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Anal Fissure Treatment in Delhi
Complete Range of Procedures | Best in Class, USFDA Approved Laser Treatment | No Cuts and No Stitches | Same-Day Discharge | All Medical Insurance Accepted | EMI Options Available
Understanding Anal Fissures
Anal fissures can be broadly classified as "Acute" or "Chronic" based on their duration and characteristics.
An Acute Anal Fissure resembles a fresh cut and responds well to conservative or non-surgical methods. About 60% to 70% Anal fissures usually heal within 2-3 weeks with the help of medicines.
When Acute Anal Fissure fails to heal for more than eight weeks, it is termed as Chronic Anal Fissure. Such fissures develop excessive swelling, scar tissue, and skin tags. These fissures usually respond to surgical intervention due to continuous pain, spasms, and tissue ischemia.
Key Characteristics Comparison
Acute Anal Fissure:
- Resembles a fresh paper cut
- Heals within a few weeks with conservative care
- Less likely to have associated complications
Chronic Anal Fissure:
- Lasts for more than eight weeks
- May have excess swelling and scar tissue
- Often accompanied by skin tags
- Requires more intensive treatment
Identifying the Common Causes of Anal Fissures
Anal fissures are often the result of trauma to the sensitive lining of the anus. The primary cause is typically the passage of hard or large stools, which can lead to tears in the anal canal. Other common factors include:
- Constipation, leading to excessive straining
- Chronic diarrhoea
- Anal intercourse
- Childbirth
Less frequently, anal fissures may be associated with inflammatory bowel diseases (e.g., Crohn's disease), infections such as syphilis, HIV, or tuberculosis, or anal cancer.
Symptoms of Anal Fissure
Some of the most common symptoms of Anal Fissures are:
- Bright red blood on the toilet paper or stool after a bowel movement
- Severe Pain during and after bowel movements
- Skin tag or lump near the anal area
It's crucial to differentiate these signs from other colorectal conditions, such as hemorrhoids, which may present similarly. Early recognition and treatment of anal fissures are essential to prevent complications and improve outcomes.
Best Treatment for Anal Fissure
Conservative or Non-Surgical Treatment of Anal Fissure
This is mainly indicated for acute anal fissures, which are associated with mild to moderate anal spasms.
Lifestyle and Dietary Changes:
The basis of treating anal fissures begins with simple lifestyle and dietary adjustments aimed at preventing constipation and reducing strain during bowel movements.
- High Fiber Diet: Consuming a diet high in fiber help soften stool, making it easier to pass and reducing the risk of further injury to the anal area.
- Hydration: Adequate fluid intake is another important factor for maintaining soft stool consistency. It is recommended that you drink plenty of water throughout the day.
- Regular Exercise: Regular physical activity can help stimulate bowel movements and prevent constipation.
Topical Treatments:
Local application of certain ointments provides relief from discomfort and promotes healing.
- Topical Anaesthetics: These creams contain local anesthetics, which can numb the area and reduce pain.
- Calcium Channel Blockers: These ointments relax the sphincter muscles and stimulate blood flow, and help in the healing of anal fissures.
Medications:
Oral medications may be prescribed to manage symptoms and support healing.
- Stool Softeners: Avoiding hard stools is a significant component in the healing of anal fissures. Avoiding passage of hard stools helps in preventing further insult to anal fissures and aids in the healing process.
- Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. However, they should be used cautiously and under the guidance of a specialist doctor.
Botox Injections in Treating Anal Fissures
Botox injection is one of the minimally invasive treatment options for chronic anal fissures. Botox injection is injected into the internal anal sphincter muscle. It causes temporary paralysis of the muscle.
As a result, the tone of the muscle decreases, and the spasm and tightness of the anal canal significantly decrease within a few hours. This causes relief from pain while passing stools and allows fissures to heal within a couple of days.
Benefits:
- Recovery: Patients can generally resume normal activities shortly after the procedure, though they are advised to avoid strenuous activities for a day or two.
- Healing Rates: Clinical trials have shown that Botox injections result in 80-100% healing rates within a few days of treatment.
- Pain Relief: Many patients experience significant pain relief within a few days after the injection.
Laser Surgery for Anal Fissures
When conservative treatments and medications fail to heal the fissure, surgical options may be necessary. Surgery is typically reserved for chronic anal fissures.
Lateral Internal Sphincterotomy performed with the help of Laser therapy has become the best treatment for anal fissures. It involves making a small incision in the internal anal sphincter muscle to reduce tension and promote healing.
It is usually performed as an outpatient procedure, and patients are discharged within 12 hours of surgery. With almost 100% healing rates and zero percent recurrence, laser surgery for anal fissures is one of the most promising treatments for management of anal fissures.
Benefits of Laser treatment for Anal fissure
Bloodless Procedure
Laser surgery is virtually bloodless, minimizing bleeding during the procedure.
No Stitches
No stitches required, reducing post-operative discomfort and complications.
Painless Procedure
Minimal pain during and after the procedure compared to traditional surgery.
Same Day Discharge
Most patients can be discharged within 12 hours of surgery.
No Follow up
Minimal follow-up required, allowing faster return to normal activities.
Rapid Recovery
Faster recovery time with minimal downtime compared to conventional methods.
Why Choose Dr. Kapil Agrawal for Anal Fissure Treatment?
Dr. Kapil Agrawal, with over 23 years of experience, is well known for his expertise in the management of colorectal conditions, including anal fissures. He has been associated with top-notch hospitals in Delhi, ensuring access to the best facilities and medical care.
Expertise & Approach
- Dr. Kapil Agrawal's comprehensive treatment approach addresses all aspects of anal fissures, focusing on curing the condition with medicines in 70% of patients, thereby avoiding invasive procedures.
- Dr Kapil Agrawal's expertise ensures a high success rate with Botox injections, demonstrating our commitment to effective, patient-centric care.
- He utilizes the best quality laser machines, ensuring optimal results and almost zero recurrences, setting him apart in providing cutting-edge treatment.
Patient Care & Support
- Dr Agrawal's team includes dedicated nutritionists who provide customized diets to promote healing and prevent constipation, ensuring a holistic approach to treatment.
- 23+ years of surgical experience with 7000+ successful surgeries
- Complete range of treatment options from non-surgical to advanced laser procedures
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Recovery & Aftercare
Recovery Time
You can expect a significant decrease in pain following laser surgery, and pain completely subsides in four days during the passage of stools. Most patients can resume normal activities within 24-48 hours of surgery.
Follow-up Care
Most patients do not require any follow-ups after laser surgery. For Botox treatment, patients are discharged within 3 hours of the procedure with excellent results and almost zero risk of complications.