tissue underneath of the anus. An anal fissure might occur due to labor, i.e. during childbirth, straining or pushing during bowel movements, constipation, diarrhea, or certain medical conditions such as inflammatory bowel disease, cancer, and infection.

Individuals of all ages can be affected by anal fissure, including infants and young children. The common cause being constipation. This condition is not a serious issue. The tear can be treated or it might get heal on its own within a month or so. However, if it persists above two months, then it is considered a chronic or long-term fissure.

The symptoms of an anal fissure include:

  • Visible tear or cut in the skin around the anus
  • A small lump of skin or skin tag present next to the cut
  • Severe pain in the area during a bowel movement
  • Streaks of blood on stools or spotting on the dry tissue paper after wiping
  • Burning sensation or itching in the anal area

Causes


Mostly an anal fissure occurs while passing very hard or large stools. This could be due to chronic constipation or frequent diarrhoeal episodes that can lead to tearing of the skin around the anus. Other causes of occurrence of an anal fissure are Crohn’s disease or inflammatory bowel disease, straining during labor, over tight or spastic anal sphincter muscles, or decreased blood flow to the anorectal area.
A fissure might also occur due to anal cancer, HIV AIDS, tuberculosis, syphilis, and herpes.

Treatment
Mostly anal fissure does not require extensive treatment. Some of the home remedies can help treat anal fissure and relieve the discomfort caused. The home remedies used for treatment are:

  • You can use over-the-counter stool softeners
  • Drink more water or fluids
  • Take fiber supplements
  • Have high fiber diets by including fibrous foods, such as raw fruits and vegetables, dry fruits, cereals, etc.
  • You can even take warm sitz bath to relax and relieve the pain in the anal muscles and it will also help to increase the blood flow to the anorectal area.
  • You can apply an ointment containing nitroglycerin to the anus in order to promote blood flow, or
  • Hydrocortisone cream to help with healing the inflammation.
  • You can apply topical pain reliever, lidocaine to the anus to relieve yourself from discomfort.
  • An ointment with calcium channel blocker can be used to relax the sphincter muscles and will help to heal anal fissure.
  • Botox injections into anal sphincter can also heal anal fissure. Spasms in the anal area can be prevented through Botox injections. This injection temporarily paralyzes the muscle. Due to this, the anal fissure gets time to heal and prevent the formation of new fissures.
  • If the fissure is not treated with home remedies, the doctor might recommend anal sphincterotomy. This surgery involves making a small incision in the anal sphincter to relax the muscle, thus healing the anal fissure.

Prevention
An anal fissure can be prevented by taking following preventive measures:

  • Keep anal area dry
  • Proper cleaning of the anal area with mild soap and warm water
  • Drink plenty of water and fluids to prevent constipation
  • Avoid consumption of sharp foods that are difficult to digest such as nuts, popcorn, etc.
1 person found this helpful

Don't Confuse Fissure With Fistula!

MBBS, MS- General Surgery
General Surgeon, Ambala
Don't Confuse Fissure With Fistula!

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!

3570 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?"

3749 people found this helpful

Panchkarma Therapy For Treating Fissures!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), P.G.C.R.A.V. (Kshara Sutra)
Ayurveda, Ghaziabad
Panchkarma Therapy For Treating Fissures!

Anal fissure, better known as fissures refer to tear or cracks in the lining of the anal canal. This results in extreme pain during and after bowel movements. At times, people might find blood in their stool due to this particular problem. As already mentioned the most common symptoms are pain, stool with blood in them, itchiness in the anal area and an uncomfortable situation while urinating, known as Dysuria.

The ayurvedic treatment through Panchakarma, especially Basti, which is a part of Panchakarma therapy involving elimination of toxins present in the lower colon through the usage of an Ayurvedic enema like milk, ghee.
Before going into the details about the part of Panchakarma treatment, Basti, let’s discuss about Panchakarma ayurvedic therapy.

Panchakarma
Panchakarma is a process used to clean up body’s toxic materials, left behind by disease and poor nutrition. Generally our bodies have innate abilities to efficiently process and remove waste materials but with repetitive dietary indiscretions, almost no or poor exercise patterns, lifestyle, the digestive enzymes, hormones and agnis which regulate the body’s internal homeostasis become disorganized. This leads to the accumulation and spreading of toxins throughout the body, resulting in diseases. Digestive problem and constipation due to lack of food intake, containing fibres, while continuous consumption of high protein items invite the problem of constipation, thereby giving rise to fissures.

Panchamarma is a Sanskrit term that means “five actions” or “five treatments”. Through these five types of treatments, according to the needs and requirements of individuals, it removes the excess doshas and help rectify the imbalances in them and also eliminate harmful substances out of the body through it’s different organs like colon, sweat glands, lungs, bladder, urinary tract, stomach, intestines etc.

Remedies in Panchakarma for Fissures
Ayurvedic remedies are all very efficient and help in avoiding the need for surgery treatment in many of sufferers of Anal Fissure. These natural remedies can cure lot of ano-rectal issues and ensure normal bowel movements up to 90%.

  • These remedies are particular useful for those who are not willing for go for surgeries or other medical treatments.
  • The five treatments of Panchakarma are Vamana, Virechana, Basti, Nasya and Rakta Mokshana. Out of these methods, implementing the method of Basti helps in providing relief from the painful problem of Fissures.
  • Ayurvedic Basti involves the introduction of herbal substances like oil and decoction in a liquid form, into the rectum. Through the use of this therapy, the herbal substances help in cleaning up and curing the tear or crack in the lining of anal canal due to fissures, ensure that the rectal tunnel gets relaxed and thus reduce the painful sensation.
  • The enema, which is a method used to stimulate evacuation of stool, by injecting a liquid of medicated ayurvedic oil and ghee, helps in reducing pain, cramps within the region and swelling of the anal ring. This particular method of Panchakarma also ensures that the dryness of internal skin is reduced, thereby providing fast relief from the problem of fissures.
4 people found this helpful

Popular Questions & Answers

I started having pain and bleeding during bowel movement last year. After 3 months there was no problem except a pea sized lump in the anus which shrinks and enlarges at times. Since yesterday m feeling pain on anus opening and it started bleeding today when I checked why it feels sticky. Kindly help.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Most likely you are suffering from Chronic fissure with Sentinel tag. Sticky discharge is because of infected Sentinel tag. This tag needs to be removed otherwise you will have recurrence of pain and bleeding. Surgery is recommended to remove Sentinel tag but it is not a good choice for the reason of recurrence of problem and complication like stool incontinence etc. Where as Ayurveda recommends Ksharsutra treatment for this problem. In this treatment Ksharsutra - a medicated thread is ligated at the root of Sentinel tag. Medicine released from Ksharsutra blocks blood supply of Sentinel tag and it sheds off in a week or 10 days interval. No hospitalization or bed rest is required in this treatment. In the mean time you should take Sitz bath (Hot water tub bath) 2-3 times a day followed by application of some soothing and healing ointment like Sushruta ointment/ coconut oil/ Cow's ghee. Take some stool softening Ayurvedic medicine like Sushruta Churna/ Haritaki Churna if you are having constipation. Take plenty of liquid specially butter milk. Take fiber rich diet like green leafy vegetables, Salads etc. Do regular exercise. For further assistance and appointment call reception at Sushruta Ano Rectal Institute.

I have anul fissures from 4 weeks and still I see some blood in my stools and I get pain during bowl movements and I am using cremagel morning and night and having lactifiber at night and sitz bath 2 times a day in hot water.

MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy
General Surgeon, Srinagar
Hello continue sitz baths. Apply cremagel thrice a day rather than twice and add tab diser twice a day for one week. Continue lactifibre it will heal hopefully. Also avoid spices and red meet. Take lots of fluids and fruits. Regards.
2 people found this helpful

I'm a 24 years old guy and experiencing pain in my rectum area since yesterdays night. I think its anal fissure developed. So how can it be cured?

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
First get yourself checked by a surgeon. Because anal area pain is a manifestation of many disorders. Among them, Ischio rectal abscess need to be ruled out very quickly. So don't wait and try some assumption treatment.

I am having fissure. Every stool I am facing burning sensation. Pl. Suggest me some medicine to relief from burning sensation and pain in rectum.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate Course In Ksharasutra Therapy
Ayurveda, Mumbai
Take hot sitz bath thrice daily and add little dettol. After sitz bath apply betadine ointment.

I am facing burning sensation after stool which is not tolerable due to fissure. I am using anobliss and proctosedyl bd ointment but no result as yet. Sometime I am taking oral medicine i.e. Cremaffin liquid. But every stool I am facing burning sensation. Pl. Advise me what to do in this situation.

MBBS, MS - General Surgery
General Surgeon, Agra
For fissure control your constipation Take lot of water and fibre rich diet Continue cremaffin plus if constipation present Take antibiotics also Sitz bath will also help you Continue ointments before and after defecation Convey your reports to me for further details Let me know your progress.

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