When Anal Fissures Turn Into Fistulas: Causes, Symptoms, and Treatment – By Dr. Karan R. Rawat, Agra’s Leading Proctologist & Laser Surgeon

An anal fissure is a small tear in the lining of the anus, which can sometimes develop into a fistula-in-ano if left untreated. Understanding the risk factors, early warning signs, and modern treatment options is crucial to avoid chronic pain and complications.

Dr. Karan R. Rawat, recognized as the best gastroenterologist, liver doctor, general surgeon, laser surgeon, proctologist, podiatrist, and laparoscopic surgeon in Agra, provides expert care for fissures, fistulas, piles, and other anorectal conditions. Residents of Agra, Mathura, Firozabad, Etah, Mainpuri, Aligarh, Hathras, Dholpur, Morena, Bharatpur, Shikohabad can rely on his advanced treatment methods.

⭐ What Are Fissures and Fistulas?

  • Anal Fissure: A small tear in the anal mucosa, usually caused by constipation, hard stools, or straining.

  • Anal Fistula (Fistula-in-Ano): An abnormal tunnel connecting the anal canal to the skin around the anus, often developing after chronic fissures or abscesses.

🔥 How a Fissure Can Turn Into a Fistula

While most fissures heal with proper care, some can progress due to:

  1. Chronic Infection – bacterial infection at the fissure site can form an abscess, which may develop into a fistula.

  2. Delayed Treatment – persistent pain and untreated fissures increase risk of tissue damage and fistula formation.

  3. Underlying Conditions – Crohn’s disease, tuberculosis, or other inflammatory conditions can contribute.

  4. Repeated Trauma – straining, constipation, or anal manipulation can worsen the fissure.

🩺 Symptoms Indicating Fissure Progression

  • Severe, persistent anal pain during or after bowel movements

  • Pus or blood discharge from the anus

  • Swelling or lumps near the anal opening

  • Fever or general signs of infection

  • Difficulty sitting or walking comfortably

If you notice these signs, early consultation is crucial to prevent further complications.

🧪 Diagnosis of Fissure-to-Fistula Progression

Dr. Karan R. Rawat uses modern diagnostic techniques:

  • Clinical examination – identifies chronic fissures and possible fistula tracts

  • Anoscopy & Proctoscopy – direct visualization of the anal canal

  • Ultrasound or MRI Fistulography – maps the fistula for precise surgical planning

  • Lab tests – to detect infection and inflammation

⭐ Treatment Options

1. Conservative Management (Early Stage Fissures)

  • High-fiber diet and hydration

  • Sitz baths and topical medications

  • Stool softeners to reduce strain

2. Minimally Invasive & Laser Treatment

  • Laser fistula surgery – precise, minimal pain, faster recovery

  • Fissurectomy or lateral internal sphincterotomy – releases tension and promotes healing

  • Abscess drainage – prevents fistula formation

3. Advanced Surgical Management

  • Fistulotomy – for established fistulas

  • Seton placement – maintains drainage while healing

  • Dr. Karan R. Rawat uses modern laser and minimally invasive techniques to ensure safe, effective, and low-recurrence outcomes

💡 Why Residents of Agra Should Consult Dr. Karan R. Rawat

  • Recognized as Agra’s top proctologist and laser surgeon

  • Expertise in fissures, fistulas, piles, and complex anorectal conditions

  • Uses state-of-the-art laser and minimally invasive procedures

  • Patient-centered care for early recovery, minimal pain, and long-term results

  • Trusted by patients from Agra, Mathura, Firozabad, Etah, Mainpuri, Aligarh, Hathras, Dholpur, Morena, Bharatpur, Shikohabad

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💬 Conclusion

Chronic anal fissures can lead to fistula formation if untreated. Early intervention, lifestyle modifications, and expert surgical care by Dr. Karan R. Rawat, Agra’s leading proctologist and laser surgeon, ensure safe healing, minimal pain, and long-term relief for residents of Agra and nearby regions.