# Fissure in Ano: Types and Treatment by Dr. Karan R Rawat
Fissure in ano, also known as an anal fissure, is a common and painful condition affecting the anus and rectum. It occurs when the delicate lining of the anus tears, causing sharp pain during bowel movements. While fissures can develop in people of all ages, they are particularly common in those with chronic constipation, diarrhea, or after childbirth. Dr. Karan R Rawat, one of Agra’s leading proctologists and colorectal surgeons, specializes in diagnosing and treating fissure in ano, offering both medical and surgical options to ensure effective relief.
### Types of Fissure in Ano
1. **Acute Fissure**:
An acute anal fissure is a recent tear in the anal lining and typically lasts for less than six weeks. These fissures usually result from passing hard stools or experiencing severe diarrhea. Symptoms include sharp pain during or after bowel movements, minor bleeding, and discomfort. Acute fissures can heal with conservative treatments like medications and lifestyle changes, especially if diagnosed early.
2. **Chronic Fissure**:
A chronic anal fissure is a tear that persists for more than six weeks and often has a deeper tear with visible scar tissue. Chronic fissures may be associated with muscle spasms in the anal sphincter, making them more resistant to healing. These fissures can cause persistent pain, itching, and irritation. In chronic cases, patients may need advanced treatments like surgical intervention to heal the fissure properly.
3. **Primary Fissure**:
A primary fissure typically arises without any underlying medical conditions. It is usually caused by mechanical trauma, such as straining during bowel movements or constipation.
4. **Secondary Fissure**:
Secondary fissures develop due to underlying medical conditions like Crohn’s disease, ulcerative colitis, infections, or sexually transmitted diseases. These fissures are more challenging to treat and often require managing the underlying disease alongside treating the fissure.
### Symptoms of Fissure in Ano
- Sharp, stabbing pain during and after bowel movements
- Bright red blood on toilet paper or stool
- Itching or irritation around the anus
- A visible tear near the anus
- Muscle spasms or tightening of the anal sphincter
### Causes of Fissure in Ano
The primary cause of fissure in ano is trauma or damage to the lining of the anus. Common causes include:
- Chronic constipation or straining during bowel movements
- Passing hard stools
- Severe or prolonged diarrhea
- Childbirth-related stress
- Anal intercourse
- Conditions like Crohn’s disease or infections
### Treatment Options for Fissure in Ano by Dr. Karan R Rawat
Dr. Karan R Rawat, renowned for his expertise in proctology and colorectal surgery, provides comprehensive treatment for both acute and chronic fissures. He tailors each treatment plan to the patient’s needs, ensuring effective relief and long-term healing.
#### 1. **Conservative Treatments**
For acute fissures, Dr. Rawat emphasizes non-surgical treatment options, which can lead to healing in the majority of cases:
- **Dietary Changes**: A diet high in fiber (fruits, vegetables, whole grains) and adequate fluid intake can help soften stools and prevent constipation, reducing the strain during bowel movements.
- **Stool Softeners**: Over-the-counter stool softeners or fiber supplements may be prescribed to ease the passage of stools.
- **Topical Ointments**: Application of prescribed ointments containing nitroglycerin or calcium channel blockers helps relax the anal sphincter and promote healing by improving blood flow to the affected area.
- **Sitz Baths**: Regularly sitting in warm water for 10-15 minutes can relax the sphincter muscles, provide pain relief, and promote healing.
- **Pain Relief**: Topical anesthetics or over-the-counter pain relievers may be recommended to manage the discomfort associated with fissures.
#### 2. **Botox Injections**
For chronic or non-healing fissures, Dr. Karan R Rawat offers minimally invasive treatments such as Botox injections. Botox works by temporarily relaxing the anal sphincter, reducing muscle spasms and allowing the fissure to heal. This method is less invasive than surgery and has proven effective for many patients.
#### 3. **Surgical Treatment: Lateral Internal Sphincterotomy (LIS)**
When conservative treatments fail to heal the fissure, or if the fissure becomes chronic, surgery may be recommended. Dr. Karan R Rawat is highly skilled in performing **Lateral Internal Sphincterotomy (LIS)**, a minor surgical procedure that involves making a small incision in the anal sphincter muscle to reduce tension and allow the fissure to heal. This procedure is highly effective, with a success rate of over 90%, and provides long-lasting relief from pain and discomfort.
#### 4. **Laser Surgery for Fissure in Ano**
Dr. Karan R Rawat is also an expert in performing **laser surgery**, a cutting-edge treatment for fissure in ano. Laser surgery offers several advantages, including:
- Minimal pain and discomfort during the procedure
- Faster recovery time compared to traditional surgery
- Reduced risk of infection
- Minimal bleeding
- Shorter hospital stay
Laser surgery is an ideal option for patients with chronic fissures who want a minimally invasive and effective treatment option. Dr. Rawat’s experience and precision in laser techniques make him the best choice for fissure treatment in Agra.
### Why Choose Dr. Karan R Rawat for Fissure in Ano Treatment?
- **Expertise**: Dr. Karan R Rawat is one of Agra’s most experienced proctologists and laser surgeons. He specializes in treating conditions like fissure in ano with both conservative and advanced surgical methods.
- **Advanced Technology**: Dr. Rawat offers the latest in laser surgery and minimally invasive treatments, ensuring the highest standard of care.
- **Patient-Centric Care**: Each patient receives a personalized treatment plan that addresses their unique needs and ensures effective relief.
- **Comprehensive Follow-Up**: Dr. Rawat’s focus on long-term healing includes thorough post-treatment care and lifestyle guidance to prevent recurrence.
### Conclusion
Fissure in ano can be a painful and frustrating condition, but with the right care, it is treatable. Dr. Karan R Rawat’s expertise in managing both acute and chronic fissures, along with his use of advanced treatment methods like laser surgery and Botox injections, ensures that patients receive the best care available. If you are suffering from anal fissures, Dr. Rawat is the top choice in Agra for comprehensive and effective treatment.
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