Fissure treatment in Pune
An anal fissure is a small tear in the thin, moist tissue called the mucosa that lines the anus. An anal fissure may occur when you pass large stools during bowel movements. An anal fissure usually causes bleeding and pain with bowel movements. Sometimes patients might experience spams in the ring of muscle at the end of your anus(anal sphincter).
Anal fissures are common in infants, but they can occur in any age group. Most anal fissure gets better with simple treatment. But some fissures may need medication and, if necessary, surgery.
Treatment
Symptoms
- Pain, severe or moderate pain during bowel movements
- Pain after bowel movements that last for hours
- Bright red blood in stools or after stool
- Visible crack around the skin near the anus
- A small lump or skin tag on the skin near the anal fissure
Causes
- Passing large or hard stools
- Constipation and straining during bowel movements
- Chronic diarrhea
- Anal intercourse
- Childbirth
- Crohn's disease
Diagnosis
- Doctors usually go through medical history and perform a physical test involving a gentle inspection of the anal region.
- Usually, the tear is visible, which is called an acute fissure tear. However, if the tear is chronic, then further tests are conducted.
- Anoscopy: An anoscope is a tubular device inserted into the anus to help doctors visualize the rectum and anus.
- Flexible sigmoidoscopy: the doctor will insert a thin tube with a tiny camera in the bottom portion of the colon.
- Colonoscopy: the doctor inserts a flexible tube to inspect the entire length of the colon.
Treatment
Usually, acute fissures can be treated with non-surgical methods like applying nitroglycerin externally, anesthetic creams, botox injection, blood pressure medications, etc., if the patient has chronic fissures and unbearable pain or severe symptoms, they need immediate medical attention. The doctors might suggest a procedure called lateral internal sphincterotomy treatment.
