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Anal Fissures Surgery in Bangalore

Goficure works to get you back to your normal, happy life and deliver a fast and hassle-free surgical experience by allocating a Medi-Pal to you who takes care of every need of yours. Make a decision to get cured and leave the rest to us!

All about Anal Fissures and its treatment

Overview

An anal fissure is a painful open sore or tear in the delicate tissues of the anal canal. Initially, only the epithelium is involved but over time, the full thickness of your anal mucosa gets affected. You may end up tearing your anal lining while passing large or hard stools. The prevalence of annal fissures is almost equal in both men and women. They are especially common in middle-aged and young people. However, people of all ages can develop anal fissure as well, including infants.  

If you develop an anal fissure, you are likely to feel a sharp pain while having a bowel movement. Moreover, the stool may be accompanied by bloody spots. Some of the leading causes for anal fissures include childbirth and constipation. Chronic diarrhea and anal intercourse are the other common risk factors for anal fissure. An anal fissure can negatively impact the overall health and wellbeing of an individual due to the pain and discomfort while having a bowel movement.  

While it might be embarrassing discussing anal fissure with a heath practitioner, it is important to seek timely medical attention as it aids in alleviating pain and suffering. Anal fissure can be prevented by consuming foods rich in dietary fiber, while regular exercise and intake of fluids also help. Practice good anal hygiene by lubricating the anorectal area. Soaking the anorectal area in a warm bath also helps. Surgery is only recommended in case all the other treatment measures have failed.

What are the possible causes of anal fissure?

Anal fissures are a result of several risk factors. They include:

Anal trauma

Trauma to the anal canal might lead to the development of anal fissures. Some of the leading causes of this trauma include:

Chronic constipation

Having to strain while having a bowel movement. This is usually common in case one is passing hard, dry and large stool

Anal intercourse

When foreign objects are inserted into the anus, this might lead to stretching and hence, anal fissure

Straining during childbirth

Women are more likely to develop anal fissure owing to the straining they experience during childbirth

Inflammatory bowel disease (IBD)

People with IBD are more likely to present with persistent diarrhea or constipation. IBDs such as ulcerative colitis and Crohn’s disease affect bowel movement. The straining experienced while having a bowel movement causes trauma to the lining on your anal canal and hence causes an anal fissure.

Sexually transmitted infections (STIs)

At times, STIs, including herpes and syphilis, may also lead to anal fissure. This is because STIs infect the anal canal, and hence cause damage.

Tight anal sphincter

If your sphincter muscle is unusually tight, this results in significant pressure build up in the anal canal. Therefore, your anal canal is highly prone to tearing.

Poor blood supply

If the flow of blood to your anal canal is poor, or has decreased, this can also trigger the development of anal fissures. Blood flow has also been shown to contribute significantly to healing of anal fissures. On the other hand, non-healing fissures are characterized by reduced blood flow.  

 

Signs and Symptoms of anal fissures

People with anal fissure manifest the following signs and symptoms:

Pain during bowel movements

This pain can be sharp, with a burning or stinging sensation. Pain from an anal fissure might be for a very short while. Alternatively, it can linger for a few hours following a bowel movement

Bleeding

An anal fissure may also be accompanied by bleeding during bowel movements. In this case, you might notice bright spots of blood on your toilet bowl or tissue paper. Blood due to a fissure is distinct form the stool. If you notice very dark blood that is inseparable from the stool, this could be indicative of an even more serious condition. It is important that you inform your doctor whether your bowel movements is accompanied by blood.

Itching

Anal fissure tends to be very itchy as a result of irritation to the tissues near your anal canal

Constipation

When you have an anal fissure, it becomes increasingly harder to have a bowel movement as the process gets very painful. Consequently, you are likely to develop constipation, leading to fewer bowel movements than usual.

Tear on the anal canal

A visible tear either in the anal canal or anus is a sign of  anal fissure

Other symptoms include:

  • Foul discharge
  • The skin around your anus might have a visible crack on it
  • You are also likely to have a small skin tag or lump adjacent to the anal fissure

How can we diagnose anal fissures ?

We have expert proctologists at our state-of-the art healthcare facility who will conduct a comprehensive rectal examination  to make a diagnosis for anal fissure.

A physical exam and medical history provide your doctors with sufficient information to make a diagnosis for an anal fissure. During the physical exam, the doctor will gently inspect your anus or anal regions for any visible tear. You are likely to feel embarrassed or uncomfortable while the doctor is conducting this physical exam, but this is necessary to make a proper diagnosis for anal fissure.

A physical exam also allows the doctor to distinguish an acute anal fissure from a chronic anal fissure. A chronic fissure persists for over eight weeks. It is also characterized by an external or internal fleshy growth. The tear is also deep, unlike the case with an acute anal fissure.  You doctor can also find out the cause of your fissure from its location. For instance, if the fissure is located on the side of your anal opening, as opposed to the front or back, this is indicative of a different disorder, like Crohn’s disease. After conducting a physical exam, your doctor might feel compelled to order further tests to check if there could be an underlying condition. Some of the additional tests include:

Colonoscopy

In this test, the healthcare professional  takes a long flexible tube and inserts into your rectum. This allows the specialist to inspect your colon in its entirety. A colonoscopy is best suited for patients aged 50 and above. It is also ideal for patients who are highly prone to colon cancer.

Anoscopy

Your doctor inserts a tubular device up your anus. The device allows your doctor to closely inspect your anus and rectum.

How do we treat anal fissures?

Lifestyle modification is the primary treatment remedy for treating anal fissures. In this case,  we advise our anal fissure patients to consume a high-fiber diet that includes whole grains, fruits, and vegetables. Such a diet helps soften the stool. It is also effective in relieving constipation. Additionally, patients are advised to increase their intake of fluids and in particular, water. This helps ease bowel movements. Medication is also prescribed to ease the itchiness and pain that often accompanies anal fissures. Moreover, if your doctor has determined that blood flow to your anal area has reduced, medication may be prescribed  to improve the flow of blood.

We only recommend surgery to correct an anal fissure after the combination of diet and medication has failed. This usually happens for a specific patient profile. In choosing the surgical procedure, our proctologists also take into consideration the contemporary conditions that characterize a specific patient. The increased uptake of innovative technology in the medical field over the past few years has greatly revolutionized fissure treatment. This has made it possible for proctologists to admit a patient for surgical treatment to correct anal fissures and discharge them on the same day.

At our healthcare facility, we boast of a highly qualified medical team who are also highly experienced in treating anal fissures. The team consists of proctologists, trained anesthesiologists, nursing assistances, as well as OT assistants. Thanks to this highly trained and effective team, we are in a position to conduct such advanced procedures as laser surgery to correct anal fissures.

Laser surgery differs based on whether we are dealing with acute or chronic anal fissure. In case of acute anal fissure, the surgical procedure is simple and painless. Due to its simple nature, the laser procedure is also non-invasive. Consequently, the likelihood for complications is very low. The surgical procedure has also proven to be an effective mode of treating anal fissure.

If you are dealing with chronic anal fissure, we recommend that you undergo laser fissurectomy. Since the presentation of chronic anal fissure varies form one patient to another, it is important that the surgical treatment be individualized. The surgical procedure involved is known as laternal internal sphincterotomy (LIS). The doctor usually cut a small part of your anal sphincter. The goal is to minimize pain and spasm, thereby promoting healing.

Most patients that undergo this procedure for anal fissure,  report significant relief from pain several days post-operation. The surgical team often decide on the most effective anaesthesia for application during surgery. This decision is of course arrived at following consultation with the patient. Some of the available choices are:

  1. Local anaesthesia where numbing is only evident on your rectum and anus
  2. General anaesthesia; here, the medication involved puts a patient in a state of deep sleep throughout the surgical procedure
  3. Saddle block; this entails administering spinal anesthesia in low doses. The goal is to numb the patient from their waist down

Before the appointed day of the surgical procedure, we make arrangements to have you picked form your home by our hospital van. We also assist you in completing any paperwork involved, such as singing of consent forms, before surgery commences. More importantly, we prepare you psychologically for the procedure so that you are relaxed and ready.

Post-op care and diet

You are likely to feel anal and rectal pain following fissure surgery. To mitigate this pain and make you feel comfortable, the doctor will often prescribe painkillers. However, you can also play a contributing role in your own recovery while at home. One way of doing this is by taking a sitz bath. This requires that you sit in a warm bathtub for some time, usually 10-20 minutes. The bath should be taken each time you have a bowel movement. A sitz bath has been proven to relieve the pain brought about by muscle spasms. This contributes to healing after fissure surgery.

There is a low possibility of an anal fissure relapse. However, this can be avoided by dietary modification.

  • We advise our patients who have undergone fissure surgery to increase their daily intake of fiber-rich foods. Examples of such foods are pasta and rice. Fruits and vegetables are also good sources of dietary fiber. 
  • We recommend that you eat 3-5 portions of vegetables and fruits each day. It is important also that you drink a lot of fluids daily, and in particular, water.
  • Keep away from spicy and fatty foods, as these are likely to cause constipation. Other foods like tortilla chips and nuts should also be avoided.
  • We follow up on our patients after surgery through phone calls. We are also available 24/7 for any complications or queries that you might have.
About Piles
Quick and safe Anal Fissures treatment in Bangalore
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If you have ever suffered from anal fissure, then you are probably familiar with the excruciating pain felt around your anal sphincter while having a bowel movement. Anal fissure may also be accompanied by bleeding, and hence the risk of infection. While sitz baths and stool softeners may help to manage such pain, home remedies are rarely helpful in the long-run. It may be necessary to undergo a surgical procedure to treat an anal fissure.

At goficure, we have a state-of-the-art facility with the most advanced laser surgical equipment in Bangalore for treating anal fissures. We advise our patients to undergo laser surgery for managing anal fissures over conventional surgery for a number of reasons.

  • First, laser surgery is less invasive, meaning faster recovery and a reduced risk for infection.
  • It is also cost-effective, takes a shorter time to administer and the chance of recurrence is greatly reduced.
  • Our surgeons are among the most highly experienced and skilled in treating anal fissure in Bangalore.
  • We offer highly discounted consultation with our healthcare team so that you can get a proper diagnosis in good time.
  • goficure will also help you to make the necessary arrangements for surgery at specialty hospitals across Bangalore.
  • We offer transport services to and from surgery.
  • Our post-op consultation is one of the best in Bangalore.

We make a point to check with you on your progress. We liaise with nutritionists across Bangalore who will guide you on the most effective diet plans to ensure a quicker recovery. Our healthcare team will also offer valuable tips on how to reduce the risk of recurrence.

Exclusive features you get with goficure

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1. Dedicated Medi-Pal

A dedicated Medi-Pal is assigned to you. Your Medi-Pal will be your one point contact throughout the treatment and post-op period. They will always be available for you

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2. Quick doctor’s appointments

After understanding your concerns, your Medi-Pal will schedule your consultation with a specialist doctor. Your doctor will carry out necessary tests and advise the course of treatment

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3. Hassle-free treatment

If you opt to get the surgery done, goficure will take care of it completely. Right from booking your surgery, claiming your insurance to being with you throughout the procedure, your Medi-Pal will do it all

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4. Post-op recovery support

Your Medi-Pal would ensure quick recovery. This includes booking your follow up consultations and helping you with doctor-recommended steps for diet & exercise

Guarantees

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Smooth and hassle-free

Choosing to get your treatment done with us would rid you of major and minor inconveniences alike. Whether it be...

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Specialist doctors

We work with specialist doctors with several years of experience in diagnosing and treating...

3

Transparent pricing

Your doctor will explain to you in detail about your condition and if there is a chance of developing...

4

Confidential

Life is precious. Each day lost in sickness can't be relived. It's time to shed inhibitions and...

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Safe and reliable

All our treatments and procedures are not just quick and provide immediate relief, but they are also...

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Priority treatment

The difference between a typical hospital and us is that we understand that your treatment is not all about...

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Trustworthy diagnosis

Your doctor will diagnose you appropriately and transparently. Rest assured, our aim is to ensure...

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Quick treatment

Our aim is to shorten your treatment and healing time and make it a fraction of the time...

Why Goficure?

Specialist doctors

Our doctors are vetted for their experience and skills. Rest assured, you are in safe hands. The best treatment for your condition is delivered all the time

Specialist Doctors

Medi-Pal assistance

A dedicated Medi-Pal is assigned to take care of the entire process. This includes booking your appointments, scheduling the surgery, handling your documentation including claiming insurance, discharge, and post-op recovery

Specialist Doctors

Affordability

Goficure delivers high-quality treatment to you at affordable prices. Superior treatment and best quality of service is assured while keeping costs reasonable

Specialist Doctors

Post procedure care and follow-ups

Our engagement doesn't end after your surgery. It continue until you go back to your normal life. Free diet and exercise consultations during your recovery phase are offered to ensure a quick recovery

Specialist Doctors

Comparison

With so many options, are you wondering what the right choice for your condition is? While you can opt for either an open surgery or a laser surgery, numerous studies have shown that laser surgeries are far more effective. Be it the duration of the procedure, post-operative pain or recovery time, laser surgeries always outrank open surgeries and are therefore, a better choice. Here is a quick comparison that will help you decide your course of action.
 
Cuts and wounds
Pain
Chance of recurrence
Procedure time
Rest advised
Invasiveness
Infection risk
Bleeding risk
Recovery time
Success rate
Post procedure discomfort
Open surgery
Yes
Painful
Yes
Long
Weeks to months
Large
Yes
Yes
Months
Above average
Large
Laser surgery
No
Painless
No
Short
1-3 days
Minimum
No
No
Days
Very high
Minimum

What you don’t undergo with goficure

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1. Long waiting lines

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2. Lack of personalized attention

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3. Excessive billing/hidden charges

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4. Running around for your treatment

Frequently asked questions

There is a difference between anal fissures and piles. Piles or medically called as haemorrhoids are nothing but swollen veins present in the anal or rectal area. The swelling may bulge outside, causing discomfort. When piles start, it is usually painless. However, as the swelling increases, the area around the anus begins to pain. Anal fissures on the other hand are extremely painful. . A tiny cut that appears on the lining of the anal cavity is called an anal fissure, Patients feel uncomfortable, report pain and discomfort accompanied with little or no bleeding.
Anal fissures heal very much like normal tears to the skin. Anal fissures heal on their own in few weeks. It is important to consult a specialist so that you can receive the consultation and advice as well as medication to alleviate symptoms, permit healing of the fissure quickly.
An apt yet common analogy is used to describe the pain patients experience from the presence of anal fissures. The pain that patients experience is akin to passing broken glass. The precise symptoms patients experience are extreme discomfort marked by burning, tearing or ripping sensation. Patients also experience bright red bleeding at the time of passing stools or after it. Although, anal fissure cause pain and discomfort, there is nothing alarming about the condition. Patients do complain of a seething pain during a hard bowel movement. People experience the pain and discomfort even after the bowel movement. Those that suffer from anal fissure may find it difficult to sit.
Fortunately, anal fissures do not cause serious health issues. Most of the anal fissures completely heal on their own and do not cause complications. Short-term anal fissures heal with home treatment in few weeks. Chronic fissures are those that have not healed in 8 to 12 weeks and needs treatment. The telltale indication of a chronic anal fissure is the presence of pain and blood in the stool for more than 06 weeks. These fissures will not heal with home treatment alone and will need specialist advice and treatment. If chronic anal fissures are not treated, it can result in complications. The anal fissure can be infected and pus can form in it. Patients experience extreme pain if the fissure gets infected. Further, when the fissure gets infected, it will grow deeper and become an anal fistula.
Goficure can connect you to the best specialists in Bangalore who can diagnose and treat your condition effectively. We work with most specialists in Bangalore who are equipped to diagnose and treat anal fissures. The specialist initially examines the area around the anus to make a diagnosis. The specialist may also conduct a rectal exam to make a confirmed diagnosis. To be sure, the specialist may insert an anoscope into your rectum to view the tear clearly.
There are two ways to treat chronic anal fissures. One is invasive called lateral internal sphincterotomy (LIS), and another uses laser to treat the fissure. Doctors perform lateral internal sphincterotomy (LIS) by cutting a tiny part of the anal sphincter muscle to lower pain and spasm. Laser treatments are more effective and a non-invasive method to treat anal fissures. Goficure works with the best specialist in Bangalore who can offer laser treatment to treat anal fissures. Laser surgery for anal fissures is a non-surgical way to reduce pain and discomfort associated with anal fissures. The benefit of laser surgery over Lateral internal sphincterotomy is the following:
  • Non-invasive way of treatment
  • Day procedure which is completed within 30 minutes
  • Patient can go home on the same day of the procedure
  • No risk of complications
  • Faster healing and recovery
The cost of conventional open surgery to treat anal fissures may range from INR 30,000 to INR 50,000 in Bangalore. This is dependent on the skill of the surgeon, type of facility opted by the patient and the type of hospital. The open surgery may cost nearly 90,000 for this procedure in Bangalore. Laser surgery in Bangalore may cost anywhere from Rs. 55,000 to Rs. 65,000 in Bangalore. Goficure has the best treatment plan and optimizes cost structure that clients can capitalise on to enjoy a win- win experience. The database at goficure has the complete list of specialists they work with that offer laser surgery for anal fissures at reasonable costs. Patients can save time, energy and money by availing the services of goficure to enjoy the best laser treatment for anal fissures in Bangalore.
Most patients resume normal activities and even get back to work one or two weeks after surgery. For the anus to fully heal, it may take nearly 6 weeks.
Anal fissures can successfully be treated with non –invasive laser-based surgery. This surgery is very easy to perform using local anaesthesia. Laser treatment for anal fissures reduces the chance of recurrence of fissures. Further, during the operation, the use of lasers reduces the chance of bleeding and enables a better overview of the surgery. The most crucial benefit of laser surgery is that the sphincter muscle is protected. There is no thermal damage to the tissue surrounding the area, which is the case with respect to open surgery. Further, patients that have undergone laser surgery report lesser pain due to the surgery. The wound also heals much faster with laser surgery as compared to open surgery.

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