Best treatment for Fissures at Healing Hands Clinic Bangalore

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FISSURE An anal fissure or Fissure-in-ano is a tear or cut in the skin of the anal canal. The condition affects men and women equally and can occur at any age ( infants too ).

Anal fissures are commonly found in the back part of your anus, in line with the cleft of your buttock.

Fissure A fissure which is present for less than 6 weeks is called an Acute fissure. That which is more than 6 weeks old is called a Chronic fissure. The Chronic fissure is usually hard to feel and may have a skin tag like growth called Sentinel Pile.

Treatment of Fissure ďƒ˜ Non Surgical Treatment 1. MCDPA At Healing Hands Clinic, Dr. Ashwin Porwal has devised a regimen called MCDPA as follows: Medicines - Herbal medicines to reduce inflammation in the area Constac -Taken before bedtime to add bulk and soften the stools.

Diet - A fibre rich diet to prevent constipation. An increase in the water and fluid intake also helps

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Physiotherapy - Pelvic floor physiotherapy helps to reduce spasm of the anal sphincter.

Ayurveda therapy - Medicated herbal oils are used.

2. Sitz bath Sitting in warm water that covers your hips and buttocks after a bowel movement helps to reduce the post defecation discomfort.

ďƒ˜ Surgical Treatment 1. Laser surgery This is done with the Leonardo laser introduced for the first time in India at Healing Hands Clinic. The laser is used to perform internal sphincterotomy. This procedure is almost bloodless and the surgeon has good control over the operation site. Additionally, the chronic fibrosed scar is debrided with the laser.

This prevents any long term discomfort and enables a quicker recovery.

2. PLIS ( Partial Lateral Internal Sphincterotomy ) Done under general anaesthesia, this is a minimally invasive procedure in which a small cut is made in the internal sphincter. Thus straining during defecation is considerably reduced and there is satisfactory relief from pain. This procedures requires a good amount of skill and expertise on the part of the surgeon as an inadvertent excessive cutting of the sphincter may lead to incontinence.

Causes of Fissure Usually trauma to the anal canal causes a fissure.

Hard stools especially associated with constipation - The increased pressure exerted in an effort to pass the hard stools causes tearing of the delicate perianal skin.

Diarrhoea - The frequent forceful bowel movement causes tearing of the anal skin.

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Iatrogenic - A tear may occur during insertion of a rectal thermometer, USG probe, endoscope, enema tube.

Childbirth Anal sex - Commonly encountered in homosexuals.

Rare causes - Crohns disease, leukaemia, tuberculosis, sexually transmitted diseases, viral infections etc

Symptoms Of Fissure Bleeding, sometimes seen as a streak of blood on stools or blood on the tissue.

Need to strain while passing stools - This is because the anal sphincter goes into a spasm.

Pruritus ani - Itching in the anal region.

Malodorous discharge Sentinel pile - In long standing cases, a skin tag like growth can be felt at the edge of the fissure.

For appointments at Healing Hands Clinic Pune Station/Tilak Rd: 8888288884 Salunkhe Vihar: 8888522226 Baner: 8888622221 Chinchwad: 8888200004 Chakan: 8888296666 Navi Mumbai: 8888166667 Mumbai : 8888266664

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Kemps Corner – Mumbai: 888826664 Nashik: 8888366662.

Bengaluru: 8888133338 Website: www.healinghandsclinic.co.in