Anal Fissures — treatment in Lahore
Also known as: Fissure-in-Ano · Anal Tear
An anal fissure is a small tear in the lining of the anus, usually caused by passing a hard or large stool. It produces sharp pain during bowel movements and bright-red bleeding, but is highly treatable.
Overview
Anal fissures cause intense pain during bowel movements and bright-red bleeding. Most heal with topical treatment and simple lifestyle changes within weeks.
Signs & symptoms of Anal Fissures
If you recognize one or more of these, it may be worth a consultation:
- Sharp pain during bowel movements
- Bright-red blood on tissue or in the bowl
- Itching or irritation
- Spasm of the anal muscles after passing stool
Causes & risk factors
Several factors can contribute to Anal Fissures. Identifying yours guides the treatment plan.
- Chronic constipation and straining
- Diarrhea
- Childbirth
- Anal trauma
- Rarely: Crohn's disease or infection
How Anal Fissures is diagnosed
We order tests selectively — only what changes the plan.
- Clinical anal exam
- Anoscopy when needed
Treatment options
Treatment for Anal Fissures is personalized — the right plan depends on your symptoms, test results, and life situation.
- 1 Sitz baths
- 2 Stool softeners and fibre
- 3 Topical nitroglycerin or calcium-channel blockers
- 4 Botulinum toxin injection in refractory cases
- 5 Lateral internal sphincterotomy for chronic fissures
Can Anal Fissures be prevented?
Simple, evidence-based steps that reduce your risk.
- Avoid constipation
- Adequate fibre and fluids
- Don't suppress the urge to defecate
When should you see a doctor about Anal Fissures?
Reach out without delay if you notice any of the following.
- Pain that persists beyond 4–6 weeks
- Recurrent fissures
- Fissure not in the usual midline location (may suggest Crohn's)
- Significant bleeding
Frequently asked questions about Anal Fissures
How long does a fissure take to heal? +
Most acute fissures heal within 4–6 weeks with topical treatment and stool softeners. Chronic fissures (>6 weeks) often need additional therapy.
Related services
How we treat Anal Fissures at Javaid Poly Clinic.
Dr Usman Javaid
Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.
This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.
Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Anal Fissures or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.