Anal Fissure

An anal fissure is a small tear in the lining of the anus, often caused by passing hard or large stools, chronic constipation, or diarrhea. It typically causes sharp, burning pain during and after bowel movements, sometimes accompanied by bright red bleeding or spotting. While many fissures heal on their own with simple measures, some become chronic and require further treatment.

Treatment Methods :

Depending on whether the fissure is acute or chronic, treatment options may include:

• Topical Medication – Prescription ointments to relax the anal sphincter muscle and promote healing, commonly used as first-line treatment for acute fissures.

• Botox Injection – A minimally invasive option to relax the anal sphincter temporarily, allowing the fissure to heal, used for select chronic cases.

• Lateral Internal Sphincterotomy (LIS) – A surgical procedure to relax a small portion of the anal sphincter muscle, considered the standard surgical treatment for chronic, non-healing fissures.

• Fissurectomy – Surgical removal of the chronic fissure edge and associated scar tissue, used in select cases alongside other treatments.

The appropriate treatment is decided after evaluation by a qualified surgeon.

Eligibility & Age

Treatment is generally considered for fissures causing persistent pain or bleeding, particularly those that have become chronic or have not healed with conservative measures such as dietary changes and topical medication.

There is no fixed age limit for anal fissure treatment. Suitability depends on the patient's overall health, whether the fissure is acute or chronic, and response to initial conservative management.

Conclusion

Anal fissures are common and usually treatable with conservative care, but chronic or non-healing fissures may need further intervention. Early evaluation by a qualified surgeon can help determine the right treatment path for you.

Get evaluated by a qualified surgeon through Surgi Solution and explore treatment options suitable for your condition.