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Fissure

Discussion in 'All Categories' started by Gautam - Jun 11th, 2025 8:14 am.
Gautam	I have a problem of fissure, due to which I get intense burning and pain while defecating. Sometimes the pain is so severe that it becomes difficult to even sit or walk. Due to this problem I also have difficulty in doing my daily routine and I am afraid that this problem may worsen. I also tried some home remedies, but now this problem has started occurring repeatedly, due to which I am feeling depressed.
re: Fissure by Dr. B. S. Bhalla - Jun 11th, 2025 8:15 am #1
Dr. B. S. Bhalla	I'm sorry to hear that you're suffering from a fissure. Anal fissures are small tears in the skin around the anus. They can cause sharp pain and burning, especially while passing stool. It's a common condition but can be very painful, as you're experiencing. The pain you're feeling while sitting, walking, or passing stool is a typical symptom. If it's not healing and keeps coming back, it's possible that the fissure has become chronic. In such cases, home remedies like warm water baths (sitz baths), coconut oil, or high-fiber diets might give temporary relief but may not cure the problem completely. Here are a few suggestions you can follow: Increase fiber intake: Eat more fruits, vegetables, and whole grains. You can also take fiber supplements like isabgol (psyllium husk) to soften the stool. Drink plenty of water: Aim for 8–10 glasses daily to keep your stool soft. Warm sitz baths: Sitting in warm water for 10–15 minutes after passing stool helps relax the muscles and reduces pain. Use prescribed ointments: Doctors usually prescribe ointments like lidocaine (for pain) or nitroglycerin/nifedipine (to increase blood flow and promote healing). Avoid straining during bowel movements: Go only when you feel the urge and avoid sitting too long in the toilet. If it doesn’t heal in a few weeks or keeps returning, you must see a colorectal surgeon. In some chronic cases, a minor surgical procedure called lateral internal sphincterotomy (LIS) may be needed. It gives permanent relief in most cases.