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BEST ANAL FISSURE DOCTOR IN AGRA
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BEST ANAL FISSURE DOCTOR IN AGRA
Minimal Pain
No Stitch
No Scar
30 Min Procedure
NO PAIN NO CUT
ANNESTHESIA
ACCEPT AYUSHMAN CARD
24 HOUR OBSERVATION
Fissure in ano
An anal fissure or fissure in ano is a minor cut or tear in mucosal tissues and skin that line the verge of the anal canal opening.
Trauma causes a small cut in an anal canal leading to an anal fissure including straining and constipation or passing large or hard stools during a bowel movement. This condition often leads to intense pain and, on occasion, bleeding during bowel movements. Patients may experience spasms at an anal opening of the anus, called the anal sphincter. Anal fissures can affect individuals of all age groups and genders. At our Center, Most of the anal fissure patients are managed with conservative treatment, such as a high-fiber diet or Sitz’s bath (soaking anal opening in a lukewarm-water bath). Patient with chronic anal fissures may need medicine or surgery. we offer cutting-edge laser treatment for anal fissures.
Looking for the best Anal fissure doctor in Agra?
𝗗𝗿. Shavez khan is a fissure in ano specialist in Agra. Expert in laser fissure treatment in agra. Specialized in Piles| Fissure | Fistula | Pilonidal sinus laser treatment in agra. He’s renowned as the best Proctologist doctor in Agra.
The vicious cycle of the formation of Anal Fissures
Chronic long-standing constipation or chronic diarrhea → Frequent rubbing or trauma in the inner lining of anal mucosa→ Cut or tear in the inner lining of anal mucosa (painful Fissure-in-ano) → fear or anxiety due to pain leads to postponing or holding of stools for long duration→ chronic constipation →stony hard stools cause straining during passage of stool→ Fissure-in-ano increases→ more fear and postponing during passage of stool (habitual constipation)→ anal sphincter spasm→ sluggish (slow) or less blood circulation around the anal canal→ delayed wound healing
What Are The Causes Of Anal Fissure?
| Common Cause | Less Common |
|---|---|
|
Passing large or hard stools |
Chron’s disease |
|
Straining during the passage of stool |
IBS |
|
Chronic and severe constipation |
HIV |
|
Chronic diarrhea |
Anal Cancer |
|
Pregnancy |
TB |
What are the Symptoms & Signs of Anal Fissure?
The symptoms of an anal fissure may include:
- Severe Pain while passing stool.
- cut or tear in the skin near the anal passage.
- Stool with bloodstains or blood on the toilet paper after a bowel movement.
- The presence of a small lump or skin growth near the fissure.
How Is The Condition Diagnosed?
Dr Shavez khan diagnosed the fissure in Ano by asking about your medical history and performing a physical examination. During the examination, the doctor gently inserts a lubricated gloved finger into your anal opening, to notice any muscle spasms, or tenderness and to see a visible tear/cut, called digital rectal examination ( DRE). Usually, this examination is all that’s needed to diagnose a Fissure in ano.
Types of fissure in ano
Acute anal fissure –
- Fresh tear, like a paper cut.
- Recent in onset ( Pain from 2-3 days)
Chronic anal fissure
- Deeper tears with a whitish margin
- External piles / fleshy growths/skin.
- Chronic if it lasts more than eight weeks.
A fissure in ano location offers clues about its cause. A fissure that occurs on the side of the anal opening, rather than the anterior and posterior are more likely to be a symptom of another disease or disorder, like Crohn’s disease. In that case, the doctor may recommend further testing to find out if you have an underlying condition. Tests may include:
- Anoscopy.
- Flexible sigmoidoscopy.
- Colonoscopy.
Prevention
- Having high dietary fibers to keep away constipation . A person becomes more prone to develop an anal fissure when constipation and diarrhea keep recurring.
- Drinking plenty of water (7-8 glasses)in a day is the simplest preventive measure for fissures.
- Exercising on a regular basis to keep from having to strain during bowel movements.
Treatment options for Anal Fissure
In most cases, fissure in ano treatment take about a few weeks to get healed. Patients should make sure that they keep themselves hydrated with water and natural juices. Dr Shavez khan (proctologist) will first recommend conservative treatments followed by medications. If these treatments do not work, the proctologist will suggest you undergo surgery.
1. Home remedies
It is important to have a fiber-rich diet. Aim to eat at least 30 grams of fiber in a day. Drink a minimum of eight glasses of water to remain hydrated. Avoid caffeine as it can cause dehydration. Exercise regularly. Do not postponed your stools when you want to go to pass the stool.
2.Sitz Bath
Soaking your anal region in a lukewarm tub of water for 15 to 20 min at least twice a day with or without potassium permanganate (KMO4) or Epsom salts helps increase the blood supply to your anal region and relax your anal muscles. This provides pain relief to a great extent, and you must do this regularly to seek pain relief.
3.Creams or Ointments
Nitroglycerine and calcium channel blockers (e.g., diltiazem). These ointments help relax the anal sphincter muscles and increase the blood flow to the fissure region ultimately treating the fissures.
4.Chemical Sphincterotomy
It is a relatively painless, non-operative procedure that uses medicinal doses to cure fissures.
5.Internal Sphincterotomy
This procedure is required for treating chronic anal fissures when other options fail. As the name suggests, a portion of the anal sphincter muscle is surgically removed, resulting in fewer and less severe spasms.
6.Laser Fissure Surgery
Laser treatment for anal fissure is an advanced surgical procedure to treat anal fissures. This treatment method has several benefits which help improve the quality of life of an individual.
Advantages of Laser Treatment For Fissure
| Laser Treatment | Normal Surgery |
|---|---|
|
No pain / No cut /No Stitches |
Painfull Procedure
|
|
Minimum Zero Bleeding |
Heavy Bleeding |
|
Day care procedure |
1-2 Day care procedure |
|
Quick recovery |
Takes time to recover
|
|
Minimum chance of recurrence |
Chances of recurrence + |
|
Near to zero chance of infection |
Chances of infection +
|
|
Post operative recovery is very excellent |
Post operation pain ++ |
What are the Benefits of Laser Anal Fissure Surgery?
There are many benefits to laser anal fissure surgeries.
- Minimally invasive: Laser anal fissure surgery is minimally invasive and results in less discomfort compared with traditional surgery.
- Outpatient procedure: This procedure is done on an outpatient basis. Patients can return home that same day.
- Fewer complications: Traditional surgery is associated with a higher risk of complications, such as infection and bleeding.
- Short period of recovery: Recovery time is usually shorter for laser anal fissure surgery. Patients can resume their normal activities pin 2-3 days.
- Anesthesia with low risk: This procedure can be done under local anesthesia to reduce the risks of general anesthesia.
- Effective: Anal fissure Laser Surgery is the most effective treatment for chronic anal fissures that have not responded to conservative methods.
- High success rate: Anal fissure laser surgeries offer a higher rate of success than traditional surgery when it comes to preventing fissure from recurrence.
- Less pain: Laser seals nerve endings, which results in less pain and discomfort after surgery.
- Fewer side-effects: The procedure has minimal side-effects and is low in risk for complications.
What to Do After Anal Fissure?
Some lifestyle changes can help reduce discomfort, promote a safe recovery, and minimize the chance of recurrence following an anal fissure surgical procedure.
- Avoid constipation by eating a diet high in fiber.
- Drink plenty of fluids like water, natural juices, and coconut water.
- Sitz’s bath twice a day in lukewarm water, to reduce swelling, pain and faster healing.
- Keep the anal area dry.
- Exercising regularly.
- Avoid sitting for a longer period.
- After surgery, avoid heavy lifting and strenuous exercises for at least 4 to 6 weeks.
- Avoid spicy or acidic foods as they can cause irritation and discomfort in the anal region.
- take medication prescribed by your physician.
- Follow up with your doctor regularly to track healing and discuss any concerns.
What is the Cost of Anal Fissure Surgery in Agra?
Anal fissure costs typically range between INR 25,000 and INR 35,000. Anal fissure surgeries can vary in price depending on several factors, including hospitalization fees, proctologist consultation fees, hospital choice, insurance coverage, and cost of anesthesia.
What Happens if Anal Fissure is Left Untreated?
If left untreated, anal fissures can lead to chronic pain and discomfort and various serious complications.
- Over time, untreated anal fissures can cause scar tissue to form, which can make bowel movements even more painful.
- In severe cases, untreated anal fissures can lead to infections and abscesses in the anorectal path.
- If left untreated, anal fissures can cause persistent pain and discomfort.
- The pain may worsen during bowel movements and can last for hours afterward.
- In some cases, anal fissures can cause bleeding during bowel movements.
- The bleeding may be bright red or dark red and can be accompanied by pain.
- If anal fissures are left untreated, they can lead to the formation of a fissure.
To avoid complications, it is important to seek medical treatment for anal fissures as soon as possible.
What Foods You Should Eat If You Have An Anal Fissure?
- Take high-fiber foods
- Whole grains
- Lean protein
- Low-fat dairy products
- Drink plenty of water
- Herbal teas
- Olive oil
- Sweet potatoes
When to consult a Fissure Doctor / Surgeon
Consult Dr. Shavez khan if you have severe pain during passing a stool or notice a visible tear/cut/crack / near the anal opening. Blood stains on stools or toilet paper after passing a stool.
Dr. Shavez khan stands out as a leading anal fissure specialist in Agra. Expert in laser fissure treatment. He’s renowned as the best Proctologist doctor in Agra. Located in Shaheed nagar, Agra. Dr Shavez khan offers specialized laser treatment for Piles| Fissure | Fistula | Pilonidal sinus treatment in Agra, tailored to individual needs and ensures top-notch care for patients.
FAQs Around Anal Fissure Treatment
You can treat anal fissures to some extent with the help of the following:
- Taking regular sitz bath to help relax the anal muscle and help irritation
- Over-the-counter stool softeners
- Drinking adequate amounts of water and improving digestion
- Eating more fiber in your diet and taking fiber supplements.
You can treat acute fissures with ointments that contain nitroglycerin like Rectiv, which helps increase blood flow to the fissure and promote healing. Additionally, you can use topical anesthetics like lidocaine for pain relief.
If you notice an anal fissure, scheduling a doctor’s appointment is crucial as untreated fissures could become a chronic condition. Moreover, recurring anal fissures can point toward a more significant issue.
The treatment for anal fissures depends on their type. For example, medications can treat an acute anal fissure; however, chronic fissures are better treated with surgical intervention like laser fissure surgery.
For the most part, anal fissure surgeries are successful, and the patient is satisfied. However, like any other surgery, there could be potential complications during the surgical process. Some of the complications and contradictions that can occur can include:
- Bleeding: Although very rare to occur, there is a possibility of hemorrhage or bleeding during the surgery of an anal fissure.
- Incontinence: Several patients report suffering from temporary incontinence immediately after the surgery. The problem is not likely to remain for more than 2-3 weeks and can remain until the patient recovers completely.
- Perianal abscess: Though the complication is not very common, some people have suffered from an abscess and also developed an anal fistula after the surgery of an anal fissure.
- Tear extending to the surrounding muscle: Damage to the anal sphincter or surrounding muscle or nerves can be due to direct thermal or mechanical trauma, and some infections develop later.
