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Fissure problem
Discussion in 'All Categories' started by Deependra - Jun 8th, 2023 7:22 am.
I have fissure problem. Will fissure surgery fix the problem permanently? What will be the complications after surgery?
re: Fissure problem by Dr. B. S. Bhalla - Jun 8th, 2023 7:26 am
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Fissures are painful tears in the lining of the anus, and they can cause discomfort and bleeding during bowel movements. Fissure surgery, also known as a lateral internal sphincterotomy, is a common procedure used to treat chronic or recurrent fissures.

Fissure surgery aims to relax the internal anal sphincter muscle, which can help promote healing and relieve the symptoms. In many cases, fissure surgery is successful and provides long-term relief. However, it's important to note that no medical procedure guarantees a permanent solution for every individual.

Complications after fissure surgery are possible, although they are relatively rare. Some potential complications include:

Infection: Like any surgical procedure, there is a risk of infection. Your surgeon will take precautions to minimize this risk.

Bleeding: Postoperative bleeding may occur, but it's usually minimal and resolves on its own. In rare cases, additional medical intervention may be required.

Incontinence: There is a small risk of temporary or permanent loss of control over bowel movements (fecal incontinence). This risk is generally low with modern surgical techniques, but it's important to discuss this concern with your surgeon.

Recurrence: While fissure surgery is effective for most individuals, there is a possibility of fissure recurrence in some cases.
re: Fissure problem by Ladle - Jun 19th, 2023 10:42 am
Are there any specific lifestyle changes I should make to improve my condition?

Reply:- Here are many life changes that are frequently recommended for managing crevices

Salutary variations Consuming a high- fiber diet can help soften the coprolite and ease bowel movements. Include fruits, vegetables, whole grains, and legumes in your refections. Drinking an acceptable quantum of water is also important to help dehumidification and maintain soft droppings.

Proper hygiene Keep the anal area clean and dry. After bowel movements, gently clean the area with mild cleaner and water or use unscented baby wipes. Avoid harsh or perfumed detergents, as they can irritate the skin.

Avoid straining Straining during bowel movements can worsen crevices. insure you have enough time for a relaxed bowel movement, and consider using a small footstool to elevate your bases and ameliorate the position.
re: Fissure problem by Rajeev - Jul 15th, 2023 12:16 pm
What are the available treatment options for fissures?
re: Fissure problem by Dr. B. S. Bhalla - Jul 15th, 2023 12:17 pm
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Fissures, particularly anal fissures, are tears or cracks in the lining of the anus. The treatment options for fissures typically depend on the severity of the condition. Here are some common treatment options:

Lifestyle Changes: In mild cases, simple lifestyle changes can help relieve symptoms and promote healing. These include increasing dietary fiber intake, drinking plenty of fluids, and avoiding straining during bowel movements. These measures can soften stools and reduce the likelihood of further irritation.

Topical Medications: Over-the-counter creams or ointments containing anesthetics, such as lidocaine, or vasodilators, like nitroglycerin, may be prescribed to help relieve pain and relax the anal sphincter muscle. These medications can help reduce discomfort and promote healing.

Stool Softeners: Stool softeners, such as docusate sodium, may be recommended to prevent constipation and make bowel movements easier. Softening the stool can help reduce strain during bowel movements and minimize further irritation.

Sitz Baths: Taking warm sitz baths several times a day can help soothe the area, relieve pain, and promote healing. A sitz bath involves sitting in a few inches of warm water for about 10 to 15 minutes.

Medications to Relax the Anal Sphincter: In some cases, medications such as calcium channel blockers or nitrates may be prescribed to relax the anal sphincter muscle. This relaxation can improve blood flow to the area and help with healing.

Botox Injections: In cases where the sphincter muscle is overly tight and causes persistent symptoms, injections of botulinum toxin (Botox) can be used to temporarily relax the muscle. This can help alleviate pain and promote healing.

Surgery: If conservative treatments fail or the fissure is chronic or severe, surgery may be necessary. Surgical options include lateral internal sphincterotomy, which involves cutting a portion of the anal sphincter muscle to relieve pressure and promote healing.
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