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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Treatment Of Internal Anal Fissure Requires Surgery?

Hello, I visited the doctor last week because I have had painful, and sometimes, bleeding bowel movements for a little over a month. It went away for a week, but came back. I have pains sometimes even when sitting. My doctor 'inspected' and didn't see anything, so he figures it is an internal anal fissure. He said to eat prunes and gave me some 'lube' stuff to apply before bowel movements. It does not seem to be going away, so my question is....do most cases of internal anal fissures require surgery? I just hate surgery so much, I wonder if there is anything else I could try to rid myself of this.
Thu, 11 Feb 2016
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain painful and blood containing bowels can be be due to anal fissure while can also be due to internal haemorrhoid..
An anal fissure is a small tear in the specialized mucosa of the anal canal also known as Anoderm..
While a haemorrhoid is a swollen and inflamed vein.
I would suggest you to consult a Proctologist and get evaluated and he can advise you to get investigation like Anoscopy, sigmoidoscopy done to rule out the exact cause of the problem so that treatment can be done according to the cause..
It is not necessary that in case of anal fissure you will always be advised to get surgery done and if fissure is diagnosed the physician can advise you to take stool softener like Docusate, high fibre diet, drink plenty of water and avoid spicy food..
You can also be advised to take Laxatives to ease in evacuation of bowels..
You can be advised to apply ointment containing Calcium channel blockers like Diltizem as it will help in dilating blood vessels, increase blood flow in the area and initiate faster healing..
In case of no improvement surgical treatment can be advised..
In case of haemorrhoid stool softener, high fibre diet along with steroid and numbing ointments can help..
Surgical treatment will include rubber band ligation, sclerotherapy, cryotherapy etc..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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Does Treatment Of Internal Anal Fissure Requires Surgery?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain painful and blood containing bowels can be be due to anal fissure while can also be due to internal haemorrhoid.. An anal fissure is a small tear in the specialized mucosa of the anal canal also known as Anoderm.. While a haemorrhoid is a swollen and inflamed vein. I would suggest you to consult a Proctologist and get evaluated and he can advise you to get investigation like Anoscopy, sigmoidoscopy done to rule out the exact cause of the problem so that treatment can be done according to the cause.. It is not necessary that in case of anal fissure you will always be advised to get surgery done and if fissure is diagnosed the physician can advise you to take stool softener like Docusate, high fibre diet, drink plenty of water and avoid spicy food.. You can also be advised to take Laxatives to ease in evacuation of bowels.. You can be advised to apply ointment containing Calcium channel blockers like Diltizem as it will help in dilating blood vessels, increase blood flow in the area and initiate faster healing.. In case of no improvement surgical treatment can be advised.. In case of haemorrhoid stool softener, high fibre diet along with steroid and numbing ointments can help.. Surgical treatment will include rubber band ligation, sclerotherapy, cryotherapy etc.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.