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Home Fissures


Anal fissure or Fissure-in -Ano is nothing but a crack/injury in the soft and delicate lining of the anal canal. They are most commonly a result of passing a hard stool.
These can happen at any age and in both the sex. They have been classified as

  1. Acute – early, less than a month +/- 15 days
  2. Chronic – long-standing, more than 2 months duration. Mostly have a skin covering like piles

Most Acute fissures can be treated without operation and surgery while most chronic fissure’s need some kind of surgical intervention.

Acute Fissure
Chronic Fissure


  • Constipation
  • Hard stools causes the injury while passing
  • Frequent bowel movements can cause the delicate anal lining to tear
  • Inflammatory bowel diseases like Crohn’s disease, Tuberculosis etc.


  • Pain in anal fissure during defecation
  • Sever burning sensation at the bottom post defecation
  • Constipation
  • Swelling : One may feel swelling while washing the bottom
  • Mild to severe itching at the bottom

Treatments for Fissures

Most fissures can be treated conservatively, at least the acute ones. Most of the chronic fissures need some surgical treatment in the form of an operation.
Dilatation: Forceful opening of the anal canal which is under spasm, done under anesthesia. These lead to loss of bowel control in most cases due to damage to the anal sphincter’s/valves. Hence largely abandoned or done by people not abreast with the newer methods.

Lateral Internal Sphincterotomy: Achieves the same principle of releasing the anal spasm but where a small muscle is incised. Need to be done by expert’s as the degree of incised muscle directly correlates with the bowel control.

Advanced Treatments: Most of the treatments are painless and bloodless. In many cases, patients can be discharged in 1 day. The chronic fissure which fails to respond to conservative treatment is dealt with Laser Lateral Internal Sphincterotomy (Laser-LIS) which is the least invasive and highly effective, thus according to the patient full control over his bowel movements.

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