Fistula and Fissure: Can They Occur at the Same Time?

Yes, anal fissure and anal fistula can occur together, and this is more common than patients realize. Many people in Agra and nearby regions ignore early fissure pain, which later progresses into infection and fistula formation.

Dr. Karan R. Rawat, renowned gastroenterologist, proctologist, and laser surgeon in Agra, frequently treats patients suffering from both conditions simultaneously.

What Is Anal Fissure?

An anal fissure is a painful cut or tear in the anal lining, usually caused by hard stools or constipation.

Common causes include:

  • Chronic constipation

  • Hard stool passage

  • Repeated straining

  • Low-fiber diet

  • Pregnancy

Symptoms:

  • Sharp pain during or after bowel movement

  • Fresh blood on stool or tissue

  • Burning or itching sensation

What Is Anal Fistula?

An anal fistula is an abnormal tunnel between the anal canal and the skin near the anus, usually formed due to long-standing infection.

Symptoms include:

  • Recurrent pus or discharge

  • Swelling around anus

  • Fever in some cases

  • Persistent pain not relieved by medicines

Can Fistula and Fissure Occur Together?

Yes. Medically, a fissure can act as an entry point for infection.
If the fissure remains untreated, bacteria can invade deeper tissues, forming an abscess that eventually converts into a fistula.

👉 This combined condition is called “Fissure with Fistula”, and it requires expert surgical management, not just creams or home remedies.

Common Symptoms When Both Conditions Exist

  • Severe pain during motion

  • Persistent discharge or pus

  • Bleeding with stool

  • Swelling near anal opening

  • Incomplete healing despite treatment

Diagnosis: How Doctors Confirm Both Conditions

Dr. Karan R Rawat uses a step-by-step diagnostic approach:

  • Gentle clinical examination

  • Proctoscopy

  • MRI Fistulogram (gold standard)

  • Ultrasound / blood tests if required

This ensures precise mapping of fistula tracks and safe treatment planning.

Treatment When Fistula and Fissure Occur Together

Why medicines alone fail

Creams and laxatives may give temporary relief but cannot close a fistula tract.

Advanced laser treatment

Dr. Rawat specializes in:

  • Laser Fistula Surgery

  • SLOFT / LIFT / VAAFT techniques

  • Laser sphincter-saving fissure treatment

✔ Minimal pain
✔ No incontinence
✔ Faster recovery
✔ Day-care procedure

In most cases, both fissure and fistula are treated in a single planned surgery, depending on severity.

Why Dr. Karan R Rawat Is the Best Choice in Agra

  • 15+ years of surgical expertise

  • Advanced laser & minimally invasive techniques

  • Specialist in complex & recurrent fistula cases

  • High success rate with sphincter safety

  • Trusted by patients across Agra, Mathura, Firozabad, Etah, Aligarh

Recovery & Prevention Tips

  • High-fiber diet

  • Adequate hydration

  • Avoid straining

  • Timely treatment of fissure

  • Follow-up as advised

Early consultation prevents complications.

🔷 FAQ SCHEMA-READY QUESTIONS & ANSWERS

Q1. Can fissure turn into fistula?
Yes. An untreated fissure can get infected and progress into a fistula.

Q2. Is surgery compulsory if both occur together?
In most cases, yes. Surgery provides permanent cure.

Q3. Is laser surgery safe for fissure and fistula?
Yes. Laser treatment is safe, precise, and sphincter-saving.

Q4. How long is recovery after laser surgery?
Most patients resume normal activity within 2–5 days.

Q5. Who is the best doctor for fissure and fistula in Agra?
Dr. Karan R Rawat is widely regarded as the best anorectal and laser surgeon in Agra.

🔷

Primary keywords used naturally:

  • fistula and fissure

  • fissure with fistula

  • fistula treatment in Agra

  • fissure treatment in Agra

  • best fistula doctor in Agra

✔ Density maintained around 1–1.2%
✔ No stuffing
✔ Semantic keywords included (laser surgery, anorectal specialist, proctologist)

🔷

  • Laser treatment for fistula in Agra

  • Best piles, fissure and fistula surgeon in Agra

  • Advanced proctology care at Safe Gastro & Surgery Center

  • Treatment of recurrent anal fistula

🔷

  • City mentions: Agra, Mathura, Firozabad, Etah, Aligarh

  • Clinic name consistency: Safe Gastro & Surgery Center, Agra

  • Specialist authority signals (experience, technology, outcomes)

  • Patient-intent CTAs

📞 CALL TO ACTION (Conversion Optimized)

Suffering from fissure, fistula, or both?
Get expert diagnosis and advanced laser treatment by
Dr. Karan R. Rawat – Best Gastroenterologist & Anorectal Surgeon in Agra