Overview
Anal fissures are very common and are more likely to occur between the age group of 15 years to 40 years.
They are open sores (ulcerations) or tears that occur in the lining of the anal canal. Both men and women can develop anal fissures.
Anal fissures can be identified by a sharp pain or some bleeding during defecation. You may also experience a burning sensation that can last for several hours. People with chronic anal fissures may have a skin tag or lump in the anal area.
Anal fissures are mostly caused due to dry and hard bowel movements or frequent, loose stools. Other causes include localized trauma, inflammatory bowel disease (IBD), tumors, anal infections, etc.
What is an anal fissure surgery?
The best option to treat chronic anal fissures is surgery.
Surgery may include lateral internal sphincterotomy (LIS) during which the surgeon removes a part of the anal sphincter muscle to reduce spasms, and pain, and promote healing.
Surgeons may also inject Botulinum toxin injection to treat anal fissures and reduce anal spasms.
Dos - Essential dos after an anal fissure surgery
Most anal fissure surgeries are performed in day-surgery units and you can go home the same day. However, if you had your surgery in a hospital, your surgeon and healthcare team will advise when to go home. They may keep you for a day under observation.
Post-surgery, you must strictly follow the treatment and home care plan as advised by your healthcare provider.
Release from hospital
You must ask a relative or a friend to accompany you for 24 hours at home after the surgery. You will not be allowed to drive a car for a few days post-surgery.
Homecare
There may be some anal bleeding or discharge after the surgery. This is normal. You can wear a gauze or sanitary napkin until the bleeding stops. Consult your doctor immediately if you are having prolonged heavy bleeding or blood clots.
Take sitz baths and medications for pain. Soak yourself in warm water for 15 to 20 minutes. This relaxes the sphincter muscles and helps in urination. If you are unable to urinate within 8 hours after surgery, consult your doctor immediately.
Avoid scented soaps while bathing.
Along with your regular diet, include plenty of fruit juices, water, and fibrous vegetables. This helps in urination as well as easy bowel movements.
Try walking a little every day. This enhances blood circulation and prevents constipation.
Bowel regimen
Avoid constipation. Eat fiber-rich foods, drink water, and take stool softeners, or medications as prescribed by your doctor.
Keep your anal area clean and dry.
Take a wet, soft, cotton towel to clean the anal area.
Stop your suffering NOW
Don't just jump into a surgery because your doctor is advising you to go for it. Consult our doctors to know if you need a surgery at all. Rest assured, we WON'T recommend you surgery unless it's the last resort.
