Top-Rated Fissure Doctor in Jaipur

Anal fissures refer to cuts or tears in the delicate lining of the anus. These tears often expose the anal sphincter muscle, leading to spasms that can further widen the fissure. These spasms contribute to pain and hinder the healing process. Additionally, regular bowel movements can impede the improvement of fissures.

Anal fissures are categorized as acute if they have recently occurred or if the duration is less than six weeks. On the other hand, they are considered chronic (or long-term) if the condition persists for more than six weeks or if it recurs frequently.

Anal fissures can be caused by various factors, including:

• Straining during Bowel Movements: Excessive pressure during bowel movements, often due to constipation or hard stools, can cause tears in the anal lining.
• Passing Large or Hard Stools: Difficulties in passing large or hard stools can contribute to the development of anal fissures.
• Chronic Diarrhea: Prolonged episodes of diarrhea can irritate and damage the delicate tissues in the anus.
• Anal Trauma: Injuries to the anal region, such as those from anal intercourse, can lead to fissures.
• Decreased Blood Flow to the Anal Area: Conditions that reduce blood flow to the anal region, such as vascular diseases, may contribute to fissure formation.
• Inflammatory Bowel Disease (IBD): Chronic inflammatory conditions of the digestive tract, like Crohn’s disease or ulcerative colitis, can increase the risk of anal fissures.
• Childbirth: Women may develop anal fissures during childbirth due to the pressure and stretching of the anal canal.
• Spasms of the Anal Sphincter: Abnormal contractions or spasms of the anal sphincter muscle can lead to tearing of the anal tissues.
• Poor Anal Hygiene: Inadequate cleaning of the anal area can result in irritation and the development of fissures.

The diagnosis of an anal fissure typically involves a medical professional conducting a thorough evaluation, which may include:

• Medical History: The healthcare provider will inquire about your symptoms, their duration, and any relevant medical history, including previous occurrences of anal fissures.
• Physical Examination: A physical examination of the anal area allows the healthcare provider to visually inspect for signs of anal fissures, such as tears, redness, or swelling.
• Digital Rectal Examination (DRE): This involves the insertion of a gloved, lubricated finger into the rectum to assess for any abnormalities, tenderness, or muscle spasms.
• Anoscopy: This is a procedure where a small, lighted tube (anoscope) is used to examine the inside of the anal canal for fissures or other abnormalities.
• Colonoscopy or Sigmoidoscopy: In some cases, especially when there is a suspicion of underlying digestive conditions like inflammatory bowel disease, a more extensive examination of the colon may be recommended.
• Stool Examination: Stool samples may be analyzed to rule out infections or other digestive issues contributing to the symptoms.

The treatment of anal fissures typically involves both conservative (non-surgical) and, in some cases, surgical approaches. Here are common options:

Conservative Treatment:

• Dietary Changes: Increasing fiber intake to soften stools and promote regular bowel movements.
• Stool Softeners or Fiber Supplements: Over-the-counter medications that can help soften stools and ease bowel movements.
• Topical Medications: Applying over-the-counter creams or ointments containing topical anesthetics or nitroglycerin to relax the anal sphincter and promote healing.
• Warm Sitz Baths: Soaking the anal area in warm water for 10-15 minutes several times a day to relieve discomfort and promote healing.
• Pain Medications: Over-the-counter pain relievers like acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended for pain control.

Surgical Treatment:

• Lateral Internal Sphincterotomy: A surgical procedure where a small incision is made in the anal sphincter muscle to reduce spasms and promote healing. This is a common and effective surgical intervention for chronic fissures.
• Botulinum Toxin Injection: Botulinum toxin is injected into the anal sphincter to relax the muscle and improve blood flow, promoting healing.
• Fissurectomy: Removal of the fissure itself, often combined with other procedures to prevent recurrence.
• Advancement Flap Repair: A surgical technique where healthy tissue is used to cover the fissure, promoting healing.

Surgery is usually considered when conservative measures fail to provide relief, or when the fissure becomes chronic. The choice of treatment depends on the severity, duration, and underlying causes of the anal fissure. It’s crucial to consult with a fissure doctor in Jaipur to determine the most suitable treatment plan for your specific situation.