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Anal fissures are typically located in the posterior part of the anus, aligned with the cleft of the buttocks. This common medical condition involves a small gap in the skin around the anal opening. The pain associated with anal fissures can manifest suddenly, but it's important to note that it can also develop gradually.
A fissure is a minor break in the skin, often caused by factors such as poor digestion, chronic irritation, or smoking. It is referred to as an acquired fissure. While fissures occur at some point in everyone's life, they usually resolve in less than 6 weeks. In most cases, a fissure will heal on its own without the need for treatment. However, if an acute fissure persists for more than 6 weeks, medical attention is necessary, potentially involving antibiotic treatment or surgery to address the skin split. On the other hand, chronic fissures typically require no treatment and heal spontaneously.
The MCDPA provides cost-effective treatment alternatives for anal fissures, offering budget-friendly imaging services and access to board-certified physicians and surgeons as required.
Treatment Options :
Easing post-defecation discomfort can be achieved by sitting in warm water that covers your hips and buttocks. This can be as straightforward as placing a warm towel between your thighs or utilizing a bidet if it is accessible. Sitting in a warm tub or shower after evacuating your bowels can also alleviate the discomfort of bowel movements. The warmth contributes to easing any soreness or cramping associated with prolonged sitting in the same position.
Nitroglycerin, also known as glyceryl trinitrate, functions as a vasodilator by relaxing blood vessels, promoting improved blood flow to the heart, brain, and throughout the body. Additionally, it aids in reducing spasms of the anal sphincter, contributing to an enhanced quality of life. However, it's important to note that this drug may, in some cases, lead to side effects such as headaches and light-headedness, which can limit its suitability for regular use in everyday life.
Nifedipine ointment is employed in addressing lower urinary tract symptoms, including incontinence, increased frequency, and urgency of urination. By relaxing the anal sphincter muscle, it facilitates easier stool passage. However, it's important to note that Nifedipine ointment does not provide a cure for conditions stemming from specific diseases or disorders, such as inflammation caused by infection, nephritis (kidney disease), bladder cancer, or toxic shock syndrome.
| Surgical Method | Method |
|---|---|
| Botox injection | While not a cure, Botox injection can help reduce or eliminate fissures by temporarily paralyzing the muscles below the anal sphincter. This prevents unwanted movement of stool through the anus. |
| Lord’s Dilation | The lord's dilatation (or lord's) is a traditional medical procedure that involves inserting a speculum into a patient's rectum at various angles and widening its already open anus. The purpose of this procedure is to provide the patient with more room and to relieve pain from constipation or hemorrhoids |
| PLIS ( Partial Lateral Internal Sphincterotomy ) | Partial Lateral Internal Sphincterotomy (PLIS) is a surgical procedure. It is a minimally invasive surgery that can be performed through the patient's mouth and nostril without making any cuts on their skin. This allows the doctor to access different parts of the body with ease. |
| Laser treatment | The Leonardo laser, which was originally used in India at the Healing Hands Clinic, is used for this. To accomplish internal sphincterotomy, a laser is employed. Nearly no blood is lost during this treatment, and the surgeon has excellent control over the surgical site. Additionally, the laser is used to remove the persistent fibrotic scar. This avoids any long-term discomfort and makes recuperation more rapid. |
| BOTOX For Fissure | Botulinum Toxin A is a neurotoxin also known by the brand name Botox. It produces temporary, localized, flaccid paralysis of muscle and can be used commercially in medicine, cosmetics, and research. |
Botox is a medication that temporarily induces muscle paralysis and lowers the activity of specific nerve cells in the body. It is effective in diminishing blemishes and wrinkles, providing a smoother appearance to facial features like crow's feet or frown lines. The longevity of Botox results typically ranges from 3 to 6 months, contingent on the frequency of treatments.
Painkillers may be administered to alleviate any discomfort resulting from the injection. The impact of Botox gradually becomes noticeable within the next 72 hours, reaches its peak at 4 weeks, and typically persists for 3-6 months (with individual variation). Maintaining soft stools is crucial, achieved by adhering to a fiber-rich diet and using prescribed stool softeners when recommended.
Laser Sphincterotomy stands as the optimal procedure for fissures. The anal fissure is treated using laser therapy through the application of the Leonardo Laser.
Avoiding foods that contribute to constipation is advisable. To prevent constipation, increase your water intake and adopt a high-fiber diet, as fissures are primarily induced by constipation.
Fissures can be treated with medication and lifestyle adjustments. Lifestyle changes should involve incorporating physical activity, ensuring adequate water intake, and consuming a high-fiber diet. Additionally, sitting in warm water after a bowel movement can help alleviate discomfort.
Healing Hands Clinic,
Spaze ITech Park Tower C, Ground Floor, Unit no 06, 07 and 08 Sohna road, Sector 49, Gurugram, Haryana 122018.
Healing Hands Clinic,
1st Floor Sheetla Chamber, Old Delhi Road, Opposite Air Force School, Sector 14, Gurugram, Harayana 122002.
CALL : +91 8792498991
