Fissure Treatment in Ahmedabad

Fissure Surgery in Ahmedabad

A small rip in the mucosa, a delicate, moist tissue that lines the anus, is known as an anal fissure. When you pass large or hard stools during a bowel movement, an anal fissure may develop. Anal fissures commonly result in discomfort and bleeding during bowel movements.

What are the common symptoms of Fissure ?

  • Occasionally severe discomfort during bowel motions.
  • After-bowel movement discomfort that may continue for several hours.
  • After a bowel movement, bright crimson blood might be seen on the toilet paper or stool.
  • A skin break that is clearly apparent around the anus.
  • Skin tag is a tiny lump on the skin next to the anal fissure.

What are the Indication of Fissure ?

  • Passing a lot of or tough stools.
  • straining and being constipated during bowel movements.
  • persistent diarrhoea.
  • Anal intercourse.
  • Childbirth.


Dr. Vivek would probably inquire about your medical background and do a physical examination that includes a light examination of the anal region. The tear is frequently apparent. This examination is typically all that is required to identify an anal fissure.
An acute anal fissure resembles a paper cut or a fresh rip. In addition to having a deeper rip, a chronic anal fissure may also contain internal or external fleshy growths. If a fissure persists for more than eight weeks, it is deemed chronic.
The position of the fissure provides hints as to its origin. Instead of the rear or front of the anal hole, a fissure is more likely to be a symptom of another condition, like Crohn's disease. If your doctor suspects an underlying issue, they might advise more testing:

  • Anoscopy : Dr Vivek will use an anoscope, a tube instrument, to assist them see the rectum and anus
  • Flexible sigmoidoscopy : The bottom part of your colon will be punctured by your doctor inserting a thin, flexible tube with a little video within. If you are under 50 and have no known risk factors for colon cancer or gastrointestinal conditions, this test may be performed on you.
  • Colonoscopy : To examine your entire colon, your doctor will put a flexible tube into your rectum. If you are older than 50, have risk factors for colon cancer, symptoms of other diseases, or other symptoms including diarrhoea or abdominal pain, this test may be performed on you.

Treatment of Fissure

When home remedies fail to produce positive results, it is necessary to consult a Hemorrhoids surgeon. Hemorrhoids treatment comes in a variety of forms.

  1. Medication
  2. Traditional Open Surgery
  3. Most advanced laser treatment

Types of Fissure Treatment

There are several types of treatment for anal fissures, which are small tears in the skin that lines the anus. The type of treatment recommended will depend on the severity and duration of the fissure, as well as the underlying cause. Here are some of the most common types of fissure treatment:

Types of Piles Surgery
  • Dietary and lifestyle changes : Your doctor may recommend changes to your diet and lifestyle, such as increasing your fiber intake, drinking more water, and avoiding constipation-inducing foods.
  • Topical medications : Over-the-counter creams or ointments containing numbing agents, such as lidocaine, can help relieve pain and discomfort.
  • Nitroglycerin ointment : This prescription medication helps to relax the anal sphincter muscles and increase blood flow to the area, which can promote healing.
  • Botulinum toxin injection : This is a minimally invasive procedure that involves injecting botulinum toxin (Botox) into the anal sphincter muscles to help relax them and promote healing.
  • Surgery : If the fissure is severe or doesn't respond to other treatments, surgery may be necessary. The most common surgical procedure is a lateral internal sphincterotomy, which involves cutting the anal sphincter muscle to reduce pressure and promote healing.

It is important to talk to your doctor about which treatment option is best for you based on your specific condition and medical history.

How to prepare for Fissure Treatment?

Here are some general guidelines to prepare for fissure treatment:

  1. Consultation with healthcare provider : The first step is to consult with a healthcare provider who specializes in treating anal fissures. The provider will evaluate the condition and recommend the appropriate treatment plan.
  2. Medical history and medication review : The provider will review the patient's medical history, medications, and any allergies to determine the risk of complications during the treatment.
  3. Tests and investigations : The provider may order certain tests or investigations, such as a rectal examination, to assess the severity of the fissure and identify any underlying conditions.
  4. Bowel preparation : The patient may need to follow a bowel preparation regimen, which involves taking laxatives or enemas to empty the bowel before the treatment.
  5. Fasting : The patient will be instructed to avoid eating or drinking anything for a certain period before the treatment to reduce the risk of complications.
  6. Arrangements for aftercare : The patient should make arrangements for someone to drive them home after the treatment and have a support system in place for recovery at home.

It is important to follow the healthcare provider's instructions carefully to prepare for fissure treatment and ensure the best possible outcome.

Benefits of Fissure Treatment

The benefits of fissure treatment depend on the specific treatment approach used, but in general, fissure treatment can provide the following benefits :

  1. Pain relief : Fissure treatment can provide significant pain relief by reducing inflammation and promoting healing of the anal tissues.
  2. Improved bowel function : Fissure treatment can improve bowel function by reducing the discomfort associated with bowel movements and promoting regularity.
  3. Prevention of complications : Fissure treatment can prevent complications associated with untreated anal fissures, such as infection, abscesses, and fistulas.
  4. Improved quality of life : By reducing pain and discomfort associated with anal fissures, treatment can improve overall quality of life and allow patients to resume normal activities.
  5. Minimal risk : With modern treatment options, fissure treatment has a low risk of complications and a short recovery time.

Fissure treatment can provide significant relief from the symptoms of anal fissures and prevent complications. It is important to discuss the risks and benefits of the specific treatment approach with a healthcare provider to determine the best approach for each individual patient.

Why Fissure removal needed ?

Fissure removal may be needed when non-surgical treatments, such as lifestyle changes, topical medications, and sitz baths, are not successful in relieving the symptoms of an anal fissure. An anal fissure is a tear or cut in the lining of the anus, which can cause pain, discomfort, bleeding, and itching. If left untreated, the fissure can become chronic, making it more difficult to heal and increasing the risk of complications, such as infection or the formation of an abscess or fistula. Fissure removal aims to eliminate the fissure and promote healing of the anal tissues, improving overall quality of life and preventing complications.

Case Study

Successful Treatment of Fissure in a 30-Year-Old Male Patient

Patient Information :The patient is a 30-year-old male who presented to our clinic with complaints of severe pain and bleeding during defecation. He had no significant past medical history, and his vital signs were within normal limits. A digital rectal examination revealed an anal fissure.

Conclusion : This case demonstrates the successful management of symptomatic anal fissure in a 30-year-old male patient with conservative treatment. Conservative treatment can be a safe and effective treatment option for symptomatic anal fissure with a good outcome in terms of symptom relief and patient satisfaction. With proper patient education and appropriate conservative management, symptomatic anal fissure can be effectively treated without surgical intervention.


GI Surgeries


GI Endoscopy


Years of Experience


Happy Patients

Best Doctor For Fissure Treatment

Best Doctor For Fissure Treatment

Dr Vivek Tank

Endoscopic Surgeon


Dr vivek tank qualified from prestigious M.P.Shah medical college; Jamnagar; Gujarat in the year 2004.he then completed training in advanced surgery and endoscopy from Rajkot cancer hospital and apollo hospital Hyderabad. He received his diploma in minimal access surgery from World Laparoscopy hospital ; new delhi in 2008. He is one of the few surgeons who are well versed in Open; laparoscopy and endoscopic domains of surgery. Under the care of dr. vivek , patients undergo surgery and endoscopy at same place by the same surgeon.

Book An Appointment

What Our Patients Say About Our Medical Treatments


Frequently Asked Questions (FAQ)

1. Are there any risks associated with fissure surgery?
As with any surgery, there are risks associated with fissure surgery, including bleeding, infection, and complications related to anesthesia. In rare cases, damage to the rectum or other nearby organs may occur. However, the risk of these complications is generally low, and most patients recover fully and without incident.
2. What is the recovery time for fissure surgery?
Recovery time varies depending on the type of surgery performed, but most people are able to return to normal activities within a few days to a few weeks after surgery. Patients are typically advised to avoid strenuous activity and heavy lifting for several weeks after surgery to allow for proper healing.
3. What is the treatment for an anal fissure?
Treatment for an anal fissure may include lifestyle changes, such as increasing fiber and fluid intake, as well as topical medications to relieve pain and promote healing. In some cases, surgery may be necessary to repair the tear or remove damaged tissue.

We Serve in