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What is a Fissure?

An intense or prolonged opening or cuts in the anal region presents anal fissures. Those cracks give intense pain and force during stool discharge. It is common for both men and women .The site of development of an anal fissure is the midline behind the anal canal. During Infancy, an anal fissure is the main reason for the rectal bleeding.

Causes of Fissure
  • Damage to the anus due to surgical instruments

  • Widening and splitting of the anal ring due to hard stool removal

  • Reduced blood supply slows down the skin healing process and produces an anal fissure

  • Constipation

  • The person having diarrhea is having more chances to develop anal fissures

  • Pregnancy and childbirth induce anal fissures

  • A crack occurs as part of another disease such as a Crohn’s syndrome, ulcerative colitis or anal infections

Fissure, Eravio Clinics, Dr. Neeraj R. Gechode

Types of Fissure

Anal fissures develop at the front or on the back side. They are two types as follows :

  • Acute fissure: Acute crack occurs abruptly.

  • Chronic fissure: Slow growing Fissure.

Symptoms of fissure:

Patients with an anal fissure may develop following symptoms:


  • The first sign is bleeding

  • A sensation of cutting, tearing or burning after a bowel action

  • Severe rectal pain is lasting for hours

  • The bleeding may cause discoloration of the bowl

  • Hole or crack near the anus

  • Develops patches or lumps near the fissure

Eravio Clinics, Dr. Neeraj R. Gechode
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Fissure Treatments

It is a part of practology department. Some patients suffering from anal fissures do not require any specific treatment.

Home remedies

  • Stool softening agents or stool thinners

  • Adequate amount of watery liquids and proper diet with fiber

  • Sitting in warm water to lower the sensitivity and to improve blood flow

  • Apply creams or pain relievers to the anus to enhance blood flow

  • Some injectable agents inhibit cracks formed in the anus


Operational Treatments


  • Some anal fissures require surgical or operative procedures

  • Laser treatment – Laser Sphincterotomy for Fissure.

  • Procedure is almost blood less , Pain less and recovery is very fast.

  • Under LA/GA ,laser Energy is delivered, via radial fiber, into the sphincter muscle and that lead to dilatation of muscle , reduce spasm . Patient is recovered very soon after laser surgery .

Why Laser Sphincterotomy Best Option for fissure
  • High success rate

  • Low recurrence rate – recurrence rate is much lower than the traditional methods.

  • Quick treatment – Take less than an hour. Saves tremendous time for you and your patient.

  • Minimal invasive – just a nick in the skin, so no scar, and no stitches.

  • Minimal blood loss. Minimal pain. Less traumatic.

  • Instant Relief from accompanying symptoms – Since no surgery and extremely less harm to neighbouring tissues, so recovery is fast. Even less pain, bruising and numbness.

  • OPD procedure performed with Local anaesthesia – It’s safer than General anaesthesia. There’s no hospitalization, ambulatory

  • Quick Recovery – No downtime. Minimal post-operative pain. Your patient can walk away post operation and can quickly regain his normal activity

  • Greater Surgical Precision.

Fissure, Eravio Clinics, Dr. Neeraj R. Gechode
Pre-Surgery Instruction
Post-Surgery Instructions
  • Begin homely bodily movements like walking

  • Sit in the plain warm water for few times in a day

  • Do not add cleansers or detergents to the water

  • Try to receive some regular bowel practices

  • Use smooth tissues after a bowel movement

  • Take directed medications

  • Acquire regular bowel practice

  • Do not consume heavy meal after the night, but you can drink water before 4 hours of treatment

Why Eravio Clinic
  • Advance Diagnostic Tool

  • Most Advance Laser Therapy

  • Day Care Procedure

  • Expert Proctologist

  • Insurance Covered

  • EMI on treatment

  • Recovery in 1-3 Days.

Fissure, Eravio Clinics, Dr. Neeraj R. Gechode
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