ANAL FISSURE
An anal fissure is a cut or tear in the lining of the anus.
Patients with anal fissures experience sever pain and burning sensation
during and after defecation. Bearing sensation of anal region after passing
Stool.
At times, Anal Fissure may bleed a bit along with stool.
CAUSES OF ANAL FISSURE:
- Irregular bowel habits and straining at stools (Because of lack of fiber in diet)
- Frequent diarrhea
- Sever constipation
- Straining during child birth
- Over tight anal sphincter muscles.
- Injury to the anal canal (Trauma to accidents or hard, dry bowel movement)
Treatment of Anal Fissure
Non-Surgical
- - You can change a few habits to help lessen the strain on the anal canal
- - Stay hydrated
- - Eat a fiber rich diet
- - Don’t ignore your urge to go
- - Don’t strain or bit on the toilet too
long. Increases pressure in the anal
canal.
- - Get treatment for chronic
constipation or ongoing diarrhea
- - Hot Sitz Bath for 10 mins post
defecation.
Surgical
- - Botox Injections
- - Sphincterotomy
- - Laser Surgery for fissure
Ayurvedic Therapy (Medical Oil enema or Medicated Oil Matra Basti or Medicated Herbal Enema)
An Ancient procedure of treating fissure in ano with the help of herbal medicines
& medicated oil Enemas. Medicated oil we use contain herbal drug which
promote ulcer to heal and also reliefs constipation.
This procedure is very effective in chronic constipation, IBS and Colitis.
Surgical Procedures for Fissure
Botox Injection: - This injection cause relaxation of the sphincters and thus
helps in healing of fissure. Botox blocks sympathetic news function &
myogenic tone of the internal anal sphincter (Chemical Sphincterotomy)
results in increase in the local Fissure perfusion & healing of the chronic anal
fissure.
Sphincterotomy
1. This surgical procedure involves stretching or cutting the internal sphincter,
the muscle that restricts and relaxes when stool passes form the body.
This reliefs a patient form Spasm and in turn helps the area to heal.
Sphincterotomy simply means during the sphincter. IT is casually performed
under a general anesthetic and usually takes about a quarter of an hour. A
small cut in the lower part of the internal sphincter muscle is made. This will
relieve the spasm in the sphincter, allowing healing of the fissure.
Laser Treatment for Fissure:
This is a minimally invasive treatment for severe anal spasm in cases of
chronic anal fissures. In this particular laser surgery healing time is very less
with no scar formation. Laser is used to perform internal sphincterotomy. The
chronic fibrosed scar of fissure ulcer is divided with the laser. There is no loss
of blood, it is less painful and day care procedure. Recovery is very quick
after laser.
USE THE WASH REGIMEN FOR FISSURE
- W arm water, site bath after bowel movement
- A nalgesics
- S tool softener
- H igh fiber diet
