Anal fissure is a very common problem but often neglected out of shyness. Many people silently suffer from pain, burning and bleeding while passing stool, without consulting a doctor. Unfortunately, if ignored, a small fissure can become a chronic problem and even lead to complications like fistula. At Dr. Kamthe’s Piles Clinic, Surgical Hospital & Research Centre, Pune, we provide an integrated approach using modern and Ayurvedic treatments to cure fissure effectively, safely, and with long-lasting results.
This article will help you understand what fissure is, its causes, symptoms, complications, and the best ways to prevent and treat it.
What is Anal Fissure?
An anal fissure is a small tear or wound in the inner lining of the anus (anal canal). This wound causes sharp, cutting pain while passing stool and is usually followed by burning sensation or bleeding. Many patients describe the pain as “terrible” or “like passing glass pieces.”
Causes of Fissure
The most common causes include:
- Constipation – Passing hard, dry stool stretches the anal canal and causes injury.
- Straining during bowel movements – Sitting long on the toilet, pushing too hard.
- Diarrhea or frequent motions – Continuous irritation can also cause fissure.
- Unhygienic habits – Poor cleaning practices or infections.
- Pregnancy and delivery – Due to pressure and straining during childbirth.
- Children – Constipation in kids is common, and fissure can occur even at a young age.
- Old age – Reduced fiber intake, low water consumption, and slow gut movement contribute.
Symptoms of Anal Fissure
- Severe pain during and after stool – pain may last for hours.
- Burning and irritation near anus.
- Fresh bleeding – usually seen as bright red blood on toilet paper.
- Fear of passing stool – Patients often avoid going to toilet due to pain.
- Spasm – tightening of anal muscles making fissure worse.
Who Can Suffer?
Anal fissure is not limited to any age group. It can occur in:
- Children – due to constipation and poor toilet habits.
- Young adults – sedentary lifestyle, junk food, and stress-related constipation.
- Pregnant women – hormonal changes, constipation, and pressure on pelvic organs.
- After delivery – strain during normal delivery commonly causes fissure.
- Elderly – poor digestion, less water intake, reduced physical activity.
Thus, fissure is a universal problem that needs early attention.
Complications if Untreated
If a fissure is neglected for a long time:
- It may become chronic – the wound edges get hard, healing becomes difficult.
- Fistula in ano may develop – an abnormal track forms near anus, which is more complicated and needs surgery.
- Persistent pain and bleeding lower quality of life.
- Patients may develop fear and psychological stress around toilet habits.
This is why early treatment is very important.
Link Between Constipation, Medicine and Fissure
- Constipation is the main culprit in most fissure cases.
- Long-term use of painkillers, antibiotics, or iron tablets can also cause constipation.
- Many people ignore constipation, but it slowly injures the anal canal and creates fissure.
By treating constipation early with proper diet, hydration, and medicines if required, fissure can often be prevented or controlled.
Treatment of Fissure – The Integrated Approach
At Dr. Kamthe’s Piles Clinic, we follow a holistic and integrated method combining the best of modern medicine and Ayurveda.
1. Medical Management
- Pain relief medicines and ointments.
- Stool softeners to avoid constipation.
- Ayurvedic herbal preparations for gut cleansing and healing.
2. Dietary & Lifestyle Guidance
- Increasing fiber intake.
- Drinking sufficient water.
- Regular exercise and avoiding long sitting on toilets.
3. Ayurvedic Approach
- Kshar karma and herbal remedies for natural healing.
- Oil-based treatments to reduce burning and spasm.
- Ayurvedic gut medicines to maintain long-term digestive health.
4. Modern Laser Surgery
- For chronic or non-healing fissures, laser treatment is the best.
- Minimal invasive – no big cuts, very little bleeding.
- Fast recovery – patients can resume work within 2 days.
- Less pain compared to conventional surgery.
Healthy Diet Suggestions
Food plays a vital role in fissure treatment and prevention. Some important guidelines:
Eat More:
- Green leafy vegetables.
- Whole grains like oats, brown rice, jowar, bajra.
- Fruits rich in fiber – papaya, apple, banana, orange.
- Soaked dry fruits – figs, raisins, almonds.
- Plenty of water – at least 2–3 liters daily.
Avoid:
- Junk food, oily and spicy dishes.
- Excess tea, coffee and aerated drinks.
- Processed food like maida, bakery items.
- Long fasting and irregular eating habits.
Gut Care Tips to Prevent Fissure
- Never ignore constipation – treat it early.
- Do not sit too long on toilet or use mobile while passing stool.
- Maintain hygiene of anal region.
- Practice yoga and exercise for good digestion.
- Always respond to natural urge, do not hold stool for long.
Role of Female Doctor – Privacy for Women Patients
At Dr. Kamthe’s Clinic, we understand that women patients often feel shy to discuss or show private parts. That’s why Dr. Sharmila Kamthe specially attends to all female patients. This ensures comfort, dignity, and complete privacy. Many women patients have appreciated this respectful and sensitive approach.
Natural Approaches
- Warm water sitz bath – relaxes anal muscles and reduces pain.
- Ayurvedic oil application – helps healing naturally.
- Stress management and yoga – improves bowel habits.
Modern Laser Treatment – Fast & Effective
For chronic fissure, laser treatment is the gold standard today.
- Safe, simple and precise.
- Requires very small incision.
- Minimal pain and no stitches.
- Patient can go home the same day.
- Back to normal routine within 2 days.
This is the best option for working people who cannot afford long recovery time.
Conclusion
Anal fissure may look like a small problem, but the pain, burning and bleeding can make life miserable. Do not neglect it. With early treatment, fissure can be cured with medicines, diet and Ayurvedic remedies. If it becomes chronic, modern laser surgery ensures safe and quick recovery.
At Dr. Kamthe’s Piles Clinic, Surgical Hospital & Research Centre, Pune, we combine the wisdom of Ayurveda and the precision of modern surgery to give the best results. Dr. Kamthe personally guides the treatment, while Dr. Sharmila Kamthe attends female patients with privacy and care.
A healthy gut is the key to a fissure-free life. Eat right, stay active, and never ignore constipation. Remember – early care prevents major complications like fistula.
So, if you or your loved ones suffer from fissure, do not suffer in silence. Consult experts and take the right treatment at the right time.