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Suggest Treatment For Painful Anal Fissures

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Posted on Wed, 16 Sep 2015
Question: Sir, I feel badly with fisheries(ANU. I also feel burning and heavy pain.
The disease is reduced with medicine? please give me a correct suggestion for treatment
doctor
Answered by Dr. Prasanna Heijebu (3 hours later)
Brief Answer:
Surgery is mainstay of treatment if the fissure is longstanding

Detailed Answer:
Hello, Madam.

I understand your concern.

Anal fissures cannot be corrected with medications alone.

It needs a surgical approach for a complete cure since 30% of fissures are known to recur with medical treatment.

Surgical therapy is usually reserved for acute anal fissures that remain symptomatic after 3-4 weeks of medical therapy and for chronic anal fissures.

Lateral internal sphincterotomy is the current surgical procedure of choice for anal fissure.
The procedure can be performed with the patient under general or spinal anesthesia.

The purpose of the operation is to cut the hypertrophied internal sphincter, thereby releasing tension and allowing the fissure to heal.

I advise you to see a surgeon for per rectal examination to determine the accurate course of action.

Post your further queries if any.

Thank you.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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Suggest Treatment For Painful Anal Fissures

Brief Answer: Surgery is mainstay of treatment if the fissure is longstanding Detailed Answer: Hello, Madam. I understand your concern. Anal fissures cannot be corrected with medications alone. It needs a surgical approach for a complete cure since 30% of fissures are known to recur with medical treatment. Surgical therapy is usually reserved for acute anal fissures that remain symptomatic after 3-4 weeks of medical therapy and for chronic anal fissures. Lateral internal sphincterotomy is the current surgical procedure of choice for anal fissure. The procedure can be performed with the patient under general or spinal anesthesia. The purpose of the operation is to cut the hypertrophied internal sphincter, thereby releasing tension and allowing the fissure to heal. I advise you to see a surgeon for per rectal examination to determine the accurate course of action. Post your further queries if any. Thank you.