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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

  Click to call +919833290590


Anal Fissure Treatment

Anal Fissure

Chronic Anal Fissure

Anal Fissure is Common Cause of Visit to Our Proctologist at Colorectal Clinic Vashi, Navi Mumbai. Fissure in Ano is a tear or cut in the linings of anus.

Fissures typically cause severe pain and bleeding while passing stool (faeces) and often confused with haemorrhoids or cancer. Delay in diagnosis causes acute fissure becoming chronic and thus more difficult to treat.
Majority of anal fissure does not require surgery; surgery is advised if home care and medical treatment (read below) fails.

Get diagnosed by our Fissure specialist click to call 9833290590

Causes of Anal Fissure

  • Most common cause is trauma to anus while passing stool in constipation or repeated diarrhoea.
  • Occasionally rectal thermometer, endoscope, enema tip can be the reason of trauma
  • Other rare causes: crohn’s disease, anal cancer, tuberculosis, viral infections (syphilis, herpes, cytomegalovirus, HIV) Biopsies of these fissures are mandatory. 

Symptoms & Diagnosis of Anal Fissure


  • Severe Pain at anal area that worsens on bowel movement
  • Bleeding while passing stool (more common in infants)
  • Anal Itching

Careful history of pain and bleeding while passing stool, usually suggests presence of anal fissure. Visible fissure in the midline of anus confirms diagnosis.

If rectal bleeding is present rigid or flexible sigmoidoscopy is usually done at our one stop colorectal clinic at Vashi, Navi Mumbai. In a patient over 50 years of age or with a family history of colon cancer a colonoscopy is to be performed.

Home & Medical Treatment of Anal Fissure

An acute fissure is typically managed with non-operative treatments and over 90% will heal without surgery. Often treating constipation or diarrhea can cure a fissure.
General Treatment and Home Remedies for Anal Fissure

  • Drinking plenty of water (8-10 glasses)
  • High fibre diet
  • Over the counter fibre supplements (25-35 grams of fibre per day)
  • Avoiding food that may not be digested easily like -nuts, popcorn
  • regular exercise
  • Use of moist tissues or shower spray is often better alternative to toilet paper after bowel movements.
  • hot sitz both -(sitting in a tub of Luke warm water for 20 min)

Medical Treatment for Anal Fissure –

  • Stool softener containing (natural psyllium husk)
  • Laxatives
  • Topical/local anaesthetic gel to reduce pain
  • Topical ointment for relaxation of sphincter, headache is a side effect.
  • Topical Ca channel blockers are effective alternative in breast feeding women where should not be used.

Injection & LASER For Anal Fissure

  • Treatment works by temporary paralysing muscles of internal sphincter. Toxin injection into internal anal sphincter is effective and and it can berepeated.
  • LASER treatment for anal fissure

Anal Fissure LASER Treatement

Anal Fissure Surgery in Mumbai

Surgery is indicated when medical management and life style modification fails to heal an anal fissure. Chronic fissure present for more than 6 weeks may require a biopsy to rule our crohns or cancer.

Dr Nitish Jhawar- General, laparoscopic and colorectal surgeon with 17 years extensive experience in the field has fellowship of Association of Colorectal Surgeons of India (FACRSI) and Fellowship in colorectal surgeries from U.S.

He offers Lateral internal sphincterotomy, flaps surgery and LASER treatment for Anal Fissure.

Lateral Internal sphinterotomy

Anal Fissure Surgery

Standard Task Force of the American Society of Colon and Rectal Surgeons has recommended partial lateral internal sphincterotomy as the technique of choice for the anal fissures surgery.

In this procedure less than a third of sphincter is cut at the level of fissure. It is extremely effective procedure. If a sentinel pile is present, it may be removed to promote healing of the fissure.

Anoderm or rectal advancement flaps – if fissure does not heal by any means, than ANAL FISSURE is removed and repaired using a flap. This is particularly done for chronic painless fissures where spam is not the cause.

Recovery & Preventing recurrence

Recovery after Anal fissure surgery
Complete healing with medicines or surgical treatments can take up to approximately 6-10 weeks. However, patient is relieved of acute pain after surgery within a few days.  Majority of patients can resume work and daily activities in a few days.

Preventing recurrence of Anal fissure:

  • Avoid constipation by drinking plenty of water and high fiber diet
  • Avoid supressing natural urge to pass stool
  • Develop regular bowel habit
  • Avoid straining at stool
  • Avoid anal intercourse

Can fissure cause colon cancer?

No, fissure cannot lead to colon cancer, however careful evaluation and proper diagnosis by colorectal surgeon is required as other conditions can cause similar symptoms as anal fissure.

Find Out More About Anal Fissure LASER Treatment including cost estimation at our one stop colorectal clinic Vashi , Navi Mumbai
Call 9833290590 or book appointment


What patient says about Dr. Nitish Jhawar

  • Person Image

    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience