What is Fissure?

Fissure

An anal fissure is a small tear that happens on the mucosa of the anus. This is a much more common disease than hemorrhoids. The main reason an anal fissure happens is while moving the bowels. When a person is moving hard or big stools, it causes tears, in some cases, there might be bleeding as well. Anal fissures are commonly seen in infants, however, they can happen to people of any age or any gender. In the majority of the cases, anal fissures only require miner treatments and the patients get better. However, in some cases, the person in question might need medication and even surgery.

laser fissurectomy

Anal fissures are small cuts or tears that happen in the tissue that lines the anus. When such a tear occurs, it exposes the sphincter muscles in the anus, this damage will cause these muscles to undergo spasms. When these spasms occur, they will result in further tearing of the fissures. This leads to the fissures taking more time to heal. Bowel movements will add to this and make the fissure worse. Anal fissures can be included in two categories. If the fissure is fairly recent, then they can be called acute fissures, however, if the person in question has had fissures for more than 6 weeks or if the fissure is recurring, then they have chronic fissures. These fissures are also very common in people who have conditions such as leukemia, STDs, anal cancer, etc.

TREATMENTS

Diagnosis
Anal fissures are easy to diagonose. A visual examination of the patient’s anus will be sufficient for the doctor to diagnose an anal fissure. In some cases, the doctor might examine the patient’s anus with the tip of their fingers.
Surgery
In the majority of the cases, the doctors prescribe stool softeners and laxatives. These will reduce the pressure exerted on the anal canal while passing stool. However, this is not a complete solution to treat fissures. Especially when the chances of recurrence are high. If a person has a fissure once, it is very likely that they might experience more. Doctors will also advise changing the diet and lifestyle. The diet should consist of more fiber and liquids. Soaking in a sitz bath is also a good alternative to make the muscles in the anus relax. Surgery can also be done to rectify anal fissures. Lateral sphincterotomy is a surgery that is performed to relax the tight muscles inside the anus. This will stop the bleeding. Open surgery is done by cutting the skin and cutting the muscle through the inside. Oreol laser surgery is one of the best options to treat anal fissures. The procedure of laser surgery is very similar to Lateral sphincterotomy. However, in laser surgery, the skin doesn’t have to be cut. The doctor makes a small incision and the laser fiber is inserted through that and the muscle is cut. Laser surgery is a much easier and more effective option as compared to open surgery, as the wound and the recovery time are very less. Laser surgery also does not require intense aftercare.

Causes

Symptoms

Frequently Asked Questions

What is an anal fissure?

An anal fissure is a small tear that happens on the mucosa of the anus.

What are some of the major symptoms of anal fissures?

There will be bleeding, itchiness around the area, cracked skin, etc.

Are anal fissures painful?

An anal fissure can be painful. The fissure can cause pain when the person is moving their bowels.

Do I need medical attention if I have an anal fissure?

Yes. Anal fissures can be painful and might even need surgeries to rectify them.

Which surgery is the best alternative for treating anal fissures?

Laser surgery is one of the most effective and safe surgery to treat anal fissures.
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