Allopathic Treatment for Fissure in Ano

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Allopathic Treatment for Fissure in Ano

• Vithai Piles Hospital

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Introduction

• Fissure in ano is a disease can be described as
  linear ulcer in the anal canal starting from
  dentate line up to the anal verge. This is very
  painful condition. This is caused by the hard
  stool initial that of the stone is bigger then
  the last one and initial hard stool while passing
  through the anal canal due to lack of space
  causes the linear tear
• Once this linear ulcer or year is form at anal
  canal Daily motion habits and contact with the
  stool causes this wound edges to get hardened.
  This Hardened wound edges are very difficult to
  get held. If patient is suffering from any type
  of gastrointestinal tract infection or hard stool
  causes inflammation of this wound. At the same
  time patient present to the doctor with the
  complaints of painful defecation and bleeding per
  rectum. Bleeding per rectum is described by the
  patient as line of a blood over the stool surface
  called as streak on stool. Most of the patients,
  out of all anorectal diseases 70 persons are
  suffer from fissure in ano.

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Allopathic Treatment for Fissure in Ano

• Stool Softener
• Painkillers
• Wound Soothing Agents like Cream etc
• Localise Anaesthetic Gel

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Surgery for Fissure

1. Laser Treatment
2. Fissurectomy
3. Lateral Internal Sphincterotomy
4. Recovering from Fissure Surgery

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Laser Treatment

• Anal tears are small cuts or tears that occur
  inside the anus. These tears cause severe pain
  and may even cause bleeding when passing through
  the stool.
• Sometimes the cracks get too deep and can even
  show the underlying muscles. When you notice the
  first signs of a crack, it is important to treat
  it to heal faster.
• It is not so complicated, but it affects people
  of all ages. The main reason for this condition,
  even in infants and toddlers, is constipation.
  Generally, it should cure within 4-6 weeks, and
  if it does not, it is classified as a chronic
  disease.
• Your doctor will try traditional techniques first
  to help you heal. But if that doesn't work,
  surgery may be necessary.

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Fissurectomy

• Your surgeon may sometimes suggest you have a
  procedure called a fissurectomy alongside Botox
  injections.
• This involves cutting away the damaged skin from
  around your anal fissure, along with any
  sentinel skin tags

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Lateral Internal Sphincterotomy

• This is a surgery that cuts the sphincter around
  the anus to relieve tension and cures a tear.
  After first trying other treatments, including
  Botox, your doctor will usually just suggest
  this.
•  
• Usually this procedure is performed under general
  anaesthesia. In other words, you will be asleep
  during the operation. The procedure can be done
  in two ways. In an open sphincterotomy, the
  surgeon cuts the skin a little to reach the
  sphincter.
• They will then be able to see the muscles as they
  cut into it. Your skin incisions are usually left
  open to heal. In a closed sphincterotomy, the
  surgeon stretches the muscle through the blade
  below your skin.

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Recovering from Fissure Surgery

• You are usually prescribed painkillers and
  laxatives (to prevent constipation) after
  surgery. As soon as you are ready, you can change
  to simple paracetamol or ibuprofen.
• You must drink plenty of water (8-10 glass) and
  Eat a high fiber diet to stop the anal fissure
  coming back. High-fiber foods include fruits and
  vegetables, whole-grain bread and cereals.
• If you have had a sphincterotomy, you can leave
  the wound open to heal spontaneously. Keep the
  area clean and dry to help it heal and avoid the
  onset of infection. Recovery time varies from
  person to person, but most people feel well
  enough to return to normal activity within a few
  days.

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Activities you have to perform

• We move body comfortably from sitting down to
  standing and lying down.
• You can get back to work as soon as you feel
  comfortable without taking painkillers.
• Do not drive while taking prescription drugs.
• Sex may be resumed if you are comfortable.
• Return to the clinic to see your doctor, NP, or
  PA at 1-3 weeks.

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Contact Us

• Above Yash Medical, Kundannagar,
• Laxman Krupa Housing Society,
• Kasarwadi, Pimpri-Chinchwad,
• Maharashtra 411034 India
• Phone No- 9405659585

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Thank you!