Your Trusted Partner for Fissure Treatment in Lucknow

What is Fissure

An anal fissure, also known as Fissure-in-ano, is a small tear or cut in the lining of the anal canal. This condition can affect men and women of any age, including infants. Anal fissures are commonly located at the back of the anus, in alignment with the cleft of the buttocks.

Fissures are categorized based on their duration :

• Acute fissures are those that persist for less than six weeks.
• Chronic fissures last longer than six weeks and may be accompanied by a Sentinel Pile, a skin tag-like growth that is often challenging to detect.

Prompt treatment is essential to alleviate discomfort and prevent complications.

Treatment for Anal Fissures at Healing Hands Clinic

Medicines

For acute fissures (less than six weeks old), medications are the first line of treatment. Chronic fissures are managed through initial conservative measures to break the cycle of sphincter spasms and anal skin tears.

MCDPA Approach

• Medicines : Herbal remedies are used to reduce inflammation in the affected area.
• Constac : A stool softener taken at night to ensure smoother bowel movements and avoid further irritation.
• Diet : A high-fiber diet along with increased water intake is recommended to prevent constipation and promote healing.
• Physiotherapy : Pelvic floor physiotherapy is used to relax the anal sphincter and reduce spasms.
• Ayurvedic Therapy : Medicinal oils from Ayurveda are incorporated to help heal and soothe the affected area.

2. Sitz Bath

A warm water soak after bowel movements helps to relax the anal muscles, reduce soreness, and enhance comfort.

Topical Treatments

• Nitroglycerin Ointment : Applied to the affected area to alleviate sphincter spasms. It may cause side effects like headaches but can be effective in treating fissures.
• Nifedipine Ointment : Used to relax the anal sphincter, improving blood flow to the area and promoting healing.

At Healing Hands Clinic, we offer a well-rounded approach, blending traditional methods with advanced treatments to ensure rapid healing and long-lasting relief from anal fissures.

How does botox work in the fissure?

Botox is an injectable treatment commonly used to reduce wrinkles and smooth facial lines. It contains botulinum toxin, a naturally occurring protein that works by interfering with the signals between nerves and muscles. This causes temporary muscle relaxation in the injected area, leading to softer facial expressions and muscle weakness. When used for anal fissures, Botox is injected into the anal sphincter to reduce spasms, ease pain, and promote healing by relaxing the muscle.

How is Botox administered?

Due to the sensitivity of the anal area, mild sedation is usually given to ensure comfort during the procedure. In some cases, local anesthesia may be sufficient to numb the area instead of sedation.

After cleaning the site thoroughly, botulinum toxin is carefully injected into the sphincter muscle surrounding the anus. While the entire procedure takes about 20 to 30 minutes, the injection itself is completed within approximately 5 minutes. You can head home shortly after the procedure once you feel comfortable.

What follows the procedure?

In order to ease any discomfort following the injection, painkillers may be given. The next 72 hours saw a gradual onset of Botox's effects, which peak at 4 weeks and last for 3-6 months ( individual variation ). A diet high in fiber and the use of stool softeners as directed is crucial for maintaining soft stools.

Bleeding, temporary inability to regulate bowel movements or flatulence (incontinence), an allergic reaction to Botox, muscle weakness, and postural hypotension are possible adverse effects (found in a small percentage of patients)

Conclusion

Botox has gained popularity as a non-surgical option for treating chronic anal fissures, offering pain relief for most patients. Its effectiveness is observed in approximately 60–70% of cases, and it can be easily repeated after six months if needed. For a small percentage of individuals where Botox is less effective, alternative treatment options can be explored.

Botox has gained popularity as a non-surgical option for treating chronic anal fissures, offering pain relief for most patients. Its effectiveness is observed in approximately 60–70% of cases, and it can be easily repeated after six months if needed. For a small percentage of individuals where Botox is less effective, alternative treatment options can be explored.