# Complications of Fissure and Treatment by Dr. Karan R Rawat
### **Introduction**
An anal fissure is a small tear in the lining of the anus, often caused by constipation, passing hard stools, or trauma. Though it may initially seem like a minor condition, if left untreated, fissures can lead to severe complications affecting a person’s quality of life. Dr. Karan R Rawat, the leading Gastroenterologist, Proctologist, and Laser Surgeon in Agra, offers expert and advanced treatment for anal fissures.
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### **Common Complications of Untreated Fissures**
#### **1. Chronic Anal Fissure**
If an acute fissure persists for more than 6 weeks, it becomes chronic. Chronic fissures are more difficult to treat and often have scar tissue around the tear.
#### **2. Persistent Pain and Bleeding**
Severe pain during bowel movements and continuous bleeding are common in chronic fissures. This can lead to fear of defecation, worsening constipation and aggravating the condition.
#### **3. Sentinel Pile Formation**
A skin tag, called a sentinel pile, often develops near the fissure. This can cause discomfort and may require surgical removal.
#### **4. Infection and Abscess Formation**
The fissure can act as a gateway for infections, leading to the development of anal abscesses or fistulas, both of which require surgical intervention.
#### **5. Fistula in Ano**
A complex complication where an abnormal tunnel forms between the anal canal and the skin around the anus. Fistulas are challenging to treat and often necessitate advanced surgical procedures.
#### **6. Incontinence Issues**
In severe cases, untreated fissures can damage the anal sphincter muscles, leading to partial or complete loss of bowel control.
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### **Treatment Options by Dr. Karan R Rawat**
#### **1. Conservative Management**
- **Dietary Changes:** High-fiber diet and increased fluid intake to prevent constipation.
- **Topical Ointments:** Medications such as nitroglycerin or calcium channel blockers to relax the anal sphincter.
- **Sitz Baths:** Warm water baths to relax anal muscles and improve healing.
#### **2. Medications**
Dr. Karan R Rawat prescribes laxatives and stool softeners when necessary to ensure easy bowel movements, minimizing strain.
#### **3. Non-Surgical Procedures**
- **Botox Injections:** Effective in relaxing the anal muscles and promoting healing in chronic fissures.
#### **4. Advanced Surgical Treatments**
Dr. Karan R Rawat specializes in minimally invasive and advanced surgical techniques:
- **Lateral Internal Sphincterotomy (LIS):** A gold-standard procedure to reduce pressure on the anal sphincter, ensuring rapid recovery.
- **Laser Surgery:** A precise and minimally invasive method to treat fissures with minimal pain and faster recovery time.
#### **5. Post-Surgical Care and Follow-up**
Dr. Rawat emphasizes a comprehensive approach, including lifestyle changes, personalized diet plans, and regular follow-ups to prevent recurrence.
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### **Why Choose Dr. Karan R Rawat?**
- Extensive experience in treating anal fissures and related complications.
- Expertise in modern surgical techniques, including laser treatments.
- Personalized care for faster recovery and long-term relief.
If you are experiencing the painful symptoms of anal fissures or seeking expert care for advanced complications, consult Dr. Karan R Rawat in Agra for effective and compassionate treatment.
**Book your appointment today and take the first step toward a healthier, pain-free life!**
Tags: | #FISSURE treatment, # fissure doctor, # fissure surgeon, # PROCTOLOGIST |