Fissures

An anal fissure is a small tear in the lining of the anus, usually caused by hard stool/constipation, leading to severe pain during bowel movements (often described as “passing glass”) and bright red blood on toilet paper. 90–95% heal with non-surgical treatment. Surgery is needed only in chronic fissures (>6–8 weeks) that fail conservative measures.

Grading & Types

Acute: Recent (<6 weeks), superficial → heals easily.
Chronic: >6–8 weeks, with visible fibers of internal sphincter, sentinel pile (skin tag), or papilloma → surgery often required.

What to Expect with LIS (Most Common Surgery)

Day-case or overnight stay
Spinal or local anesthesia + sedation
10–15 minute procedure
First bowel movement still painful, but pain drops dramatically within 3–7 days
Return to work: 1–2 weeks
Restrictions: No heavy lifting 2 weeks; continue fiber forever
Complications: Bleeding (<2%), infection/abscess (<1%), minor incontinence to flatus/seepage (5–8%, usually temporary)

Prevention of Recurrence (Critical!)

30–40 g fiber daily + adequate water
Never ignore the urge to go
Avoid chronic diarrhea (common after surgery if over-laxatives used)

Red flags → see surgeon urgently:

Fissure not healing after 6–8 weeks of proper medical treatment
Multiple/recurrent fissures
Associated Crohn’s, TB, cancer, HIV (atypical fissures)

About Us

Aaradhya Nursing Home provides reliable and compassionate medical care for diabetes, hypertension, thyroid, and general health issues. Led by Dr. Ankita Singh (MBBS, MD), we are committed to delivering accurate diagnosis and patient-focused treatment.