ypes of Anal Fissures and Their Treatment — By Dr. Karan R Rawat, Best Fissure Specialist in Agra

Anal fissures, though small in size, can cause intense pain and discomfort during bowel movements. They are common but often misunderstood and neglected until they become chronic. As a leading fissure specialist, proctologist, and laser surgeon in Agra, Dr. Karan R Rawat offers expert evaluation and cutting-edge treatment for all types of anal fissures. In this blog, we explore the types of anal fissures and their modern treatment options.

💥 What is an Anal Fissure?

An anal fissure is a small tear or cut in the lining of the anus, typically caused by passing hard stools or constipation. It can cause:

  • Severe pain during or after bowel movements

  • Bright red bleeding

  • Spasms in the anal muscles

  • A visible crack near the anal opening

🔍 Types of Anal Fissures

1. Acute Anal Fissure

  • Duration: Less than 6 weeks

  • Appearance: Fresh tear with red edges and minimal scarring

  • Symptoms: Sharp pain, fresh bleeding, burning

Cause: Hard stools, diarrhea, or anal trauma

Treatment:

  • High-fiber diet

  • Stool softeners

  • Warm sitz baths

  • Topical anesthetic and nitroglycerin creams

✅ Most acute fissures heal within weeks with proper conservative care under expert supervision.

2. Chronic Anal Fissure

  • Duration: More than 6 weeks

  • Appearance: Deep ulcer with fibrotic edges, sentinel tag (skin tag), and hypertrophied anal papilla

  • Symptoms: Persistent pain, bleeding, and itching

Cause: Poor healing of an acute fissure, repeated trauma

Treatment:

  • May require surgical intervention

  • Topical muscle relaxants like Diltiazem or Botox

  • Laser therapy

  • Lateral internal sphincterotomy (LIS)

🔍 Dr. Karan R Rawat offers specialized care for chronic fissures with a high success rate using advanced minimally invasive techniques.

3. Primary vs. Secondary Anal Fissures

  • Primary fissures: Caused by local trauma like constipation or childbirth.

  • Secondary fissures: Linked to conditions like:

    • Crohn’s disease

    • Tuberculosis

    • Syphilis

    • HIV/AIDS

Treatment:

  • Primary fissures are usually treated symptomatically.

  • Secondary fissures require treating the underlying systemic condition along with fissure management.

🩺 Treatment Options by Dr. Karan R Rawat

🔬 1. Medical Management

  • Stool softeners (Lactulose, Isabgol)

  • High-fiber diet and hydration

  • Topical ointments (GTN, Diltiazem)

  • Pain relief gels

  • Oral analgesics

💡 2. Laser Fissure Surgery

  • Bloodless

  • Painless

  • No stitches

  • Fast recovery

Dr. Karan R Rawat is a pioneer in laser treatment for fissure in Agra, offering day-care procedures with excellent outcomes.

✂️ 3. Lateral Internal Sphincterotomy (LIS)

  • A minor surgical procedure to relax the anal sphincter

  • Gold standard for chronic fissure treatment

  • High success rate with minimal recurrence

💬 "Each patient’s fissure is different — my aim is to treat the root cause, ensure pain relief, and offer long-term healing using the most suitable method." — Dr. Karan R Rawat

🌟 Why Choose Dr. Karan R Rawat for Fissure Treatment in Agra?

  • Expertise in proctology with thousands of successful treatments

  • Advanced laser & minimally invasive surgeries

  • Painless procedures with rapid recovery

  • Personalized care and counseling for prevention

📍Visit Safe Gastro & Surgery Centre, Agra

If you’re suffering from pain, bleeding, or discomfort during bowel movements, don’t ignore it. Early diagnosis and treatment can save you from chronic suffering.

🩺 Book a consultation with Dr. Karan R Rawat — the best fissure doctor and proctologist in Agra, trusted by patients across Uttar Pradesh and beyond.

📞 Contact:
Safe Gastro and Surgery Centre
Agra | Advanced Laser and Gastro Surgery
[Phone Number] | [Google Maps Link]

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