What is Anal Fissure

An anal fissure or fissure-in-ano is a painful condition where a tear appears in the skin that surrounds the anus. The fissure can get worse both during and after bowel movements and may even bleed a bit at times.

These typically occur in the back, and in some cases, may occur in the front of anal openining. Those that develop anywhere else indicate other complications and may have underlying causes. Whatever be the type of fissure, you need to consult the best fissure surgeon in Kolkata

What are the Symptoms

These are the most common symptoms in people with anal fissure:

  • Pain during defecation
  • Itching around the anal region
  • Blood in faeces
  • Visible cracks surrounding the anal region

What causes Fissures

The causative factors of anal fissure are as follows:

  • Frequent diarrhoea (caused by underlying digestive issue)
  • Irregular bowel habits or straining to have bowel movements
  • Straining during childbirth
  • Severe constipation
  • Injury to the anus
  • Excessively tight sphincter muscle

Anal fissure rarely occurs due to the following:

  • Anal cancer
  • Herpes infection
  • Tuberculosis
  • HIV
  • Inflammatory bowel disease

Anal Fissure Treatment in Kolkata

Dr. Mainak Pal is one of the best fissure specialist doctors in Kolkata who would perform a clinical examination and advise a treatment plan depending on your requirements. He has successfully treated innumerable people with fissures and provided specialized and individualized service to their needs.

The initial treatments offered by Dr. Pal involve adding bulk to your stool and softening it with bulk forming agent in diet. Some of the other ways by which this is achieved, include:

  • Taking contemporary anaesthetics: Lidocaine is given to alleviate the pain associated with the anal canal
  • Avoiding spicy food especially chilly
  • Frequent lukewarm baths, called Sitz baths, help soothe the spasms and relax your anal canal muscles

The fissure specialist doctor in Kolkata may prescribe any of the following medications.

  • Nitro-glycerine ointment: This combined with petroleum is typically used for treating acute and chronic fissures.
  • Calcium channel blockers: Medicines like Diltiazem and Nifedipine are commonly used for treating fissures, but may have side effects such as minor headaches and reduced blood pressure.

The best fissure surgery in Kolkata includes surgical methods that are given below:

  • Lateral internal sphincterotomy, with a success rate of more than 90 percent, is generally recommended to patients. This is required when medical management fails to heal the fissure.