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        Anal Fissure

        A small tear in the thin, moist tissue that lines the anus causes an anal fissure. An anal fissure might emerge when you pass hard or large faeces during a bowel movement. Pain and bleeding in the bowel motions are symptoms of anal fissure. Spasms in the muscular ring at the end of your anus can also occur.

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          Anal fissures are especially prevalent in infants, although they can happen to anyone at any age. Simple therapies, such as increased fiber intake or sitz baths, can help most anal fissures heal. Anal fissures may rarely need surgery.

          Fissure - Condition

          Your doctor will most likely inquire about your medical history and do a physical examination, which will likely include a mild examination of the anal region. The tear is frequently noticeable. An anal fissure can usually be detected with just this inspection.

          Acute anal fissure have the appearance of a fresh rip, similar to a paper cut. A chronic anal fissure is more likely to have a deeper tear and fleshy growths on the inside or outside. If a fissure lasts longer than eight weeks, it is considered chronic.

          The position of the fissure reveals information about its cause. A fissure on the side of the anal orifice, rather than the rear or front, is more likely to indicate the presence of another ailment, such as Crohn's disease. If your doctor suspects you have an underlying disease, he or she may suggest additional testing:

          Anoscopy - It is a tube that is inserted into the anus and allows your doctor to view the rectum and anus.

          Flexible sigmoidoscopy - It is a type of sigmoidoscopy that allows you to move A thin, flexible tube with a tiny video will be inserted into the bottom region of your colon by your doctor. You may be qualified for this test if you're under 50 and don't have any risk factors for intestinal illness or colon cancer.

          Colonoscopy - To evaluate your entire colon, your doctor will put a flexible tube into your rectum. If you're over 50, have risk factors for colon cancer, evidence of other illnesses, or other symptoms including abdominal pain or diarrhoea, this test may be recommended.

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          TaCa Dost

          At TaCa Healthcare we align a dedicated TaCa dost with each and every fissure patient so that you don't have to worry about formalities & paperwork at hospital.

          Affordable Cost

          Taca Healthcare offers Treatment of fissure at very affordable rate. We also provide insurance paperwork support. TaCa Healthcare is working on a Mission to make fissure treatment affordable in India.

          Insurance Support

          Depending upon your insurance provider fissure treatment is covered up to 100%. TaCa Healthcare ensures Hassle free treatment experience that too at very low cost.

          30 minutes

          Fissure procedure takes a maximum of 30 minutes to complete. Fissure treatment is a daycare procedure wherein patient can get discharged and go home early.

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            Fissure - Symptoms

            Fissure - Treatments

            By softening stools and relieving pressure on the anal canal, anal fissure treatment relieves discomfort and bleeding. Conservative treatments are first tried, which may include one or more of the following:

            • Using stool softeners, drinking more fluids while avoiding caffeine-containing goods, and making dietary changes to avoid constipation.
            • Soak in a warm bath (also known as a sitz bath) for 10 to 20 minutes many times a day to help relax the anal muscles.
            • Gently cleansing the anorectal region;
            • Avoid squeezing or sitting on the toilet for long periods of time;
            • Petroleum jelly is applied to the anorectal area to assist lubricate it.

            Most fissure heal within a few weeks to months using these techniques. When therapies fail and anal fissure persist or return, further options can be considered, such as:

            • Use hydrocortisone-containing suppositories, foams, or creams to alleviate inflammation, as well as extra lotions and ointments. A medicinal cream, a topical muscle relaxant, an anaesthetic ointment, or nitroglycerin or calcium channel blocker ointments are some of the options.
            • Botulinum toxin type A is injected into the anal sphincter. The anal sphincter muscle is temporarily paralysed by the injection, which relieves pain and promotes recovery.
            • Surgery

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              Fissure- Surgical Procedures

              Patients who have failed to respond to standard treatment should consider surgery to treat fissure. Recurrent cracks can also lead to the production of scar tissue, which prevents the anal opening from fully relaxing, necessitating surgical intervention. Evidence suggests that patients' responses to conservative therapy should be monitored for 4 to 12 weeks before surgery is recommended.

              Patients with severe symptoms from persistent or reoccurring chronic fissure may require surgical therapy, which involves cutting a tiny portion of the muscle that relaxes or tightens to open or close the anus to pass faeces, to reduce spasm and pain. However, because it is a surgical operation, there is a risk of complications such as recurrence or loss of control over flatus or stools transit.

              Recovery & Post Operation Care

              All You Want To Know About Fissure

              FAQ Back
              FAQ Front

              If you have pain during bowel movements or detect blood on your stools or toilet paper after a bowel movement, see your doctor.

              Anal fissure complications can include:

              1. The inability to heal. If an anal fissure does not heal after eight weeks, it is considered chronic and may require further treatment.
              2. Recurrence. If you've had an anal fissure before, you're more likely to get another.
              3. A rip that extends to the muscles around it. Healing an anal fissure that extends into the muscle ring that holds your anus closed can be more difficult. An unhealed fissure can set off a vicious cycle of agony that may necessitate the use of drugs or surgery to relieve the pain and repair or remove the fissure.

              The most widely administered topical anaesthetic for anal fissure is lidocaine. It's available as a gel or an ointment, and it's normally only used for a brief period of time.

              Several lifestyle adjustments can help ease discomfort, enhance healing, and avoid recurrences of an anal fissure:

              1. Increase the amount of fibre in your diet. Fiber consumption of 25 to 30 grammes per day can help keep stools soft and promote fissure healing. Fruits, vegetables, nuts, and whole grains are all high in fibre. You can also add a fibre supplement to your diet. Fiber can induce gas and bloating, so gradually increase your intake.
              2. Drink plenty of water. Constipation can be avoided by drinking enough of water.
              3. During bowel movements, avoid straining. Straining puts pressure on a healed tear, which might cause it to open or induce a new tear.

              The success rate for fissure healing following surgery is 92%.

              It's commonly compared as passing through broken glass. A sensation of tearing, ripping, or burning, as well as a tiny amount of bright red bleeding during and after a bowel movement, are common anal fissure symptoms. While the illness can be excruciatingly painful, it is usually not life-threatening.

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