Anal Fissures are basically a cut or tearing in the anus part of the body that comes out upwards into the anal canal. Fissures are common situations of the anus and anal canal and are responsible for 6% to 15% of the visits to a colon and rectal (colorectal) surgeon.Get guaranteed fissure treatment in jaipur at jyotinursinghome by leading colorectal & laparoscopic surgeon-Dr Jaya Maheshwari. Visit us to know more about fissure and its treatment at: http://www.jyotinursinghome.com/fissure-treatment-in-jaipur.html

1. What are the Anal Fissures ?
It is basically a cut or tearing in the anus part of the body that comes out upwards
into the anal canal. Fissures are common situations of the anus and anal canal
and are responsible for 6% to 15% of the visits to a colon and rectal (colorectal)
surgeon. It can be found in Men, Women, Young and Old ones. Fissures is the
most painful situation in the bowel movement that often is severe. Anal fissure is
the most common cause of rectal bleeding.
Anal Fissures occurs in the specialized tissue that covers that lines the anus and
anal canal which is called anoderm. A line just inside the anus the skin of the
inner buttocks changes to anoderm. Less likely to skin, anoderm has no hairs,
sweat glands, or sebaceous (oil) glands. It contains a large number of sensory
nerves that can feel the light touch and pain. The hairless, gland-less, extremely
sensitive anoderm surrounds the entire length of the anal canal until it meets the
demarcating line of the rectum, called the denate line.
An anal fissures is a small tear in the thin, moist tissue (mucosa) that covers the
anus. Anal fissure may occurs when you pass hard or large stools during a bowel
movement. It usually causes pain and bleeding with the bowel movement. You
may also some contraction in the ring of the muscle at the end of your anus.
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2. Signs and symptoms of an anal fissure include:
 Pain, sometimes severe, during bowel movements
 Pain after bowel movements that can last up to
several hours
 Bright red blood on the stool or toilet paper after a
bowel movement
 Itching or irritation around the anus
 A visible crack in the skin around the anus
 A small lump or skin tag on the skin near the anal
fissure
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3. Common causes of anal fissure include:
 Passing large or hard stools
 Constipation and straining during bowel movements
 Chronic diarrhea
 Inflammation of the anorectal area, caused by Crohn’s disease or
another inflammatory bowel disease
 Childbirth
Less common causes of anal fissures include:
 Anal cancer
 HIV
 Tuberculosis
 Syphilis
 Herpes
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4. Factors that may increase your risk of developing an anal
fissure include:
 Infancy. Many infants experience an anal fissure during their
first year of life; experts aren’t sure why.
 Aging. Older adults may develop an anal fissure partly due to
slowed circulation, resulting in decreased blood flow to the
rectal area.
 Constipation. Straining during bowel movements and passing
hard stools increase the risk of tearing.
 Childbirth. Anal fissures are more common in women after
they give birth.
 Crohn’s disease. This inflammatory bowel disease causes
chronic inflammation of the intestinal tract, which may make
the lining of the anal canal more vulnerable to tearing.
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5. The goal of treatment for anal fissure is to
release the spasm of anal muscle and cure the
anal tear.
Jyoti Nursing Home Proctology dept. offered the
both conservative and laser treatment for anal
fissure.
Jyoti Nursing Home proctology team treated the
acute and chronic anal fissure with the self-
researched Ayurveda medicine ( Anoac, Anoac
Tablet, Constac Powder ) cream powder anal
tablet for the acute fissure. )
For chronic fissure, we offered the best-
advanced laser treatment for release the spasm
and heal the anal tear with the power of laser
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6. Several lifestyle changes may help relieve discomfort and
promote healing of an anal fissure, as well as prevent
recurrences:
 Add fiber to your diet. Eating about 25 to 30 grams of fiber a day
can help keep stools soft and improve fissure healing. Fiber-rich
foods include fruits, vegetables, nuts and whole grains. You also
can take a fiber supplement. Adding fiber may cause gas and
bloating, so increase your intake gradually.
 Drink adequate fluids. Fluids help prevent constipation.
 Exercise regularly. Engage in 30 minutes or more of moderate
physical activity, such as walking, most days of the week.
Exercise promotes regular bowel movements and increases
blood flow to all parts of your body, which may promote healing
of an anal fissure.
 Avoid straining during bowel movements. Straining creates
pressure, which can open a healing tear or cause a new tear.
If your infant has an anal fissure, be sure to change diapers
frequently, wash the area gently and discuss the problem with
your infant’s doctor.
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7. Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such
as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes
several times a day, especially after bowel movements, can help relax the sphincter and
promote healing.
If your symptoms persist, you’ll likely need further treatment.
Nonsurgical treatments
Your doctor may recommend:
 Externally applied nitrogylcerin, to help increase blood flow to the fissure and promote
healing, and to help relax the anal sphincter. Nitroglycerin is generally considered the
medical treatment of choice when other conservative measures fail. Side effects may
include headache.
 Steroid creams, to help relieve discomfort.
 Botulin toxin type A (Botox) injection, to paralyze the anal sphincter muscle and relax
spasms.
 Blood pressure medications, which can help relax the anal sphincter. These medications
may be taken by mouth or applied externally and may be used when nitroglycerin in not
effective or causes significant side effects.
Surgery
 If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms
are severe, your doctor may recommend surgery. Surgery usually involves cutting a small
portion of the anal sphincter muscle to reduce spasm and pain and promote healing.
Surgery has a small risk of causing incontinence.
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8. Jyoti Nursing Home
Road No 4, Opposite SBI Bank, Near Police
Station, Sikar Road,
Vishwakarma Industrial Area, Murlipura,
Jaipur, Rajasthan – 302013, India.
Mobile: +91 9314404024
Email : jyoticashless@yahoo.in
Web: http://www.jyotinursinghome.com/
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