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Anal fissures are commonly found in the back part of your anus, in line with the cleft of your buttock. An anal fissure is a common medical condition in which the skin around the opening of the anus opens, leaving a small gap there. The pain caused by this condition usually appears suddenly but you must remember that it can happen gradually as well. Anal fissures are frequently seen in patients visiting specialised proctology clinics in Ahmedabad, often linked to constipation and lifestyle-related factors.
A fissure is a small break in the skin that can occur as a result of poor digestion, chronic irritation, or as a result of smoking. A fissure is also known as an acquired fissure. It occurs at some point in everyone's life, but it may last for less than 6 weeks. In most cases, a fissure will heal itself with no treatment. An acute fissure that lasts longer than 6 weeks requires medical attention such as antibiotic treatment or surgery to remove the split in the skin. Patients experiencing persistent symptoms are advised to consult a fissure specialist in Ahmedabad for timely evaluation
1. MCDPA
The MCDPA offers affordable treatment options for anal fissure by providing low-cost imaging services and access to board-certified physicians and surgeons when needed. At Healing Hands Clinic Ahmedabad, MCDPA is commonly recommended for early-stage fissures.
Medicines – Herbal remedies to lessen localised inflammation Before bed, take Constac to give your stools more weight and soften them.
Diet – Consume a diet high in fibre to avoid constipation. Increasing fluid and water intake is also beneficial, especially in Ahmedabad’s hot climate, where dehydration can worsen bowel issues.
Physiotherapy – Pelvic floor physiotherapy aids in lowering anal sphincter spasms.
Ayurvedic therapy employs the use of medicinal herbal oils under medical supervision.
2. Sitz bath
Sitting in warm water that covers your hips and buttocks after a bowel movement helps to reduce post-defecation discomfort. This can be as simple as putting a warm towel between your thighs or using a bidet if that's what is available. If you've evacuated your bowels and then sit in a warm tub or shower, this may reduce the discomfort of your bowel movements. The warmth will help ease any soreness or cramp that is associated with sitting in the same position for an extended period of time.
3. Nitroglycerine
Nitroglycerin or glyceryl trinitrate is a vasodilator that relaxes blood vessels to improve blood flow through the heart, brain, and body. It also helps in reducing spasms of the anal sphincter and thereby helps in improving quality of life. In some cases, this drug may cause certain side effects like headache, light-headedness, etc., which may limit its long-term use and require medical supervision.
4. Nifedipine ointment
Nifedipine ointment helps relax the anal sphincter muscle, making it easier to pass stools and reducing pain during bowel movements. It is used under medical guidance at specialised fissure clinics in Ahmedabad. Nifedipine ointment does not cure conditions caused by infections or systemic diseases and should be used only after proper diagnosis.
| Sr. No. | Surgical Method | Method |
|---|---|---|
| 1 | Botox injection | The anal sphincter is a muscle that can contract and relax. The fissure will not heal if your body fails to relax the sphincter adequately. Botox helps by temporarily relaxing the muscle. The effects typically last for around three months and may be recommended at Healing Hands Clinic Ahmedabad in selected cases |
| 2 | Lord’s Dilation | Dilatation is an age-old treatment that provides sphincter relaxation and relief from pain. It is performed selectively under expert supervision. |
| 3 | PLIS ( Partial Lateral Internal Sphincterotomy ) | A commonly performed minimally invasive procedure in which a small cut is made in the internal sphincter. It is done under general anaesvthesia and does not involve any external abdominal incisions. |
| 4 | Laser treatment | Laser surgery is done with the Leonardo laser, introduced for the first time in India at Healing Hands Clinic. Laser fissure treatment is available at Healing Hands Clinic Ahmedabad, allowing precise internal sphincterotomy with minimal pain and faster recovery. |
| 5 | BOTOX For Fissure | Botulinum Toxin A is used to temporarily relax the anal sphincter, reducing pain and promoting healing. Its effects usually last between 3–6 months depending on individual response. |
Botox (Botulinum Toxin A) is used in the treatment of anal fissures to temporarily relax the internal anal sphincter muscle and reduce excessive muscle spasm. This relaxation lowers pressure in the anal canal, improves blood flow to the affected area, and promotes natural healing of the fissure while reducing pain during bowel movements. At specialised fissure clinics in Ahmedabad, Botox is often recommended for patients who wish to avoid surgery or have not responded to medicines. The effect of Botox typically lasts for 3 to 6 months, during which many fissures heal completely.
An anal fissure is typically caused by trauma to the anal canal, leading to a tear in the delicate skin.
Anal fissures are commonly seen in Ahmedabad due to factors such as constipation, inadequate water intake, irregular eating habits, and prolonged sitting. Hot weather conditions can further contribute to dehydration, increasing the risk of hard stools and fissure formation.
Most acute anal fissures can be treated without surgery. At Healing Hands Clinic Ahmedabad, treatment usually begins with dietary changes, stool softeners, topical medications, and lifestyle correction. Surgery is considered only when conservative treatment fails or the fissure becomes chronic..
Recovery depends on the treatment method. Non-surgical treatments usually show improvement within a few days, while laser or minor surgical procedures allow patients to resume normal activities within 24 hours.
Laser Sphincterotomy is considered one of the most effective procedures for treating chronic anal fissures. At Healing Hands Clinic Ahmedabad, this procedure is performed using advanced laser technology such as the Leonardo Laser, which allows precise treatment of the affected muscle with minimal tissue damage. .
The cost of fissure treatment at Healing Hands Clinic Ahmedabad depends on the stage and method of treatment:
Medical treatment (for early fissures): ₹2,000 – ₹4,000 (diet, medicines, and lifestyle management)
Surgical treatment (for chronic fissures): ₹60,000 – ₹1,00,000 (advanced Laser Sphincterotomy)
This generally includes:
An exact estimate is provided after consultation with our Proctology Expert. Cashless insurance and EMI facilities are also available for eligible patients.
Healing Hands Clinic F1,
Office No. 601 to 607 and 613, Mehta 531, Beside V S Hospital, Ashram Road, Ellisbridge, Ahmedabad, Gujarat - 380006.
