If you're looking for the best Proctologist in Navi Mumbai to address fissures, look no further than Dr. Vrishali's Piles Care & Cure Clinic. Led by Dr. Vrishali Patil, our clinic is dedicated to providing compassionate and specialized care for patients dealing with fissures. We understand the discomfort and pain associated with fissures and are committed to helping you find relief and recovery.

What are Fissures?

Fissures are small tears or cracks in the lining of the anus. They are typically caused by trauma to the anal canal, often due to passing hard or large stools, chronic constipation, or diarrhea. The primary symptom of a fissure is intense pain during and after bowel movements. This pain is often described as sharp, stabbing, or burning. Fissures are more localized and affect a specific area of the anal canal.

When to See a Proctologist for Fissure Symptoms

If you're experiencing symptoms of a fissure, it's important to know when to seek medical attention from  specialist. While some fissures may improve with home care, there are situations where it's best to consult with a proctologist for proper evaluation and treatment.

• Persistent Pain: If you have persistent or severe pain in the anal region, especially during or after bowel movements, it's advisable to see a consultant . Fissures can cause intense discomfort, and if the pain does not improve with over-the-counter treatments or home remedies, medical evaluation is recommended.
• Bleeding: If you notice bright red blood on toilet paper, in the toilet bowl, or on the surface of stools, it may indicate a fissure or another underlying issue. While occasional bleeding may not be alarming, persistent or significant bleeding warrants a visit to Dr. Vrishali Patil to determine the cause.
• Difficulty Passing Stools: Fissures can make bowel movements painful and challenging. If you find yourself avoiding bowel movements due to fear of pain or if you're experiencing ongoing constipation, it's time to consult with Dr. Vrishali Patil. Chronic constipation can worsen fissures and lead to complications.
• Recurrent Symptoms: If you've had a fissure that healed but the symptoms return, it's essential to have a medical evaluation with consultant. Recurrent fissures may indicate an underlying issue that needs to be addressed, such as chronic constipation, inflammatory bowel disease, or other conditions.
• Visible Tears or Lumps: If you can see or feel a tear, crack, or lump near the anus, it's a good idea to have it examined by a consultant. These visible signs may indicate a fissure, hemorrhoid, or other anal condition that requires treatment.
• Persistent Itching or Irritation: Fissures can cause itching and irritation in the anal area. If these symptoms persist despite home care measures, Consultant can recommend appropriate treatments to alleviate discomfort.
• New Symptoms: If you develop new symptoms such as fever, chills, swelling, or discharge from the anal area, it could indicate an infection or other complication. Seek medical attention promptly by scheduling a consultation with a specialist.
• Pre-existing Conditions: If you have underlying conditions such as inflammatory bowel disease (IBD), Crohn's disease, or a compromised immune system, it's important to monitor fissure symptoms closely. These conditions can increase the risk of complications and may require specialized treatment from specialist.

Conservative Treatments for Fissures

The treatment for an anal fissure often begins with conservative measures aimed at reducing pain, promoting healing, and preventing recurrence. These measures include using topical medications such as creams or ointments containing ingredients like lidocaine, nitroglycerin, or diltiazem. These medications are directly applied to the anal area to provide relief and promote healing.

Additionally, stool softeners and fiber supplements are recommended to soften stools, making them easier to pass and reducing the risk of further irritation to the fissure. Dietary changes, such as consuming a high-fiber diet rich in fruits, vegetables, whole grains, and legumes, can regulate bowel movements and prevent constipation, which can exacerbate fissure symptoms. Adequate hydration by drinking plenty of water throughout the day is essential to maintain soft stools and prevent dehydration, which can worsen constipation.

Advanced Treatment Options

In cases where conservative treatments are ineffective or if the fissure becomes chronic or severe, more advanced treatments may be necessary. Medications like nitroglycerin cream or ointment, which relax the internal anal sphincter muscle and increase blood flow to the fissure, can be prescribed. Another option is calcium channel blockers such as diltiazem, which also help relax the anal sphincter muscle and improve blood flow to promote healing.

Surgical Treatments for Fissures

When conservative treatments fail to provide relief, or in cases of chronic or severe fissures, surgical intervention may be necessary. Surgical treatments for fissures are designed to relax the anal sphincter muscle, reduce spasm, and promote healing of the fissure. Here are some common surgical options:

• Lateral Internal Sphincterotomy (LIS): Lateral internal sphincterotomy is a surgical procedure considered the gold standard for treating chronic anal fissures. During this procedure, the surgeon makes a small incision in the internal anal sphincter muscle. By cutting the muscle, the pressure in the anal canal is reduced, allowing better blood flow to the fissure and promoting healing. This procedure aims to prevent spasms in the anal sphincter, which can contribute to fissure formation and prevent healing. LIS is usually performed under local anesthesia as a day surgery procedure.
• Fissurectomy: A fissurectomy involves surgically removing the fissure itself. This procedure is typically considered when the fissure is deep or has not responded to other treatments. The surgeon removes the affected tissue, which can help promote healing. A fissurectomy may be performed in conjunction with a lateral internal sphincterotomy to address both the fissure and the underlying muscle spasm.

Seek Expert Care at Dr. Vrishali's Piles Care & Cure Clinic

Dr. Vrishali Patil is recognized as the top proctologist in Navi Mumbai, offering comprehensive evaluations and personalized treatment plans for patients dealing with anal fissures. Dr. Vrishali Patil carefully assesses the severity of fissures, underlying conditions, and patient responses to conservative measures to recommend the most effective treatment approach. Early intervention and appropriate care not only alleviate symptoms but also promote healing and prevent fissure recurrence. Patients seeking the best proctologist in Navi Mumbai can trust Dr. Vrishali Patil's expertise at Piles Care & Cure Clinic for exceptional care and treatment of anal fissures.