Fissure Surgery


Best chronic fissure doctor in Ahmedabad

An anal fissure is a small tear in the skin that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. An anal fissure typically causes pain and bleeding with bowel movements. Anal fissures most often affect people in middle age, but fissures also are the most common cause of rectal bleeding in infants. Most anal fissures heal within a few weeks with treatment for constipation, but some fissures may become chronic


COMMON CAUSES OF ANAL FISSURES

Anal fissures can be caused by trauma to the anus and anal canal. The cause of the trauma can be one or more of the following: Chronic constipation Straining to have a bowel movement, especially if the stool is large, hard, and/or dry Prolonged diarrhea Anal stretching Insertion of foreign objects into the anus Other causes of anal fissures (other than trauma) include:


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Longstanding poor bowel habits Overly tight or spastic anal sphincter muscles (muscles that control the closing of the anus) Scarring in the anorectal area Presence of an underlying medical problem: such as Crohn’s disease and ulcerative colitis; anal cancer; leukemia; infectious diseases (such as tuberculosis); and sexually transmitted diseases (such as syphilis, gonorrhea, Chlamydia, chancroid, HIV) Decreased blood flow to the anorectal area


SYMPTOMS OF ANAL FISSURE

Anal fistulas commonly occur due to an anal abscess. An abscess is a collection of pus and infected fluid. An anal abscess usually develops after a small gland, just inside the anus, becomes infected with bacteria. A fistula may occur if an abscess has not completely healed, or if the infected fluid has not been entirely drained away. An anal fistula may also develop as a result of: a growth or ulcer (painful sore) a complication from surgery a congenital abnormality (a health problem that you were born with) Anal fistulae are also a common complication of conditions that result in inflammation of the intestines. Some of these conditions include: Irritable bowel syndrome (IBS): a chronic (long-term) disorder that affects the digestive system, causing abdominal pain, diarrhoea and constipation. Diverticulitis: the formation of small pouches that stick out of the side of the large intestine (colon), which become infected and inflamed. Ulcerative colitis: a chronic condition that causes the colon to become inflamed and can cause ulcers to form on the lining of the colon. Crohn's disease: a chronic condition that causes inflammation of the lining of the digestive system.


PREVENTION OF ANAL FISSURES

For fissures in adults: Keep the anorectal area dry Wipe the area with soft materials, a moistened cloth, or cotton pad; avoid rough and scented toilet paper Promptly treat all occurrences of constipation and diarrhea Avoid irritating the rectum


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