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Fissure Treatment in Indore

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    What is Anal Fissure?

    Anal fissures are microscopic tears in the anus lining. The anus’s skin is disrupted by the tears, which also induce physical symptoms that are often felt during or right after a bowel movement. Anal fissures are characterised by pain that is worse after or right after a bowel movement. Anal tissue may have been cut if there is blood in the stool or on restroom tissue. It’s crucial to get medical attention if you see a tear, even if it’s not painful, because some anal fissures leak without any obvious pain.
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    What Causes Anal Fissures?

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    • Trauma or injury to the anal canal may cause an anal fissure.
    • Large, dry, constipated, or diarrheal stools can all rip the sensitive anal tissue.
    • Other medical disorders like Crohn's disease, inflammatory bowel disease, or cancer may also cause anal fissures.
    • Infections in the anal area, such as sexually transmitted infections (STIs) or other bacterial or fungal infections, can lead to fissures.
    • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation and ulcers in the digestive tract, which may extend to the anus and result in fissures.
    • Passing Hard or Large Stools: One of the most common causes is passing hard or large stools, which can stretch and tear the anal canal lining.
    • Chronic Constipation: Repeated straining during bowel movements due to chronic constipation can increase the risk of developing anal fissures.

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      Signs and Symptoms of Anal fissure

      • Pain during bowel movements: One of the most common and characteristic symptoms of an anal fissure is severe pain or discomfort when passing stools. This pain is often described as a sharp, burning, or cutting sensation and can last for several hours after a bowel movement.
      • The bowel movement will not feel normal, as it may cause or irritate a pre-existing anal fissure.
      • Bright red blood in stool: You may notice bright red blood on the toilet paper or in the toilet bowl after a bowel movement. This blood is typically caused by the tear in the anus and is known as rectal bleeding.
      • The pain may even last up to several hours after the bowel movement.
      • Bright red blood, itching, raw skin, cracked skin, or skin tags on the anus can indicate the presence of an anal fissure.
      • Difficulty passing stool (constipation): People with anal fissures may develop a fear of bowel movements due to the pain, which can lead to constipation and straining during defecation, further exacerbating the fissure.
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      How are fissures diagnosed?

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      • An examination of the anus during a physical examination will aid in the diagnosis of an anal fissure.
      • If the tear is apparent, simple wound-healing techniques can be suggested.
      • Your doctor might think that there is an underlying issue causing the fissures in more complicated situations that has to be addressed and treated.
      • A physical examination is a crucial part of the diagnostic process. Piles Doctor will perform a rectal examination, during which they will use a gloved finger to gently inspect the anal area. They will look for any visible fissures, signs of inflammation, and assess the tone of the anal sphincter muscles.
      • Anoscopy is a procedure in which a narrow, tube-like instrument with a light source and a magnifying lens (anoscope) is inserted into the anus to provide a closer view of the anal canal. This allows the piles surgeon to better visualize any fissures or abnormalities.

      Frequently Asked Questions

      If the anal fissures are small, many of them will heal on their own. An anal fissure may become chronic if it persists for several days, which will make healing more challenging.
      You should see a surgeon about an anal fissure is you have symptoms that are not healing over time.
      There are non-surgical and surgical methods that treat anal fissures and the best one will be determined by doctor.
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        Dr. Achal Agrawal is a consultant gastrointestinal, laparoscopic, bariatric surgeon and proctologist in Indore at Indore Laparoscopy Center.
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