An anal fissure is a small cut near the anal opening. This usually happens when hard stool stretches the skin, causing it to tear. The tear around the anus causes sharp pain during bowel movements and may also lead to bleeding. This condition is common in people who suffer from constipation and strain while passing stool. The fissure often looks like a crack or slit in the skin around the anus. With early care and proper treatment, including medical management or fissure piles surgery in Thane when required, the condition can heal effectively. If ignored, the fissure may become chronic, leading to increased pain and discomfort and requiring advanced treatment options.
The muscles around the anus tighten and delay healing; in such cases, pain continues even after passing stool. The wound becomes deep and painful, and the person may avoid the toilet due to fear of pain, which makes constipation worse. Early signs must be treated with a balanced diet, adequate water intake, and local care to avoid the need for surgery. If pain lasts more than a week, it needs medical attention without delay to prevent chronic damage.
Symptoms of an Anal Fissure: Early Signs, Causes, and When to Seek Treatment
- Pain while passing stool.
- Burning sensation after toilet.
- Visible cut or crack around the anus.
- Bright red blood during bowel movements.
- Painful bowel movements daily.
- Swelling near the anal area.
- Feeling of incomplete emptying.
- Itching or irritation near the anus.
- Sharp pain even while sitting.
- Spasm of anal muscles.
- Pain that lasts for hours.
- Discomfort during walking.
- Foul discharge in some cases.
- Pain worsens after each toilet visit.
- Inability to sit comfortably.
Causes of Anal Fissure
An anal fissure occurs when the delicate skin around the anus gets torn due to excessive pressure or irritation. The common causes include:
● Passing hard or large stools due to constipation
● Straining during bowel movements
● Chronic constipation or diarrhea
● Lack of fiber and fluids in the diet
● Prolonged sitting on the toilet
● Childbirth and labor-related strain
● Anal muscle spasm causing reduced blood flow
● Repeated use of laxatives
● Inflammatory bowel diseases
● Trauma or injury to the anal area
Understanding the causes of anal fissure helps in early prevention and timely treatment, reducing the risk of chronic pain and complications.
Risk Factors for Developing Anal Fissure
Certain factors increase the chances of developing an anal fissure by putting extra strain on the anal canal or reducing healing ability. Common risk factors include:
● Chronic constipation and passing hard stools
● Frequent straining during bowel movements
● Low-fiber diet and inadequate fluid intake
● Prolonged diarrhea causing irritation
● Sedentary lifestyle and lack of physical activity
● Pregnancy and childbirth-related strain
● Poor bowel habits, such as delaying the urge to pass stool
● Tight anal sphincter muscles
● Reduced blood flow to the anal area
● Obesity, which increases pressure on the anal region
● Inflammatory bowel diseases
● Aging, as skin elasticity decreases
Recognizing these risk factors helps in preventing anal fissures and seeking timely treatment before the condition becomes chronic.
When to See a Doctor for an Anal Fissure
Pain during stool that does not stop for days needs a medical check if you see blood on toilet paper or in stool. It is a sign of fissure if pain increases after every toilet visit and lasts longer. It should not be ignored; if you find a cut or swelling around the anus or pain while sitting or walking, you must go to a doctor. Early care prevents chronic damage if you get a fever, pus, or foul smell near the area.
It can be an infection and needs treatment immediately. Some people avoid the toilet due to pain, and this makes the condition worse. Fissures can heal fast with proper care if treated early with medicines. Diet and hygiene help. In most cases, laser surgery is used only when needed, and recovery is fast with expert care.
Diagnosis—How Is an Anal Fissure Identified?
Diagnosis is done with a simple physical examination. The doctor checks the anal area and may see the tear clearly. Sometimes a gentle touch can confirm it without much pain. The doctor may use gloves and clean the area before checking. In some cases, an anoscope is used to look deeper, but it is not always required.
Local anesthesia cream may be applied to reduce pain during examination. No major test is needed in most cases. If pain is severe or other conditions like a fistula are suspected, further tests may be advised. The doctor checks the signs of infection, spasm, and the type of fissure, acute or chronic. If a skin tag or extra tissue is seen, it suggests a long-term fissure. An early visit to the doctor helps in proper care and avoids complications. A simple check is enough for diagnosis.
Types of Anal Fissure (Acute vs. Chronic)
Types of Anal Fissure (Acute vs. Chronic)
Anal fissures are classified into two main types based on how long the condition lasts and the severity of symptoms.
Acute Anal Fissure
An acute anal fissure is a newly developed tear in the skin around the anus. It usually lasts for less than six weeks.
Features of Acute Anal Fissure:
● Sudden sharp pain during bowel movements
● Mild bleeding, often seen as bright red blood
● A small, fresh tear in the anal skin
● Pain that improves after passing stool
● Heals naturally with proper care, diet changes, and medicines
Early treatment can help an acute fissure heal completely and prevent it from becoming chronic.
Chronic Anal Fissure
A chronic anal fissure develops when an acute fissure does not heal and lasts longer than six weeks.
Features of Chronic Anal Fissure:
● Persistent or recurring pain during and after bowel movements
● Increased bleeding or irritation
● Thickened skin or a visible lump near the fissure
● Muscle spasm in the anal area, slowing healing
● Requires medical treatment and sometimes surgical intervention
Chronic fissures need timely medical care to relieve pain and avoid complications.
Non-Surgical Treatment Options
Most anal fissures heal without surgery with proper steps; drink more water to make stool soft and pass easily. Eat high fiber foods such as fruits, vegetables, and whole grains. Take a warm sitz bath two to three times daily to relax. The area, improve blood flow, apply prescribed ointments to reduce pain and swelling, and use stool softeners. If constipation continues, avoid spicy, fried, and junk food for faster recovery.
Do not delay going to the toilet, avoid straining during bowel movement, clean the area with warm water after using the toilet, and pat dry. Regularly use pain relievers only as advised. Follow up with the doctor if the pain does not reduce in two weeks. Many patients recover completely with nonsurgical care.
Laser Surgery for Anal Fissure in Thane
Laser surgery for anal fissure is a safe and modern method used in Thane; the procedure uses focused laser energy to remove the tear and seal blood vessels. It causes very little bleeding and no major cuts; there are no stitches needed, and the recovery is much faster than traditional methods. Pain after surgery is less, and patients return home the same day; the laser surgery takes less than thirty minutes. It is done under short anesthesia, and the patient can walk the same evening.
It is ideal for chronic fissures where medicine does not work. Hospitals in Thane offer this treatment with expert care and hygiene. This method reduces hospital stay and risk of infection. It helps patients return to their routine life quickly without long rest. Most cases show relief within a week of surgery.
Post-Surgery Recovery & Care
After laser surgery, recovery is quick if care is taken properly; medicines must be taken on time to reduce pain and prevent infection. Water intake must be increased to avoid hard stool.
Sitz baths twice daily help in muscle relaxation, and a healing diet should include fiber-rich food and soft meals. Avoid spicy and fried food for a few days, avoid straining during toilet, and do not delay the urge to pass stool. Keep the area clean and dry using warm water to wash and gently pat to dry, rest for two to three days, and avoid heavy lifting.
Follow all instructions given by the doctor, attend follow-up visits regularly, and report if there is any bleeding, swelling, or discharge. Early aftercare helps in complete healing.
Foods to Avoid During Healing
During the healing phase of an anal fissure, certain foods can worsen constipation, irritate the digestive tract, or delay recovery. Avoiding these foods helps reduce pain and supports faster healing.
● Spicy foods – Can irritate the anal area and increase burning sensation
● Fried and oily foods – Slow digestion and cause hard stools
● Processed and junk foods – Low in fiber and worsen constipation
● Refined grains – White bread, white rice, and maida reduce stool softness
● Red meat – Difficult to digest and may harden stools
● Excess dairy products – Can cause constipation in some people
● Caffeinated drinks – Coffee and strong tea may lead to dehydration
● Alcohol – Dehydrates the body and slows healing
● Sugary foods and sweets – Reduce gut health and worsen bowel habits
● Carbonated drinks – Cause bloating and digestive discomfort
Avoiding these foods, along with drinking plenty of water and eating a fiber-rich diet, helps ease bowel movements and supports proper healing.
Why Choose Dr. Pradeep Tripathi for Anal Fissure Treatment?
Dr. Pradeep Tripathi has years of experience in treating fissures using advanced methods; he offers laser surgery for quick healing without much pain. He listens carefully and provides the right care based on the condition. His treatment plans are clear and easy to follow. He explains every step to the patient in a simple way.
He treats each case with attention and follows up till full recovery; he ensures pain is controlled and healing is fast. He uses the latest tools and works with a skilled team; patients trust his care and visit from nearby cities. He also believes in clean, safe, and complete recovery. His clinic in Thane is well known for anorectal care and fast laser treatment for fissures and other related problems.
Tieten Medicity Hospital—Best Proctology Care in Thane
Tieten Medicity Hospital in Thane provides updated care for anal fissure and related problems. The hospital has laser tools, skilled surgeons, and a good hygiene setup; care is fast and safe, and recovery is easy. Patients are treated with privacy and respect. Each step is clearly explained to the patient. The hospital gives same-day discharge for laser cases with full instructions to follow at home.
Support staff and nurses help in recovery, and they guide every patient with care. Treatment for fissures, piles, and fistulas is available at one place. Doctors follow the latest treatment plans and pain control steps. The hospital offers follow-up visits and post-treatment care services and is trusted by many people in Thane and nearby areas.
Frequently Asked Questions
What is the main cause of anal fissure?
Hard stool and constipation cause tears in anal skin; frequent straining also damages the area.
How can an anal fissure be treated at home?
Drink more water, eat fiber-rich food, take sitz baths, and apply ointments as prescribed.
Is laser surgery safe for fissures?
Yes, laser surgery is safe, less painful, and gives fast healing with fewer complications.
How long does healing take after surgery?
Most people recover within a week if care is followed properly and no infection happens.
Can a fissure return after healing?
Yes, if constipation returns or toilet habits remain poor, the fissure may come back.
Book Your Appointment in Thane or Mumbai
To get treatment for an anal fissure, you can book an appointment with Dr. Pradeep Tripathi in Thane or Mumbai. His clinic and hospital offer complete care with advanced methods. An appointment can be booked online or by phone.
Details are available on the hospital website.
You can visit for a first consultation and plan treatment as per the condition. His team will assist you with date, time, and care steps. Appointments are available on all days with fixed time slots, and you will receive a reminder. Your visit. The location is easy to reach, and the staff helps with registration and check-up.
