COMMON CAUSE OF ANAL PAIN
Anal Fissure
A small tear or crack in the lining of the anal canal that causes sharp, burning pain during bowel movements, often accompanied by bright-red bleeding and prolonged discomfort.
ABOUT THIS CONDITION
What is Anal Fissure
An anal fissure is a small split or tear in the soft lining of the anal canal, most often caused by passing hard or large stools. It is typically classified as acute (lasting under six weeks) or chronic (persisting beyond six weeks or recurring repeatedly). The condition causes intense pain during and after bowel movements, often described as cutting or burning, along with small amounts of bright-red bleeding. Many patients also notice a small skin tag near the fissure. Anal fissures may resolve with conservative care, but chronic fissures often need surgical treatment for permanent relief. Dr. Tejasree Vengala, a trusted female proctologist in Hyderabad, offers complete fissure care — from medical management to laser fissure treatment and Lateral Internal Sphincterotomy at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Passing hard, large stools due to constipation
- Chronic diarrhoea irritating the anal canal lining
- High pressure or spasm of the internal anal sphincter
- Childbirth-related trauma to the anal canal
- Inflammatory bowel disease such as Crohn's disease
- Low-fibre diet and inadequate hydration
CLINICAL DETAILS
KeyFacts
Acute fissures heal with medical treatment. Chronic fissures often need surgery.
Lateral Internal Sphincterotomy (LIS), Fissurectomy, Advancement Flap / Anoplasty.
Pain-free, precise, and reduces sphincter spasm with faster healing.
Most patients return to normal activities within 2–3 days.
Comfortable, confidential care by Dr. Tejasree, a female proctologist.
Available at Lux Hospitals, Hitech City, Hyderabad.
HOW WE TREAT IT
Treatment Approach
Lateral Internal Sphincterotomy (LIS)
Dr. Tejasree Vengala performs Lateral Internal Sphincterotomy as the gold-standard surgical treatment for chronic anal fissures. A small portion of the internal sphincter muscle is gently divided to release spasm, allowing the fissure to heal completely with very high success rates and minimal recurrence.
- 1
Consultation & Assessment
Dr. Tejasree examines the fissure, assesses sphincter tone, and rules out other anorectal conditions through a careful clinical examination.
- 2
Treatment Planning
Acute fissures are first managed with stool softeners, sitz baths and topical medications. Chronic fissures are planned for surgical treatment.
- 3
Procedure
LIS or fissurectomy is performed under short anaesthesia. The procedure typically takes 20–30 minutes and offers immediate relief from spasm.
- 4
Recovery & Follow-up
Patients are usually discharged the same day, with structured advice on diet, sitz baths and medication for complete healing within a few weeks.
AVAILABLE TREATMENTS
Treatment Options
Lateral Internal Sphincterotomy (LIS)
Gold-standard surgery in which a small portion of the internal sphincter muscle is divided to release spasm and allow the fissure to heal.
Fissurectomy
Surgical removal of the chronic fissure tissue along with associated skin tag — often combined with LIS for best results.
Advancement Flap / Anoplasty
Healthy tissue is mobilised to cover the fissure — preferred for large or recurrent fissures with low sphincter pressure.
COMMON QUESTIONS
Frequently Asked Questions
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