Understanding anal fissure assessment and care
An anal fissure is a small tear in the lining of the anal canal. It can cause pain during or after bowel movements and sometimes a small amount of bleeding. Symptoms can affect daily life, but bleeding or pain can also have other causes. Arrange an assessment rather than relying on a web page for diagnosis. At Bombay Gastro & Cancer Institute, Bathinda, patients can ask about examination, treatment choices, privacy and follow-up.
Symptoms of Anal Fissure
- Severe pain during and after passing stool — the most prominent symptom (can last minutes to hours)
- Bright red blood on toilet paper or in the toilet bowl (usually small amount)
- Burning sensation around the anus after defecation
- Visible tear or crack in the skin around the anus
- Skin tag (sentinel pile) at the anal opening — in chronic fissures
- Spasm of the anal sphincter muscle
- Fear of defecation leading to constipation and worsening the fissure
Acute vs Chronic Anal Fissure
- Recent fissure: A newer tear may be assessed differently from a persistent one. The clinician considers symptoms, examination and medical history.
- Persistent fissure: Symptoms that continue or return should be reviewed. The clinician can discuss whether more tests or a procedure are appropriate.
Causes of Anal Fissure
- Constipation with hard dry stools — most common cause. Hard stool stretches and tears the anal mucosa.
- Chronic diarrhoea — repeated injury to anal mucosa
- Childbirth injury — posterior or anterior fissures in women after difficult delivery
- Decreased blood flow to anal mucosa (ischaemic fissure) — especially in older patients
- Crohn's disease — atypical fissures, multiple, at unusual positions
- Previous anal surgery
Anal Fissure Treatment
Conservative (Medical) Treatment — For Acute Fissures
- Bowel-habit discussion: Ask whether food, fluids or other routine changes are appropriate for your health.
- Comfort measures: A clinician can discuss safe ways to reduce discomfort and when to seek review.
- Topical treatment: A clinician may prescribe medicine after reviewing your symptoms, other medicines and health history.
- Follow-up: Confirm when to return if symptoms do not improve or become worse.
Botox Injection — For Persistent Fissures
For selected persistent fissures, a clinician may discuss an injection-based option. Suitability, expected benefit, risks, anaesthesia and recovery depend on the individual case. Do not begin or change treatment without professional advice.
Lateral Internal Sphincterotomy (LIS) — For Chronic Fissures
Lateral internal sphincterotomy (LIS) is one procedure that may be discussed for selected persistent fissures. The clinician should explain how it works, possible benefits and risks—including effects on continence—and whether alternatives fit the patient’s health and examination.
- Anaesthesia and setting are decided by the treating team.
- Procedure duration, admission and discharge vary by the case and facility plan.
- Recovery and symptom changes vary; follow the clinician’s aftercare instructions.
- Discuss possible complications, including continence changes, before consenting.
Don't suffer in silence. Many patients with anal fissure feel embarrassed and delay seeking help for months or years. Effective, private, and respectful treatment is available at Bombay Gastro & Cancer Institute, Bathinda. Dr. Raman Garg maintains complete confidentiality.
Anal Fissure Prevention
- High-fibre diet (vegetables, fruits, whole grains) — prevents constipation
- Drink 2–3 litres of water daily
- Do not strain during defecation
- Do not ignore the urge to pass stool
- Exercise regularly to improve gut motility
- Treat diarrhoea promptly
Preparing for a fissure consultation
Before an appointment, note when the discomfort began, whether it happens during or after a bowel movement, and whether you have seen blood. Write down changes in bowel habits, previous treatments, allergies and medicines you take. This can help the clinician understand the history and decide what examination or tests may be appropriate. You can ask how privacy is handled, what an examination involves, and whether a support person may attend. Tell the clinician if you have a history of bowel disease, prior anal surgery or symptoms that are getting worse. Severe bleeding, fainting, fever, or rapidly worsening pain needs urgent medical assessment rather than a routine appointment. For related information, read the pages on piles care and fistula assessment, or contact the clinic to confirm current appointments. Online information cannot identify the cause of rectal pain or bleeding and should not replace an examination.
Frequently Asked Questions — Anal Fissure Bathinda
Potty karte waqt bahut dard hota hai — kya yeh fissure hai?
Potty karte waqt ya uske baad dard aur khoon fissure mein ho sakta hai, lekin doosri conditions mein bhi aise symptoms hote hain. Diagnosis ke liye clinician se assessment karayein. Appointment ke liye contact page dekhein.
Anal fissure ka operation Bathinda mein hota hai?
Kuch persistent fissures mein procedure discuss kiya ja sakta hai. Clinician examination ke baad options, anaesthesia, recovery aur possible risks samjhayenge. Current appointment availability ke liye contact page dekhein.
Kya fissure bina operation ke theek ho sakta hai?
Kuch fissures non-surgical care se improve ho sakte hain; har patient ke liye same plan sahi nahi hota. Symptoms bane rahein, badhein ya wapas aayein toh clinician se follow-up karein. Bina prescription medicine na lein.
Fissure aur bavaseer (piles) mein kya fark hai?
Fissure aur piles dono mein pain ya bleeding ho sakti hai, aur symptoms overlap karte hain. Sirf symptoms se diagnosis na karein; clinician history aur examination ke baad farq samjha sakte hain.
