Fissure Treatment in Mumbai
Effective Treatment for Anal Fissures, Pain & Discomfort
An anal fissure is a small tear in the lining of the anus that can cause sharp pain, burning, and bleeding during or after bowel movements. It commonly develops due to hard stools, constipation, or repeated straining. While many acute fissures improve with medicines and bowel habit changes, chronic or recurrent fissures may require a specialised procedure or surgery.
At VED Hospital, our general surgery team provides evaluation and treatment for acute, chronic, and recurrent anal fissures. Treatment is selected according to the duration and severity of symptoms, underlying bowel habits, response to conservative treatment, and overall health.
Whether you have recently developed painful bowel movements or have been dealing with a fissure for weeks or months, our specialists can help identify the cause and recommend an appropriate treatment plan.
What Brings You Here Today?
Anal fissures can cause significant discomfort, particularly during and after bowel movements. If any of these situations sound familiar, specialist evaluation can help identify the cause and appropriate treatment.
I Have Sharp Pain During Bowel Movements
A tearing or cutting sensation while passing stool is one of the most common symptoms of an anal fissure.
I Notice Bright Red Blood
Small amounts of fresh blood on toilet paper or the surface of stool may occur when a fissure is irritated during bowel movements.
The Pain Continues After Passing Stool
Burning or throbbing pain that continues for minutes or hours after bowel movements may occur with an anal fissure
I Have Persistent Constipation
Hard stools and repeated straining can cause an existing fissure to worsen or prevent it from healing.
My Fissure Keeps Coming Back
Repeated episodes may indicate a chronic fissure or an underlying bowel habit that needs to be addressed.
Medicines Have Not Provided Enough Relief
A fissure that does not improve with appropriate conservative treatment may require further evaluation and procedural treatment.
Understanding Anal Fissures
An anal fissure is a tear in the delicate lining of the anal canal. It commonly occurs when hard or bulky stools stretch and injure the anal lining. Constipation, repeated straining, diarrhoea, childbirth, and certain bowel conditions can also contribute to fissure formation.
Anal fissures may be acute, meaning they have developed recently, or chronic, where the tear persists or repeatedly returns. Chronic fissures may be associated with increased tightness of the internal anal sphincter, which can reduce blood flow to the area and interfere with healing.
When Is Fissure Treatment or Surgery Considered?
Most acute fissures can initially be managed without surgery. Further treatment may be considered when symptoms persist, recur, or do not respond adequately to conservative measures.
Persistent Anal Fissure
Chronic Fissure
Severe Pain During Bowel Movements
Recurrent Fissures
Fissure Not Responding to Medication
Increased Anal Sphincter Tightness
Persistent Bleeding
Associated Skin Tag or Sentinel Pile
Complicated or Atypical Fissure
Choosing the Right Treatment for Anal Fissures
Treatment for an anal fissure depends on whether the fissure is acute or chronic, the severity of symptoms, bowel habits, and how well the condition responds to initial treatment. Most acute fissures are managed conservatively, while chronic or treatment-resistant fissures may require a procedure or surgery.
- Duration of the fissure
- Severity of pain and bleeding
- Presence of constipation
- Degree of anal sphincter tightness
- Frequency of recurrence
- Response to previous treatment
- Presence of associated skin tags
- Other anorectal conditions
- Overall health and treatment suitability
Care
Patient-Centered
Compassion
Human Touch
Cure
Trusted Outcomes
Anal Fissure Treatment Options
Treatment ranges from dietary and lifestyle changes to medicines, minimally invasive procedures, and surgery for selected chronic cases.
Dietary & Lifestyle Changes
Increasing fibre, drinking adequate fluids, avoiding straining, and maintaining regular bowel habits can help soften stools and support fissure healing.
Stool-Softening Treatment
Stool softeners and appropriate bowel-regulating medicines may be recommended to prevent hard stools from repeatedly irritating the fissure.
Topical Medications
Prescription creams or ointments may help relax the anal sphincter, improve local blood flow, and support healing of the fissure.
Pain & Symptom Relief
Appropriate medicines and local care can help reduce pain, burning, and discomfort while the fissure heals.
Botulinum Toxin Injection
Botulinum toxin may be injected into the internal anal sphincter to temporarily relax the muscle and support healing in selected chronic fissures.
Lateral Internal Sphincterotomy
This surgical procedure involves carefully dividing a small portion of the internal anal sphincter to reduce excessive muscle pressure and allow the fissure to heal.
Fissurectomy
In selected chronic fissures, unhealthy or non-healing tissue may be removed to encourage healing and support the treatment of associated scar tissue or skin tags.
Combined Fissure Procedures
Depending on the condition, procedures such as fissurectomy and sphincter-relaxing treatment may be combined to address both the fissure and underlying muscle spasm.
Frequently Asked Question
Can an anal fissure heal without surgery?
Yes. Many acute fissures heal with fibre, adequate fluids, stool-softening measures, healthy bowel habits, and prescribed medicines. Surgery is generally considered for selected chronic or treatment-resistant fissures.
How long does an anal fissure take to heal?
Healing time varies depending on whether the fissure is acute or chronic and how well it responds to treatment. Persistent symptoms should be evaluated by a specialist.
Is fissure surgery painful?
Some discomfort can occur after surgery, but appropriate pain management and postoperative care help make recovery more comfortable. Your surgeon will explain what to expect based on the procedure recommended.
What is lateral internal sphincterotomy?
It is a surgical procedure in which a small portion of the internal anal sphincter is divided to reduce excessive muscle pressure and allow a chronic fissure to heal.
Can an anal fissure come back after treatment?
Yes, recurrence is possible, particularly when constipation, hard stools, or straining continue. Maintaining healthy bowel habits can help reduce the risk.
When should I see a surgeon for an anal fissure?
You should seek specialist evaluation if pain or bleeding persists, the fissure keeps returning, symptoms do not improve with conservative treatment, or you have been advised to undergo surgery.
Take the Next Step Towards Comfortable Bowel Health
Book a consultation with our general surgery team at VED Hospital to understand your symptoms, explore your treatment options, and receive specialised care for anal fissures.
