Fissure
Are you experiencing sharp pain during bowel movements or noticing spots of blood? These could be signs of an anal fissure—a small tear in the lining of the anus. Dr. Rupali Bandgar-Jankar, a renowned female gastrophysiologist and gastrointestinal motility specialist in Pune, offers advanced and compassionate care for anal fissure treatment in Pune. Her expertise and patient-centric approach have made her a trusted name for addressing this painful condition.
Dr. Rupali Bandgar-Jankar’s specialized training in gastrointestinal physiology and motility studies enhances her ability to provide precise and effective treatments. She emphasizes not just symptom relief but also addressing the root cause of the issue to prevent recurrence. If left untreated, fissures can lead to complications such as infection or the development of a chronic condition.
If you experience persistent pain, bleeding, or discomfort during bowel movements, contact Kaizen Gastro Care in Pune to schedule a consultation with Dr. Rupali Bandgar-Jankar. Early diagnosis and treatment can prevent complications and enhance your quality of life.
What is Anal Fissure?
An anal fissure is a small tear or cut in the lining of the anus, which can be extremely painful and uncomfortable. While acute fissures may heal on their own, chronic anal fissures are persistent and require medical intervention. These fissures are often located in the posterior midline of the anus and can lead to bleeding, pain during bowel movements, and discomfort.
Types of Anal Fissures:
Anal fissures are categorized into two types:
- Acute Anal Fissure: These fissures occur suddenly and are usually short-lived, healing within a few weeks with proper treatment.
- Chronic Anal Fissure: Chronic fissures are persistent and can last for more than six weeks. They may require more intensive treatment to heal.
Causes of Chronic Anal Fissure:
Chronic anal fissures can be caused by several factors, including:
- Recurrent Constipation: Straining during bowel movements and passing hard stools can aggravate the tear.
- Persistent Diarrhea: Frequent loose stools can irritate the anal lining, preventing healing.
- Muscle Spasms: Increased tension in the internal anal sphincter lowers blood flow, delaying recovery.
- Trauma: Anal surgery, childbirth, or injury can lead to chronic fissures.
- Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease or ulcerative colitis can increase the risk of anal fissures.
Symptoms of Chronic Anal Fissure:
The most common symptoms of chronic anal fissure include:
- Sharp or burning pain during and after bowel motions.
- Small amounts of bright red blood on stool or toilet paper.
- Itching and Irritation around the anal area, leading to pain.
- A visible tear or crack in the skin around the anus.
- A small lump or skin tag near the fissure due to chronic irritation.
- Fear of pain can lead to constipation and worsening of symptoms.
If you notice these symptoms, seek professional care for effective treatment and relief.
Diagnosis of chronic anal fissure:
The symptoms of anal fissure can often be confusing and similar to those of piles or hemorrhoids. To evaluate the condition correctly and rule out every possible complication, the doctor needs to run a few tests to diagnose the fissure condition. When you come to the Kaizen Gastro Care, Wakad for a fissure condition or pain diagnosis the Kaizen Fissure specialist doctor does the diagnosis in different ways such as:
- Physical Examination: Our expert will review your medical history and conduct a physical examination of the anal region. Most anal fissures can be diagnosed by viewing the anal region separating the buttocks. If the tear is visible, diagnosis becomes easy and treatment can be started immediately. If not, a sample of the rectal tissue may be removed for examination.
- Digital rectal examination: The digital rectal examination involves inserting a gloved finger into the anal canal. The anoscope is a short instrument with a lighted tube that can help your doctor view and examine the fissure. If these procedures cause extreme pain, your doctor may wait till the fissure heals or use a topical anesthetic to reduce the discomfort.
- Anoscopy: A quick procedure where a small, flexible tube (anoscope) is inserted into the anal canal to examine the fissure’s severity and rule out other conditions.
- Additional Tests: Although rarely needed for specific cases, Dr. Rupali may recommend certain diagnostic tests if she suspects complications or a more severe condition. These can include:
- Anal Manometry: To evaluate the function of the anal sphincter and determine if muscle spasm or dysfunction is contributing to the chronic fissure.
- Colonoscopy: If there is concern about underlying diseases like inflammatory bowel disease (IBD) or colorectal cancer.
Why Use Anorectal Manometry for Fissures?
Chronic anal fissures are often linked to hypertonic anal sphincter muscles, which cause high resting pressure. Anorectal manometry provides detailed insights into the pressure dynamics, allowing doctors to:
- Diagnose the underlying cause of the fissure.
- Develop targeted treatments, such as sphincter relaxation techniques.
- Monitor progress and treatment efficacy.
Treatment Options Based on Manometry Results:
Treatment for chronic anal fissures may include:
- Medical Management:
- Relaxants like topical nitroglycerin or calcium channel blockers can lower anal pressure and promote healing.
- Fiber supplements and stool softeners to ease strain during bowel movements.
- Drinking plenty of water to keep stool consistency.
- Warm Sitz baths to relax the muscles and alleviate pain.
- Biofeedback Therapy: Used to retrain the anal muscles and improve coordination, reducing pressure and pain.
- Surgical Interventions: In cases where conservative treatments fail, surgical options like Lateral Internal Sphincterotomy (LIS) & Fissurectomy may be considered.
- Botox Injections: To temporarily relax the anal sphincter muscle and promote healing.
Benefits of Anorectal Manometry in Fissure Treatment
- Accurate diagnosis of muscle dysfunction.
- Customized Treatment Plans.
- Improved success rates with reduced recurrence.
- Non-invasive and Painless
When Should You Consider Anorectal Manometry?
If you’re suffering from recurrent or chronic anal fissures that don’t respond to traditional treatments, anorectal manometry may be the next step. It is also advised when conservative treatments fail, or if there are concerns about underlying muscle issues contributing to the fissure.
Tips to Prevent Anal Fissures
Dr. Rupali Bandgar-Jankar believes in empowering patients with the knowledge to prevent recurrence. Key prevention methods include:
- Maintaining a high-fiber diet with fruits, vegetables, and whole grains.
- Staying hydrated throughout the day.
- Avoiding straining during bowel movements.
- Setting regular bowel habits.
- Using over-the-counter stool softeners when necessary.
- Practicing good anal hygiene.
Why Timely Fissure Treatment is Essential?
Delaying fissure treatment can lead to difficulties such as:
- Chronic fissures that are harder to heal.
- Development of anal fistulas or abscesses.
- Persistent pain and discomfort, affecting daily life.
Seeking prompt medical care from a specialist like Dr. Rupali can prevent these complications and provide lasting relief.
Why Choose Dr. Rupali Bandgar-Janakr for Chronic Anal Fissure Treatment?
Dr. Rupali Bandgar-Jankar, a highly experienced female gastroenterologist and gastrophysiologist at Kaizen Gastro Care, Pune, stands out for her expertise in treating chronic anal fissures with a comprehensive, personalized approach. Here’s why Dr. Rupali is the trusted choice for chronic anal fissure treatment:
- Expertise in Gastrointestinal Physiology: Specialized training in GI motility and anorectal conditions, ensuring accurate diagnosis and effective treatment.
- Personalized Care: She tailors treatment plans to the specific needs of each patient, providing the most effective approach for long-term relief.
- Advanced Treatment Options: Dr. Rupali specializes in both conservative treatments (dietary changes, medications) and advanced procedures (Botox injections, lateral internal sphincterotomy) for optimal outcomes.
- Holistic Treatment Approach: Her approach addresses the root cause of the fissure, with a focus on both immediate relief and long-term prevention.
- Comprehensive Patient Support: Dr. Rupali offers ongoing support, from diagnosis to post-treatment care, ensuring optimal recovery and prevention of recurrence.
- High Success Rate: With her vast experience, Dr. Rupali has successfully treated numerous patients with chronic anal fissures, leading to sustained symptom relief.
- Compassionate Care: Known for her empathetic and patient-centered approach, she ensures a comfortable and respectful environment for all patients.
- Continued Support and Follow-Up: Beyond the initial consultation and treatment phase, Dr. Rupali remains committed to her patient’s well-being by offering continued support, follow-up appointments, and guidance as needed. Whether adjusting treatment plans or addressing new concerns, Dr. Rupali ensures that her patients receive ongoing care and support to maintain optimal digestive health.
Request a Call Back:
If you’re experiencing pain from an anal fissure, don’t wait for it to get worse. Contact us to schedule an appointment with a specialist like Dr. Rupali Bandgar-Jankar and get accurate, effective care using anorectal manometry to address your symptoms and find the best solution. To schedule a consultation, visit Kaizen Gastro Care or call us at 9763635252.
Take the first step towards a pain-free life with specialist care from Dr. Rupali Bandgar-Jankar!
Frequently Asked Questions (FAQ's):
Anorectal manometry is a diagnostic technique that measures the pressure and function of the muscles around the anus and rectum. It helps identify any muscle dysfunction or abnormal pressure that may be contributing to anal fissures.
Acute fissures may heal with proper care like a high-fiber diet, hydration, and stool softeners. However, chronic fissures often require medical treatment.
No, surgery is not always required. Many fissures heal with conservative treatments, but surgery may be needed for chronic fissures that don’t respond to other treatments.
If you experience persistent pain, bleeding, or discomfort, or if home treatments are not effective, it’s important to consult a doctor for proper diagnosis and treatment.
Anorectal manometry is one of several diagnostic tools used to evaluate fissures and their underlying causes. Depending on the results, other tests like anoscopy or colonoscopy may be suggested to rule out additional conditions.