About Fissure in ANO

However, it is one of the most prevalent conditions in the world, with millions of people suffering the agony of bad painful fissures. A fissure is a tear of the skin at the edge of the anus. It can cause pain, bleeding and/or itching.

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Here’s a quick video to make to make you understand the disease and how we can help you.

Know More about Fissure in ANO



  • An anal fissure is usually caused by a hard and dry bowel movement, along with a tight anal musculature, which tears the anal lining.
  • Other causes include diarrhoea and inflammation of the anorectal area.
  • Trauma also can cause fissures. During childbirth, 11% of women develop anal fissures. Fissures can also be caused by digital insertion, foreign body insertion, or anal intercourse.
  • A low-fibre diet may play a role in the development of fissures. Anal fissures affect people of all ages, particularly young and otherwise healthy people. They are equally common in men and women.


  • An anal fissure causes a sharp,stinging or burning pain during a bowel movement. The pain,which can be serve,may last for a few hours.
  • Fissures may itch.
  • They often bleed lightly or occasionally cause a yellowish discharge.


Fissures can be acute(new)or chronic(persistent).

An acute fissure has an 80% chances of healing.

When a fissure lasts over 6 weeks or is repetitive in nature,it is considered Chronic and has less than 50% chances of healing.

Sometimes an anal fissure and a haemorrhoid develop at the same time.

The most frequent complaint in true haemorrhoid is Painless bleeding, which usually early in the course of the diseases see your doctor if you have blood in your stool. Hemorrhoids could be the problem, but bloody stool could also be a symptom of something far more serious, like colon cancer.



Most health professionals can diagnose an anal fissure by listening to the symptoms and by looking at the anus. Usually, the health professional can see the fissure by gently separating the buttocks.

A health professional may use a gloved finger (digital rectal examination) or a lighted instrument (endoscope) to examine the fissure. However, if the fissure is extremely painful, the health professional will usually wait until it has begun to heal before performing a rectal exam or using an endoscope to rule out other problems. A topical anaesthetic may be used if an immediate examination is necessary.



If it’s a first or second episode of Fissure, at least 50% of fissures heal by themselves without need for any kind of procedure or surgery. Application of special medicated cream, use of stool softeners, avoidance of constipation, and the use of sits baths (soaking the anal area in plain warm water for 20 minutes, several times a day) help to relieve the symptoms and allow healing to occur.

For those Fissures that are appearing again and again, Kshar Sutra Therapy is recommended.

FAQ About Fissure in ANO

Most frequent questions and answers

A fissure that does not heal should be re-examined to determine if an underlying problem that prevents healing exists. This could be due to scarring or muscle spasm of the internal anal sphincter muscle. Those which continue to cause pain and/or bleeding can be corrected by Kshar Sutra Therapy.

Surgery is done under general anesthesia and consists of cutting a portion of the anal muscle and leaves the wound to heal by the time. This helps the fissure to heal by preventing spasm, which interferes with healing. At times, cutting this muscle may interferes with the ability to control bowel movements. Some surgeons may also remove the fissure and the underlying scar tissue, but it will result in a very big wound that may take 3-4 weeks to heal.

Patients have to stay in the hospital for a day or two. Complete healing occurs in a few weeks, although pain often disappears after a 5-7 days.

Kshar Sutra therapy is done under Local anaesthesia (i. e, only anus will be anaesthetised). It includes putting Kshar Sutra(Medicated Alkaline thread)at a suitable place in the anus, so as the spasm of anal muscle are released, At times, Kshar Sutra is used to take out the whole Fissure ,but not necessary in all patients because the actual cause is spasm of anal muscles.

More than 90% of patients who underwent Kshar Sutra Therapy for this problem have no further trouble from fissures, provided that patient has to maintain a good lifestyle.

Absolutely Not..! Persistent symptoms need careful evaluation, however, since conditions other than fissure can cause similar symptoms.

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