Treatment

Medical Management

Depending on your condition, our specialists at Felix Hospital, the best hospital for fissure treatment in Noida, will recommend a treatment option. If the symptoms are mild, the doctor might prescribe medications and ointments, such as:

• Topical Nitroglycerin: It helps to increase blood flow to the fissure and promotes healing. It works by relaxing the sphincter muscle that aids in healing of the tear over time.
• Calcium Channel Blockers: If topical nitroglycerin proves ineffective, doctors prescribe calcium channel blockers, which also relax the blood vessels in the anal muscles.
• Botox Injections: If either of the above-mentioned drugs don’t work, then botox injections are the last resort before considering surgical treatments.

Surgical Management

If the anal fissure does not resolve with medications or recurs after some time, surgery becomes the only option.

Lateral Internal Sphincterotomy: Based on your condition, the surgeon may prescribe either an open or minimally invasive laser treatment for anal fissure. During the procedure, using anoscope, a small lateral incision is made in the internal anal sphincter. Cutting the muscle helps relieve excess tension, thereby stopping spasms and allowing the fissure sufficient time to heal. The procedure usually takes around 30 minutes to complete.

Pre Surgery Care

As with any surgery, in anal fissure surgery there are a series of prior recommendations to be taken into account.

At Felix Hospital we provide the best treatment for anal fissure. Our specialists take care of some key considerations like taking the patient’s personal medical history into consideration and assessing the patient's overall health, particularly for those patients who are anaemic or have chronic ailment.

They’ll hand over a list of dos and don'ts prior to the surgery, such as no food should be consumed at least 6-8 hours before the surgery, but the patient can continue to drink water.

Based on the patient's general health, the surgeon may start or stop certain medications before the procedure. Besides, they will be advised to limit their alcohol intake and quit smoking before the procedure since it can interfere with healing.

Post Surgery Care

Minimally invasive anal fistula procedures are generally outpatient procedures, so the patient can go home the same day. Recovery from the surgery can last anywhere from 4 to 8 weeks. The timeline of recovery is based on the severity of the medical condition, the type of surgery, and the general health of the patient. At Felix Hospital, we take pride in providing the best anal fissure treatment in Noida. Our team assists our patients in their healing journey, that includes:

• Pain management. Patients will be given pain medication to manage pain or discomfort.
• Sitz bath. Patients will be advised to soak their anus in a sitz bath (a warm, shallow bath) at least once a day. It will help in quick healing.
• Wound management. Patients may need to apply dressings to their wound and change them often to keep it clean.

Therapy

Lifestyle Modification

Some other post-operative care tips to follow after anal fissure surgery include the following:

• Avoid strenuous activity for 1-2 weeks after the surgery.
• Drink plenty of water and fresh fruit juices after the surgery.
• Avoid constipation.
• Gently clean the anus in the shower after each bowel movement or use wet toilet wipes or water.
• Take a warm sitz bath to alleviate symptoms.

Diet Modification

The primary dietary goal following anal fissure surgery is the avoidance of constipation. Hardened stools put extreme pressure on the surgical site during bowel movements. During the first few days of recovery, you should consume a low-residue diet.

Later, as you begin to heal after your surgery, you can consider a high-fiber diet.

Avoid foods that cause constipation, like dairy products, red meat, and processed foods.