Allopathic Treatment for Fissure in Ano
                     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!
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