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Anal fissure is a common disease that affects people of all ages and both men and women. It is a small tear in the lining of the anal canal. These crack in the skin gives sharp pain, discomfort, bleeding and strain during stool release.

Types of fissures: - They are two types as follows:

  • Acute fissure: An acute anal fissure looks like a fresh tear, somewhat like a paper cut.
  • Chronic fissure: A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths. This fissure is considered chronic if it lasts more than eight weeks.
Cross section
Cross section

Who is at risk for an anal fissure?

Anal fissures are common during infancy. Adults and old people are also prone to anal fissures due to decreased blood flow in the anorectal area. Women are at risk for anal fissures due to the stress during delivery. People who frequently have constipation are at an increased risk for anal fissures. Straining and passinghard stools are the most common causes of anal fissures.

What causes an anal fissure?

  • Because of hard stool
  • Repeated diarrhoea
  • Constipation
  • Prolonged muscular spasm
  • straining during childbirth

What are the symptoms?

  • Sharp burning pain during bowel movements, which lasts from few minutes to several hours after a bowel movement.
  • Bleeding during and after stool.
  • Anal itching and peri-anal skin irritation.
  • Loss of appetite, Face may turn yellowish due to severe bleeding.
  • If anal fissure is left untreated, It may lead to acute fissure becoming a chronic one and, thus, more difficult to treat.
  • It may also have an external lump associated with the tear, called a sentinel pile or skin tag, as well as extra tissue just inside the anal canal, referred to as a hypertrophied papilla.
Cross section


Most of the fissures do not require extensive treatment. They can be treated without any surgery. Some home remedies also help by eating fibre foods and taking more fluids. Chronic fissures may need surgery.

At Laser piles India we use advanced laser treatment to treat fissures know as Laser lateral Internal Sphincterotomy. Sphincterotomy means dividing the sphincter. It is usually performed under a general anaesthetic and usually takes about 15-20 mins. Surgeon will make a very small cut in the skin near your back passage. He will then cut the lower part of the internal sphincter muscle. This will relieve the spasm in the sphincter,this allows a better blood supply to heal the fissure. This procedure is painless and bloodless and has excellent outcomes.

How soon will I recover?

  • You can go home on the same day after the surgery.
  • Regular exercise will help you to return to normal activities.

How can an anal fissure be prevented?

Anal fissures cannot be prevented all the time. But you can reduce the risk of getting by following the preventive measures.

  • keeping the anal area dry
  • always clean the anal area gently with mild soap and warm water
  • Drinking plenty of fresh juices, eating fibrous foods, and exercising regularly to avoid constipation.
  • Treating diarrhoea immediately.
  • Changing infants’ diapers frequently.

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