Fissures are cuts/injuries that appear on the inner lining of the anus. Fissures are sometimes painful, but are not a serious condition. In most cases, fissures disappear within a few weeks. One should consult an expert only if fissures persist for more than 5-6 weeks. Usual symptoms can be a visible tear on the outside of the anus, a lump next to the tear, severe pain especially when passing bowels, and a burning or itching sensation. A colonoscopy or anoscopy can help a proctologist to examine the area and suggest treatment methods.
- Hard and large stools
- Inflammatory Bowel Disease
- Crohn’s disease
- Chronic Ulcerative Colitis
- Tight Sphincter muscles
- Use of topical medicines, nitroglycerin ointments, stool softeners, and more.
- A botox injection that paralyses the anal sphincter muscle and prevents spasms blocking the healing of anal fissures.
- Lords dilation, which relaxes the sphincter muscles and eases the discomfort.
- Lateral Internal Sphincterotomy (LIS) that is performed under general anesthesia. The hypertrophied internal anal sphincter is cut to relax and heal the fissure. This procedure helps in quick healing.
- Laser surgery, which is administered to perform internal sphincterotomy. This relaxes the sphincter muscles. With the help of a laser, the chronic fibrotic scar is removed from inside the anal lining. This is a painless procedure with rapid healing.
Dr. Shailesh Matkar
Specialist General Surgeon
What is an anal fissure?
An anal fissure is a small cut or tear in the inner soft lining of the anus. It causes anal pain and anal bleeding during bowel movements. Commonly it is caused by hard and large stool passage. Mostly, an anal fissure heals itself and does not require medical attention. Medical treatment is required in cases of recurring and chronic fissures which last for more than 6 weeks,
Can anal fissures cause itching?
Yes, anal fissures can cause uncomfortable itching in the anal area due to the irritation of surrounding tissue. To get relief from uncomfortable and constant itching topical medicated ointments like hydrocortisone or zinc oxide are prescribed. The patient is advised to keep the affected area clean and dry. Consult the proctologist for the permanent fissure treatment in Dubai.
Can anal fissures cause anal bleeding?
Yes, anal fissures can cause anal bleeding as small cuts can bleed during every bowel movement. The underlying cause of the anal bleeding must be diagnosed and treated accordingly. Consult the doctor as soon as anal bleeding is noticed. At MEDSTAR, we have the facility of anoscopy, sigmoidoscopy, and colposcopy to confirm the diagnosis and provide the best-suited fissure treatment in Dubai for the patient
What are the complications of an anal fissure?
Complications of chronic anal fissures:
- Severe anal pain and anal bleeding during bowel movements.
- Regular bleeding can lead to anemia like symptoms.
- A chronic anal fissure can progress to a large tear in the inner skin of the anus leading to an increase in pain, bleeding, and delayed healing.
- A chronic anal fissure can get infected, resulting in fever, swelling, pain and pus discharge
How can I lower my risk of getting anal fissures?
Consuming a fiber-rich diet, adequate water intake and regular exercise help in smooth bowel movements preventing anal fissures.
Even after taking these steps, if you still get anal fissures, consult our colorectal surgeons at MEDSTAR. They will help you in diagnosing the underlying cause of anal fissures and their permanent treatment.
What is the permanent treatment of recurring anal fissures?
- An anal fissure is a small tear or a cut near the anal opening that usually heals within 3-4 weeks through home remedies and medications.
- For recurring or chronic anal fissures, fissure laser treatment in Dubai is the suggested long-lasting treatment. In this surgery, lasers are used to release the tension in anal sphincter muscles resulting in quick and permanent healing of the anal fissures. The patient can return to a normal work routine from the next day of surgery and complete healing takes 1-2 weeks.