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

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Person Image with anal fissure

Question and Answers related to Anal Fissure by Dr. Nitish Jhawar

Dr. Nitish Jhawar is answering questions related to Anal Fissure in Times of India

Q1. I am 26 yrs old sales executive I had severe constipation after my travel last week ,now feeling severe pain while passing stool and noticed some bleeding also on the tissue while cleaning is it piles ?

A. Most commonly piles cause painless bleeding so if it’s a classical cutting glass pain following defecation with smudging on the tissue or a streak of blood on a stool then it may be Fissure – in – Ano. A simple visit to your surgeon will solve your problem.

Q2. Do fissures always require surgery?

A. The mainstay of treatment is medical which is aimed at reducing the pain, relaxing the anal muscles & curing the constipation surgery can be avoided in many cases.

Q3. If medical treatment fails then is there any other remedy other than conventional surgery?

A. Fissures refuse to heal due to spasm of the sphincter muscle if medical treatment fails then we can actually temporarily paralyze the internal sphincter muscle by injecting BOTOX. It is safe, fast and convenient but fissures may relapse once the muscle gains their normal tone again.

Q4. What is the conventional surgery all about will I lose control over my feces after getting it done?

A. Standard treatment for a fissure is called LIS (Lateral Internal Sphincterotomy) with or without fissure ectomy (excision of the fissure) it comprises of loosening the internal muscle by cutting a part of it. It is the very controlled way of releasing the spasm and there is no long-term effect on the continence.

Q5. Can LASER be done to cure fissures?

A. Yes LASER can be used to treat the fissures it’s a little expensive option but the equally good option as an LIS.

Q6. I recently delivered a baby and now having a painful bleeding from rectum since last 2 weeks do I need surgery as it is difficult to take care of by newborn with this painful condition?

A. It is very common to have fissure problem during or after delivery, medical treatment mostly helps and surgery is required only in nonresponsive cases.

Q7. I am a 40-year-old man I noticed some painful bleeding recently. I looked up on the internet I am scared that it could be Cancer please help?

A. The bleeding from the rectum can very well be a sign of cancer if associated with any of the RED flag signs like weight loss, change in bowel habits, black or tarry stools, anemia, family history of colorectal cancer etc. A short duration fresh bleed is usually not so ominous but visits to a specialist are required to rule out any lurking danger avoid self-medication at all cost.


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.

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    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.

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    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.

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    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