Best Doctors in India for Anal Fissure treatment
- Surgical Gastroenterologist, Chennai, India
- Over 27 years’ experience
Profile Highlights:
- Dr. Surendran R is an experienced gastroenterologist from Chennai, Tamil Nadu.
- He has been rewarded for his contributions to the field several times. He received The Best Doctor award from the Tamil Nadu government (2002) in his name.
- Being a gastroenterologist, he specializes in treating patients with problems such as Bowel Obstruction, Pancreatic diseases, Esophagus disorders, Fistula treatment, etc.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 23 years’ experience
Profile Highlights:
- Dr. Revathy Shanmugam is an experienced Gastroenterologist in Tamil Nadu, having an experience of 23 years in the management of GI disorders, Training & Teaching.
- She is highly skilled in the services like Liver Disease Treatment and Inflammatory Bowel Disease (IBD) Treatment.
- She has published various scholarly works in many National & International Publications of Medical Gastroenterology.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 32 years’ experience
Profile Highlights:
- Dr. Hariharan Muthuswamy is a veteran Gastroenterologist and Hepatologist in India with 22 years of experience (specialist).
- Dr. Muthuswamy treated his patients with Non-Surgical Piles treatment, Liver Disease Treatment, Hepatitis E, Hepatitis A Treatment and Hepatitis B Treatment, Hemorrhoids Treatment, Colonoscopy, Stomach, and Intestinal Treatments, etc.
- He has a special interest in Capsule Endoscopy, Therapeutic Endoscopy, GERD, and Irritable Bowel Syndrome (IBS).
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 32 years’ experience
Profile Highlights:
- Dr. Mohan A T is a veteran GI medicine specialist in India with an experience of 32 years.
- Dr. Mohan, an alumnus of Madras University, is the Co-Ordinator of the Indian Society of Enteral and Parenteral Nutrition.
- He is an expert in treating Gastritis, acidity, Ulcerative Colitis, and many other Intestinal and bowel-related Treatments. In addition to these, he offers Colonoscopy, Gastroscopy, and Endoscopy.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 15 years’ experience
Profile Highlights:
- Dr. Piramanayagam P is one of the young Gastroenterologists in India, having an experience of 15 years in the field.
- The doctor offer services like Gall Bladder (Biliary) Stone treatment, IBS treatment, Acidity Treatment, Endoscopy, and stomach and intestine dysfunction.
- He published many review articles and books under his name.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 39 years’ experience
Profile Highlights:
- Dr. Sarojini Parameswaran is one of the renowned Gastroenterologist with an overall experience of 39 years.
- Dr. Parameswaran is brilliant and quick with diagnosis. She has 22 years of specialist experience.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 24 years’ experience
Profile Highlights:
- Dr. Seshadri Venkatesh P is a well-known Gastroenterologist in India, having 24 years of experience in Stomach and Intestine disorders.
- Dr. Seshadri acquired proficiency in managing Bladder Cancer surgery, hemorrhoids, Irritable Bowel Syndrome (IBS) Treatment, etc.
- He holds membership in Tamil Nadu Medical Council.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 40 years’ experience
Profile Highlights:
- Dr. Usha Srinivas is a Gastroenterologist in India with an experience of 40+ years in GI in medicine and academics.
- Patients visit her for consultation and treatment of abdominal pain, Gall Bladder (Biliary) Stone, Gastroenteritis, Jaundice, Colonoscopy, Steatosis, Constipation Treatment, Hepatitis C Treatment, Hepatitis E Treatment, Hemorrhoids Treatment, Piles Treatment (Non-Surgical), Gastritis Treatment, Ulcerative Colitis Treatment, and others.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 18 years’ experience
Profile Highlights:
- Dr. Preethi M is one of the best gastroenterologists in India, with 18 years of expertise.
- Dr. Preethi received many awards for her contribution to the field.
- She offers consultation for Irritable Bowel Syndrome (IBS), Hemorrhoids, Endoscopy, female problems, and other gastrointestinal issues.
- Gastroenterologist and GI Medicine Specialist, Chennai, India
- Over 23 years’ experience
Profile Highlights:
- Dr. Ubal Dhus is a GI specialist doctor in South India who is proficiently managing Gastroenterological disorders for the past 23 years.
- He acquired his medical degree from Madras University, Chennai, and served people with Hemorrhoids Treatment, and Irritable Bowel Syndrome (IBS) Treatment.
Best Hospitals in India for Anal Fissure treatment
Venkateshwar Hospital, Dwarka, New Delhi
- City: New Delhi, India
Hospital Highlights:
- State-of-the-art technology and devoted healthcare professionals have been brought together under one roof at Venkateshwar Hospital to provide genuine medical care. The hospital’s professionals work together as a team to deliver the best possible treatment to their patients, using the most sophisticated equipment and information technology.
- Venkateshwar Hospital’s mission is to attain global excellence in healthcare by employing evidence-based, ethical clinical practices and cutting-edge technology by a team of highly skilled experts.
MGM Healthcare, Chennai
- City: Chennai, India
Hospital Highlights:
- Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
- Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
- MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
- With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
- MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
- They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
- Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.
ANAL FISSURE
Anal Fissure is a tear in the thin mucosa (moist tissue) that lines the anus. It occurs on passing large or hard stools during the bowel movement. Usually, the person may experience pain and bleeding with bowel movements due to Anal Fissures. At the end of the anus (anal sphincter), the person might also experience spasms in the ring of muscle. Although it affects people of any age, it is very common in infants. Some people need simpler treatments while others require medications and surgery for the same.
Causes of Anal Fissure
The causes of an Anal Fissure include:
- Straining and constipation during bowel movements
- Childbirth
- Passing hard or large stools
- Chronic diarrhea
- Crohn’s disease
- HIV
- Syphilis
- Inflammatory bowel disease
- Tuberculosis
- Anal cancer
Symptoms of Anal Fissure
The symptoms of the Anal fissure are:
- Blood on the stool after a bowel movement
- A skin tag on the skin or lump on the skin near the Anal fissure
- Pain during bowel movement that might sometimes be severe.
- Crack in the skin near the anus that is quite visible
- Pain lasting for hours after the bowel movements.
Diagnosis of Anal Fissure
Your doctor will note down your medical history while performing a physical examination including inspection of the anal region. The tear is mostly visible. Usually, this helps to diagnose an Anal Fissure. The acute Anal Fissure appears like a fresh tear while a chronic Anal fissure has a deeper tear. A chronic Anal fissure may have external or internal fleshy growths. If you have an Anal fissure for more than 8 weeks, then it is a Chronic Anal Fissure.
The location of the fissure may tell you about the cause. If there is a fissure on the side of the anal opening, then it is a sign of Crohn’s disease. Your doctor might recommend some other tests if he or she thinks that you are suffering from the condition.
Colonoscopy
To inspect your colon, your doctor will insert a flexible tube into the rectum. If you are more than 50 years old or at a risk for colon cancer, you may need to undergo this test. Your doctor will recommend this test if you have diarrhea or abdominal pain.
Anoscopy:
Your doctor will insert a tubular device called anoscope into your anus to visualize the anus and the rectum.
Flexible sigmoidoscopy
Flexible sigmoidoscopy involves the insertion of a flexible, thin tube into the bottom of your colon with a tiny video. If you are under the age of 50 and do not experience any risk for colon cancer or intestinal diseases, you may need to undergo this test.
Treatment options for Anal Fissure
Non-surgical treatments
- Topical anesthetic creams: It includes lidocaine hydrochloride (Xylocaine) that helps in relieving the pain.
- Externally applied nitroglycerin (Rectiv): It helps in increasing blood flow to the fissure, helps relax the anal sphincter, and promotes healing. Nitroglycerin is the treatment of choice when other treatments fail. The side effects include a headache that might be severe.
- Blood pressure medications: It includes diltiazem (Cardizem) or oral nifedipine (Procardia) that helps to relax the sphincter. You can take these medications externally or orally. When nitroglycerin is ineffective or causes any side effects, you can apply these externally.
- Botulinum toxin type A (Botox) injection: It paralyzes the anal sphincter muscle and relieves the spasms.
Surgical treatments
If you are suffering from a chronic Anal fissure that does not heal by any other treatments, or if you have severe symptoms, you might need to undergo surgery. Your surgeon will perform Lateral Internal Sphincterotomy (LIS) in which he or she will cut a small portion of the anal sphincter muscle. This reduces pain and spasms that promotes healing. For the treatment of chronic fissure, surgery is the best treatment.
Changes in lifestyle
There are many lifestyle changes that you can do for relieving discomfort and to promote healing of the fissure. This also helps to prevent a recurrence.
- Drinking enough fluids: When you drink ample fluids, you can prevent constipation.
- Eat foods rich in fiber: Include about 30 grams of fiber per day in your diet to keep stools soft and to promote healing of the fissures. Foods rich in fiber are nuts, fruits, whole grains, and vegetables. Fiber supplements may also help you. Do not increase your fiber intake all of a sudden. A gradual increase prevents bloating and gas.
- Avoid straining: Straining during bowel movements can create pressure that causes a tear or open up a healing tear.