Fissure
We know that Anal Condition such as Piles, fissures & Fistula affects around 50% Population in our country, and One in every 10 individuals can be affected with anal fissures in their lifetime. An anal fissure is a painful condition that affects the lining of the anus. It can cause discomfort, bleeding, and difficulty with bowel movements. If left untreated, fissures can lead to complications such as infection or the development of a chronic condition. If you are experiencing symptoms of an anal fissure, don’t wait to seek treatment.
Contact Kaizen Gastro Care in Pune to schedule a consultation with Dr. Rupali Bandgar-Jankar. With her expertise and advanced treatment options, she can help you find relief from your symptoms and improve your quality of life. On this Page, Dr. Rupali Bandgar-Jankar explains the chronic anal fissure conditions and how it diagnosed with advanced treatment options and management options.
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 discomforting. 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 broadly 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:
- Constipation: Straining during bowel movements can cause tears in the anal lining.
- Diarrhea: Frequent diarrhea can irritate the anal area and lead to fissures.
- Anal Trauma: Injury to the anal area, such as during childbirth or anal intercourse, can cause 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:
- Pain or discomfort during and after bowel movements
- Bright red blood on the toilet paper or in the toilet bowl
- Itching or irritation around the anus
- A visible tear or crack in the skin around the anus
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 tubular instrument is inserted into the rectum in this test. The instrument gives a clear imaging view of the anus and rectum and permits the physician to identify and locate where exactly the problem is.
- Flexible sigmoidoscopy: For this examination, the physician will insert a narrow, flexible tube with a small camera connected at one end inside your anus. This examination is recommended in individuals younger than 50 with no chance of anorectal disease.
Importance of Anorectal Manometry in Chronic Anal Fissure:
Treatment of Chronic Anal Fissure:
Treatment for chronic anal fissures may include:
- Medications: Over-the-counter or prescription creams or ointments to reduce pain and promote healing.
- Dietary Changes: Increasing fiber intake and staying hydrated to soften stools and reduce straining during bowel movements.
- Sitz Baths: Soaking the anal area in warm water can help reduce pain and promote healing.
Surgery:
If the conservative methods can’t help relieve the fissure condition then the Kaizen fissure doctor suggests a surgical option to treat the fissure. Several different surgical techniques can be used to treat an anal fissure. These are discussed below.
- Lateral Internal Sphincterotomy: A lateral internal sphincterotomy is a type of surgery where the surgeon cuts a section of the sphincter muscle. This helps to reduce the tension in the muscle, preventing further spasms of the sphincter and allowing the anal fissure to heal.
- Fissurectomy: A fistulectomy is a surgical procedure where the anal fissure is surgically removed as well as the surrounding tissue.
- Advancement anal flaps: Advancement anal flaps are not usually recommended to treat primary anal fissures. Like a fistulectomy, this form of treatment does not address the underlying causes of an anal fissure.
- Laser Surgery for Fissures in Pune: Although there are various surgical methods for anal fissures, Kaizen Gastro Care prefers leveraging laser-assisted surgery to treat the disorder of anal fissures. In laser fissure treatment in Pune, the patient is given local or general anesthetic by the fissure specialist before the process. At the anal fissure location, the physician employs a laser probe to emit infrared radiation or laser beams. The high-energy laser beams encourage quick and proper healing of the fissure by increasing blood flow to the fissure area.
Why Choose Dr. Rupali Bandgar-Janakr for Chronic Anal Fissure Treatment?
- Expertise and Experience: Dr. Rupali Bandgar-Janakr is a highly skilled Consultant Gastrophysiologist with specialized expertise in diagnosing and treating gastrointestinal disorders, including chronic anal fissures. With years of experience and extensive training in the field, Dr. Rupali possesses the knowledge and proficiency necessary to provide comprehensive care for patients suffering from chronic anal fissures.
- Comprehensive Evaluation: Dr. Rupali adopts a comprehensive approach to patient care, conducting thorough evaluations to understand the underlying causes of chronic anal fissures. By taking into account various factors such as medical history, symptoms, and diagnostic test results, she tailors treatment plans to address each patient’s unique needs effectively.
- Advanced Diagnostic Techniques: At Kaizen Gastro Care, Dr. Rupali utilizes advanced diagnostic techniques and state-of-the-art technology to accurately assess and diagnose chronic anal fissures. From anorectal manometry to other specialized tests, Dr. Rupali employs a wide range of diagnostic tools to provide precise evaluations and personalized treatment recommendations.
- Holistic Treatment Approach: Dr. Rupali believes in taking a holistic approach to chronic anal fissure treatment, focusing not only on alleviating symptoms but also on addressing the underlying causes of the condition. By incorporating dietary modifications, lifestyle changes, medications, and therapeutic interventions as needed, she aims to provide comprehensive care that promotes long-term digestive health and well-being.
- Compassionate Care: Patients who choose Dr. Rupali for chronic anal fissure treatment can expect to receive compassionate and patient-centered care throughout their treatment journey. Dr. Rupali takes the time to listen to her patients’ concerns, answer their questions, and provide support and guidance every step of the way.
- Positive Patient Experiences: Dr. Rupali’s dedication to providing high-quality care and achieving positive patient outcomes is reflected in the numerous success stories and positive testimonials from her satisfied patients. Patients consistently commend Dr. Rupali for her expertise, professionalism, and compassionate approach to care.
- 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:
Dr. Rupali Bandgar-Jankar at Kaizen Gastro Care’s highly specialized doctors offer trusted medical advice and expert care for Constipation. Don’t hesitate to get in touch with our best gastrophysiologist in Pune if you’re experiencing symptoms of constipation. For more information about our comprehensive treatment options, or to request an appointment with the best Gastroenterologist in Pune call 9763635252