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What is an anal fissure?

An anal fissure is a common condition that causes painful bleeding or rupture at the surface of the anus or rectum. This sometimes manifests as pain and even bleeding through bowel movements. An anal fissure is a tear in the lining of your anus. The two sides of the inner muscular tissue called the internal and external sphincters, come together, making way for a special cushioning system to push stool away from the anus. Anyone who has had an anal fissure has likely heard plenty of terms used to describe it. If you or someone you know ever has experienced this condition, here's what you need to know about it.

Acute fissures are those that have been present for under six weeks. A chronic fissure is one that is older than six weeks. The Sentinel Pile, which resembles a skin tag and may be present in the Chronic fissure, is typically difficult to feel.

Symptoms

Patients who have painful defecation may put off going to the bathroom because they are terrified of it.

• As a result, constipation and hard stools are exacerbated, creating a vicious cycle of trauma and hard stools.
• The pain associated with defecation can be severe, prickling, or searing, and the subsequent burning may last for several hours.
• Blood on the tissue or a blood stain on the feces can occasionally be used as indicators of bleeding.
• When the anal sphincter spasms, it becomes necessary to strain while passing stools.

Treatment

1. MCDPA

Dr. Ashwin Porwal created the following MCDPA regimen at Healing Hands Clinic:

• Medicines - Herbal remedies to lessen localized 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.
• Physiotherapy - Pelvic floor physiotherapy aids in lowering anal sphincter spasms.
• Ayurvedic therapy employs the use of medicinal herbal oils.

2. Sitz bath

Sitting in warm water that covers your hips and buttocks after a bowel movement helps to reduce post-defecation discomfort. This method has been used for centuries, yet it is still not widely known. Sitz bath provides relaxation and comfort following defecation, so I want to tell you more about it.

3. Nitroglycerine

Nitroglycerin is a medication used to treat chest pain, shortness of breath, and heart palpitations. It is also prescribed to relieve the spasm of the anal sphincter muscle in patients with chronic constipation. The ointments are applied locally as needed to control symptoms such as bloating, diarrhea, or constipation

4. Nifedipine ointment

Another way to treat anal sphincter relaxation is using nifedipine ointment. The nifedipine ointment can reduce the amount of pressure that is exerted on the anus, which relaxes the sphincter muscles. It works in a similar way as other ointments that are used to make the anal opening smaller.

5. PLIS, or partial lateral internal sphincterotomy

It is a minimally invasive surgery that entails making a minor incision in the anal region while under local anesthetic. This primarily aims to lessen constipation, straining, and pain experienced during bowel movements.

6. Laser surgery

It is a cutting-edge operation that is revolutionizing the cosmetic industry. 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.

How To Spot A Fissure?

The diagnosis can be made with just a brief description of your symptoms and a visual inspection of the anus. To rule out any potential underlying causes for the fissure, your doctor may infrequently advise more tests.

Conclusion

Because it provides a non-surgical option for treating chronic anal fissures, Botox is so popular. It's time to look at botox if you've been searching for an alternative, non-surgical cure for your chronic fissure and have tried everything else.