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Suffering from anal fissure? Learn causes, symptoms & laser treatment options. Expert care by Dr Karan R Rawat, leading fissure specialist in Agra.

Anal Fissure: Causes, Symptoms & Advanced Laser Treatment in Agra

If you experience severe cutting pain during stool, burning sensation after bowel movement, or fear of passing stool, you may be suffering from an anal fissure.

Many patients confuse fissure with piles, but the treatment is completely different.

Anal fissure is one of the most painful anorectal conditions seen in India, often caused by chronic constipation and hard stool. Early diagnosis and proper management can prevent chronic complications and surgery.

This medically reviewed guide explains everything about fissure — from causes to advanced laser treatment.

What is an Anal Fissure?

An anal fissure is a small tear in the lining of the anal canal.

It usually develops due to:

  • Passing hard stool

  • Severe constipation

  • Repeated straining

  • Chronic diarrhea

  • Childbirth (in women)

Unlike piles (which cause bleeding), fissure primarily causes intense pain.

Types of Anal Fissure

1️⃣ Acute Fissure

  • Recent tear (less than 6 weeks)

  • Severe pain

  • Fresh bleeding

  • Usually heals with medicines

2️⃣ Chronic Fissure

  • More than 6 weeks old

  • Sentinel skin tag present

  • Persistent pain

  • Muscle spasm

  • May require surgical treatment

Common Symptoms of Fissure

  • Severe cutting pain during stool

  • Burning sensation lasting hours

  • Small streak of blood on tissue

  • Fear of passing stool

  • Constipation cycle

  • Tightness of anal muscle

Pain is often described as “passing glass”.

Why Does Fissure Not Heal Easily?

When a fissure forms:

  1. Pain causes muscle spasm

  2. Spasm reduces blood supply

  3. Reduced blood supply delays healing

  4. Pain continues

This creates a vicious cycle.

Red Flag Symptoms – When to Consult Immediately

  • Severe pain not improving

  • Fever

  • Persistent bleeding

  • Pus discharge

  • Recurrent fissure

  • Unexplained weight loss

Bleeding should never be ignored as colon diseases can mimic fissure.

Diagnosis of Anal Fissure

Diagnosis is usually clinical:

  • Visual examination

  • Digital rectal exam (if tolerable)

  • Proctoscopy (if required)

Advanced tests are rarely needed unless symptoms suggest other conditions.

Treatment of Anal Fissure

Treatment depends on whether the fissure is acute or chronic.

1️⃣ Treatment of Acute Fissure (Non-Surgical)

Most acute fissures heal within 2–4 weeks.

Conservative Management

Dietary Changes

  • High fiber diet

  • 3–4 liters water daily

  • Fruits, vegetables, oats

  • Avoid spicy & junk food

Medications

  • Stool softeners

  • Topical anesthetic ointment

  • Nitroglycerin / calcium channel blocker ointments

  • Pain relievers

Sitz Bath

Warm water sitz bath 2–3 times daily helps relax muscle spasm.

✔️ Early treatment prevents chronic fissure.

2️⃣ Treatment of Chronic Fissure

If symptoms persist beyond 6 weeks, it is considered chronic.

Medical treatment may provide temporary relief, but recurrence is common.

Advanced Treatment Options

🔹 Laser Lateral Internal Sphincterotomy (LIS)

  • Minimally invasive

  • Relieves muscle spasm

  • Promotes healing

  • Day-care procedure

  • Quick recovery

🔹 Conventional Surgery

Used in selected cases if laser is not feasible.

Laser technique reduces pain, hospital stay, and recurrence.

Laser vs Conventional Fissure Surgery

Feature Laser Surgery Conventional Surgery
Pain Minimal Moderate
Bleeding Very less More
Hospital Stay Same day 1–2 days
Recovery 3–5 days 2–3 weeks
Recurrence Low Low (if done properly)

Can Fissure Heal Without Surgery?

Yes, if:

  • It is acute

  • Treated early

  • Constipation is controlled

But chronic fissures usually require a minor procedure.

Frequently Asked Questions (SEO Optimized)

1. What is the main cause of fissure?

Chronic constipation and hard stool.

2. Is fissure more painful than piles?

Yes, fissure pain is usually more severe.

3. How long does fissure take to heal?

Acute fissure heals in 2–4 weeks with treatment.

4. Is laser fissure surgery safe?

Yes, when done by an experienced proctologist.

5. Can fissure come back?

Yes, if constipation persists.

6. Is fissure dangerous?

Not usually, but chronic pain affects quality of life.

7. What food should be avoided?

Spicy food, junk food, low-fiber diet.

8. Can fissure cause cancer?

No, fissure itself does not cause cancer.

Myths vs Facts

Myth Fact
Fissure is same as piles They are different conditions
Fissure always needs surgery Acute fissure can heal medically
Surgery causes incontinence Proper technique prevents this
Pain will go on its own Chronic fissure needs treatment

Prevention Tips

  • Maintain soft stool daily

  • Eat fiber-rich diet

  • Drink enough water

  • Avoid straining

  • Exercise regularly

  • Do not delay bowel movement

Who Should See a Proctologist?

  • Severe pain during stool

  • Recurrent fissure

  • Chronic constipation

  • Persistent bleeding

  • Fear of passing stool

If you are searching for:

  • Best fissure doctor near me

  • Laser fissure treatment in Agra

  • Advanced anorectal surgeon

  • Permanent cure for fissure

Consult a qualified proctology specialist.

Expert Insight

According to leading proctology experts:

“Early treatment of fissure prevents chronic complications. Modern laser techniques have significantly improved recovery time and patient comfort.”

Patients from Agra and nearby districts often delay consultation due to hesitation. Early medical care ensures faster healing.

Final Summary

✔️ Acute fissure – Medical treatment
✔️ Chronic fissure – Laser/minor surgery
✔️ Control constipation – Prevent recurrence
✔️ Early diagnosis – Faster recovery

Anal fissure is painful but completely treatable with the right approach.

📞 Take the First Step

Do not ignore severe anal pain or bleeding.

Early consultation ensures:

  • Accurate diagnosis

  • Grade-based treatment

  • Minimal discomfort

  • Faster recovery

👉 Book Appointment | Consult Today | Get Expert Advice

Pain-free life is possible with timely treatment.