Fissure Treatment in Ahmedabad
An anal fissure is a small tear, often just millimetres long, yet it causes pain disproportionate to its size because of how the surrounding muscle reacts to it. The internal sphincter muscle tends to go into spasm in response to the tear, and that spasm reduces blood flow to the area, which slows healing and keeps the fissure irritated a genuine cycle where the body’s own response to pain is part of what prevents it from resolving.
Dr. Vasistha Jajal treats anal fissures at both the acute stage, where most respond to targeted medical therapy that relaxes this muscle spasm, and the chronic stage, where a fissure that hasn’t healed within a few months often needs a procedure to break the cycle directly.
What Fissure Treatment Actually Involves
Fissure treatment is aimed primarily at breaking the muscle spasm response that keeps the tear from healing, using either topical medication or, in chronic cases, a procedure that directly addresses the spasm.
Clinical Examination
A physical examination confirms the fissure's location and distinguishes acute from chronic presentation.
Sphincter Assessment
The degree of internal sphincter spasm is assessed, since this drives both symptoms and healing delay.
Topical Therapy
Muscle-relaxing topical medication is applied directly to reduce spasm and improve blood flow to the area.
Lifestyle Adjustment
Dietary fibre and stool softeners reduce straining, which is a common cause and aggravator of fissures.
Procedural Intervention
For fissures unresponsive to medical therapy, a procedure to relax the sphincter directly is considered.
Reducing spasm improves blood flow, allowing the fissure tissue to actually heal.
Healing the tear directly addresses the bleeding that often accompanies bowel movements.
Most acute fissures heal with medical therapy alone, without ever needing a procedure.
Resolving spasm reduces the fear-driven straining avoidance that can worsen constipation further.
Acute or Chronic - Why Duration Changes the Entire Treatment Approach
How long a fissure has been present is the single biggest factor in deciding what treatment it needs.
Acute Fissures
present for a few weeks or less, respond well to topical muscle-relaxing medication combined with dietary fibre and stool softening, in the majority of cases.
Chronic Fissures
persisting beyond six to eight weeks despite proper medical therapy, often develop visible signs like a skin tag or exposed muscle fibres at the base, and rarely heal with topical treatment alone at this stage.
Recurrent Fissures
healing initially but returning repeatedly, suggest an underlying pattern often ongoing constipation or straining that needs addressing alongside fissure-specific treatment.
When Should You Seek A Fissure Treatment Specialist
Fissure pain has a fairly distinct pattern compared to other anorectal conditions, largely because of the muscle spasm involved, which is often what prompts someone to seek treatment sooner rather than assuming it’s a minor issue.
Sharp pain during and immediately after bowel movements
Anxiety around bowel movements due to anticipated pain
Constipation worsening from fear of triggering pain
Dr. Vasistha Jajal’s broader gastrointestinal surgical training includes managing anorectal conditions such as fissures alongside more complex GI and HPB cases, with treatment decisions guided by fissure duration and response to medical therapy rather than defaulting to surgery at the first visit.
Across more than 5,000 operations, fissure cases needing surgical intervention are approached with attention to preserving normal continence function, since the sphincterotomy procedure involves the same muscle responsible for bowel control, making surgical precision particularly important here.
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Meet Dr. Vasistha Jajal for an evaluation and discuss your treatment options
Lateral internal sphincterotomy, the standard surgical treatment for chronic fissures unresponsive to medical therapy, involves making a small, precise cut in a portion of the internal sphincter muscle to relieve the spasm causing the fissure to persist. This procedure typically takes 15 to 20 minutes under local, spinal, or general anaesthesia, and is usually done as a day-care procedure without requiring an overnight hospital stay.
+91-96874 86618
What Sets This Fissure Treatment Practice Apart
A look at how staging accuracy, continence-focused technique, and treatment sequencing shape outcomes in fissure care specifically.
Case Volume
Over 2,000 operations performed, including anorectal and general GI surgical procedures.
Staging Accuracy
Acute and chronic fissures distinguished clearly to guide medical versus procedural treatment.
Rank Credentials
Second rank nationally in the All India Super Specialty Examination during surgical training.
Continence Precision
Sphincterotomy performed with particular attention to preserving normal bowel control function.
Medical-First Approach
Adequate trial of topical therapy given before any procedure is recommended.
Recurrence Prevention
Underlying constipation or straining patterns addressed alongside fissure-specific treatment.
What Patients Ask About Fissure Treatment
Can an anal fissure heal without treatment?
Some very minor fissures heal on their own, but most benefit from topical treatment and dietary changes to heal properly.
How long does it take for fissure medication to work?
Most acute fissures show improvement within two to four weeks of consistent topical treatment and lifestyle adjustment.
Does sphincterotomy surgery affect bowel control?
The procedure is designed to preserve continence, with impact on bowel control being uncommon when performed precisely.
Is fissure surgery painful compared to the fissure itself?
Recovery discomfort is generally much less than the fissure pain itself, since the spasm causing pain is directly relieved.
Can a fissure come back after healing?
Yes, particularly if underlying constipation or straining isn’t addressed, which is why lifestyle changes remain important.
How is a fissure different from piles?
A fissure is a tear causing sharp pain during bowel movements, while piles are swollen tissue causing painless bleeding, usually.
Dealing With Sharp Pain During Bowel Movements?
Pain that occurs specifically during and after passing stool, especially alongside visible bleeding, is worth getting examined properly rather than adjusting your diet indefinitely around the discomfort. Book a Consultation with Dr. Vasistha Jajal
