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What is Anal Fissure?
An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. A chronic anal fissure likely has a deeper tear and may have internal or external fleshy growths. A fissure is considered chronic if it lasts more than eight weeks.
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Frequently Asked Questions
Fissure surgeries are generally performed by general or colorectal surgeons who are specialized in treating anal fissures.
Colorectal surgeons are those surgeons who have completed advanced surgical training in the treatment of these diseases like anal fissure, as well as entire general surgical training.These doctors are skilled at the surgery of anal fissures and can carry out the procedure tactfully.
It is considered a long-term that is a chronic fissure. A chronic fissure may need medical treatment for the curing and healing process. Anal fissures are a common problem found in several people. They affect people of all ages, especially young and otherwise healthy people.
The cost of anal fissure surgery ranges from INR 20,000 to INR 40,000. Laser fissure procedure can cost around INR 25,000 depending upon the type of surgery. The cost may vary on a case-to-case basis depending upon the procedure, complexities associated with the disease, institution, and geographical location.
One must carefully take out the dressing the morning after the surgery and then take bath with warm water. Applying Silvadene cream to the anus after each hot bath for the first 7to 10 days can be helpful. After bathing, one must pat dry or use a hairdryer and after each bowel movement, gently cleansing the area with water or bathe/shower to keep the area clean can be helpful.
The recovery time of laser surgery is the fastest in comparison to the other procedures and this also allows better control to the surgeon on the entire surgery. It helps the surgeon in removing the fissure properly. Also, the patient experiences nearly no pain during the surgery.
With the help of technology and improvements in medical science, an anal fissure can be treated easily through laser form and by using local anesthesia in a clinic with the least postoperative morbidity. The chance of recurrence of the fissure is relatively less as compared to the traditional surgery methods.
After surgery, one can expect to experience a little bit of discomfort. This can be a little painful for the first few days in the beginning however the pain is eased soon and one starts feeling comfortable again. When the patient leaves the hospital after treatment, they are given something to ease the discomfort and pain.
Hemorrhoids happen due to pressure applied in the anal and rectal veins a repeated number of times. However, anal fissures are caused due to trauma to the anal canal generally during the bowel movement. The major difference between the both is that they are a different kind of surgery altogether. The tear of tissue is called anal fissure whereas hemorrhoids take place by the weakening of cushions of tissue in the lower rectum of the body. This causes the skin to blow up and get filled with blood.
There are certain changes that need to be made in the lifestyle such as adding fiber to the diet and consuming adequate fluids is helpful. Also, one must avoid straining during bowel movements. These will help in relieving discomfort and will eventually promote healing of the anal fissure. Any chance of recurrence will also be prevented.
There are certain factors that can increase the risk of developing an anal fissure. Constipation, which is straining during bowel movements, is one factor that risks anal fissures as it increases the chances of tearing. Childbirth can also be another significant factor for women. Anal intercourse is also a reason that can lead to the risk of anal fissure.
Adding fiber to your diet can prove to be very beneficial and consuming 25 to 30 grams of fiber a day is advisable. Thus, eating foods that have a significant amount of fiber can be helpful for the healing of the anal fissure. This results in softening the stools and eventually helps in healing the anal fissures. Having an intake of enough amount of fluids can be helpful and you should avoid straining in the bowel movements.