Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Proctology · Fissure-in-ano
Anal Fissure Treatment in Hyderabad: Expert Care at Lux Hospitals
An anal fissure is a small tear in the lining of the anus. It is a minor injury that causes disproportionate pain: a sharp, tearing pain during bowel movements that can go on for hours afterwards.
Most fissures heal with the right medication and diet. For the ones that do not, our proctologists at Lux Hospitals, HITEC CITY offer laser treatment and sphincter-preserving surgery that relieve the pain and let the tear finally close.
- Fast Pain Relief
- Laser & Non-Surgical Options
- Quick Recovery
What is an Anal Fissure?
An anal fissure is a small tear or crack in the thin, moist lining of the anus. It usually happens when a hard or large stool stretches the anal canal beyond what the lining will take.
What turns a small tear into a persistent problem is a spasm. The pain makes the internal sphincter clench, the clenched muscle cuts off blood supply to the tear, and a tear without blood supply cannot heal. That cycle (pain, spasm, poor blood flow, more pain) is what every fissure treatment is designed to break.
Fissures are described as acute or chronic. An acute fissure is recent and heals within a few weeks with proper care. A chronic fissure has lasted longer than six to eight weeks, is deeper, and often has a sentinel skin tag at its outer edge and a thickened rim: signs that it has been trying and failing to heal.
Causes of Anal Fissure
Most fissures are a mechanical injury: something stretched the anal lining past its limit. A few point to an underlying condition.
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Passing hard stools
The commonest cause by far. A hard, bulky stool tears the lining on its way out.
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Chronic constipation
Infrequent, difficult bowel movements that leave stools dry and hard by the time they pass.
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Straining
Pushing hard raises pressure in the anal canal and stretches the lining while it is already under tension.
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Persistent diarrhoea
Frequent, loose bowel movements irritate and inflame the anal lining until it breaks down.
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Childbirth
The stretching of vaginal delivery, and the constipation that often follows it, make fissures common after childbirth.
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Tight anal sphincter
Some people have a naturally high resting sphincter pressure, which both causes fissures and stops them healing.
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Anal trauma or injury
Injury to the anal area, including from instrumentation or anal intercourse, can tear the lining directly.
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Inflammatory bowel disease
Crohn’s disease and ulcerative colitis cause fissures that are often off the midline and slow to heal: a pattern that prompts further investigation.
A fissure in the midline, front or back, is almost always mechanical. One off to the side is the one that warrants looking for a cause beneath it.
Symptoms of an Anal Fissure
Fissure pain is distinctive: sharp and well localised, tied to bowel movements, and out of proportion to how small the tear actually is.
During and after a bowel movement
- Sharp, tearing or burning pain while passing stool
- Pain that continues for minutes to hours afterwards
- Bright red blood on the stool or on toilet paper
- Spasm or cramping in the anal muscles
- Dread of the next bowel movement, which leads to holding on
Between bowel movements
- Itching or irritation around the anus
- A visible tear or crack near the anal opening
- A small skin tag at the edge of the fissure, in chronic cases
- Discomfort when sitting for long periods
- Constipation that worsens as you avoid going
Holding on because it hurts is the trap. The stool gets harder, the next movement tears the same spot again, and an acute fissure becomes a chronic one.
How an Anal Fissure is Diagnosed
A fissure is usually diagnosed on sight, in under a minute. The examination is gentle: we do not force an instrument into a canal that is already in spasm.
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Visual examination
Gently parting the buttocks usually reveals the tear directly. Its position and depth tell us whether it is acute or chronic.
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Digital rectal examination
Assesses sphincter tone and tenderness. Often deferred to a later visit if the fissure is too painful to allow it comfortably.
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Checking for chronic signs
A sentinel skin tag, a thickened edge, or visible sphincter fibres at the base: the features that mean medication alone is unlikely to work.
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Anoscopy or proctoscopy
Performed once the pain has settled, to see the anal canal fully and rule out coexisting piles or a fistula.
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Colonoscopy or sigmoidoscopy
Advised for chronic, recurrent or atypically-placed fissures, to rule out Crohn’s disease and other inflammatory bowel conditions.
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Anal manometry
Measures resting sphincter pressure in selected cases, which helps decide between Botox and a sphincterotomy.
You will usually leave the first consultation with a diagnosis, a prescription, and a clear idea of whether surgery is likely to be needed at all.
Treatment Options for Anal Fissure
The great majority of fissures heal without surgery. Everything on the first list is aimed at the same thing: softening the stool and relaxing the sphincter so blood can reach the tear.
Non-surgical
Non-surgical treatment for anal fissures
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Topical medication
Creams containing nitroglycerin, diltiazem or nifedipine relax the internal sphincter and increase blood flow, letting the fissure heal. The mainstay of first-line treatment.
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Stool softeners & fibre
Reduce straining and let a soft stool pass without reopening the tear. No fissure heals while hard stools keep tearing it.
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Sitz baths
Ten minutes in warm water, several times a day. It relaxes the sphincter spasm and relieves pain immediately.
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Topical anaesthetics
Local anaesthetic gel applied before a bowel movement breaks the pain-spasm cycle at the moment it is worst.
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Botox injection
Botulinum toxin injected into the internal sphincter relaxes it for around three months: long enough for the fissure to heal, with no permanent change to the muscle.
Surgical
Surgical treatment for anal fissures
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Lateral internal sphincterotomy (LIS)
A small, precisely measured cut in the internal sphincter permanently lowers resting pressure so the fissure heals. The most effective treatment for chronic fissures, with cure rates above ninety per cent.
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Laser sphincterotomy
The same principle performed with laser energy rather than a blade: more controlled, less bleeding, and a faster recovery.
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Fissurectomy
The chronic, scarred edges of the fissure are trimmed back to healthy tissue so it can heal as a fresh wound. Often combined with Botox.
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Advancement flap
Healthy tissue is moved to cover the fissure. Reserved for fissures that have recurred after a sphincterotomy, or where sphincter pressure is already low.
Surgery is recommended when a fissure is chronic, has not healed on medication, or is causing severe pain and bleeding. It is not the starting point, and for most patients it is never reached.
What Laser Fissure Surgery Involves
A twenty to thirty minute day-care procedure. It relieves the spasm that is preventing healing, and most patients notice the pain is gone from the very first bowel movement afterwards.
Laser lateral internal sphincterotomy
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Pre-operative assessment
Routine bloods, an ECG where age or history calls for one, and a six-hour fasting window before your slot.
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Anaesthesia
A short spinal or general anaesthetic. The sphincter must be fully relaxed for the surgeon to judge the cut accurately, which local anaesthesia alone does not achieve.
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Examination under anaesthesia
With the spasm gone, the surgeon can assess the fissure, the sphincter tone and any coexisting piles or fistula properly for the first time.
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The sphincterotomy
A laser fibre divides a measured portion of the internal sphincter through a small lateral opening: away from the fissure itself, which is why the wound heals cleanly.
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Trimming the fissure
Where the fissure is chronic, its scarred edges and sentinel tag are trimmed back so it heals as fresh tissue rather than continuing as old scar.
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Recovery & discharge
Two to three hours in day care, then home the same evening with stool softeners, painkillers and a follow-up date.
Only the internal sphincter is divided, and only partially: the external sphincter, which does the work of holding on, is left untouched. That is what keeps continence intact.
Why Choose Lux Hospitals for Anal Fissure Treatment in Hyderabad?
At Lux Hospitals we are a trusted centre for anal fissure treatment in Hyderabad, offering modern care with a patient-first approach. Here is why patients trust us:
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Expert team
Led by Dr. Samhitha Reddy, one of the top colorectal surgeons in Hyderabad, with Dr. Abhishek Katha, an expert laparoscopic surgeon.
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Advanced technology
Laser treatment for fissures: minimally invasive, precisely controlled, and quick to recover from.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
The pain relief after a sphincterotomy is immediate and is what patients notice first. The wound itself takes a few weeks to heal quietly in the background.
- Day 0
Home the same evening. The characteristic spasm pain is usually gone straight away, replaced by mild soreness.
- Days 1–3
First bowel movement, and for most patients the first painless one in months. Sitz baths begin. Desk work from day two or three.
- Week 1
Minor spotting settles. Stool softeners continue. First follow-up review at the end of the week.
- Weeks 2–4
The fissure and the small lateral wound close. Normal activity, driving and the gym resume.
- Week 6
Final review. Healing is confirmed and the diet changes carry on as long-term prevention.
Aftercare
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Sitz baths
Ten minutes in warm water, two or three times a day for the first fortnight. Nothing relieves anal soreness better.
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Fibre and water
25–30g of fibre a day and two to three litres of water. Soft stools are what stop the fissure recurring.
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Keep taking the softener
Continue stool softeners for the full period advised, not just until the pain stops. The pain stops well before the tear closes.
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Do not hold on
Go when you need to. Deferring is what hardens the stool and reopens the tear: the habit that caused the fissure in the first place.
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When to call us
Heavy bleeding, fever, increasing pain after the first few days, or any difficulty controlling wind or stool.
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Keep both follow-ups
Week one and week six. The second confirms the fissure has actually closed rather than merely stopped hurting.
Fissures recur when the bowel habit that caused them returns. The operation fixes the spasm; the fibre and the water are what keep it fixed.
When Should You Seek Treatment for a Fissure?
Book a consultation if any of the following apply.
- Pain during bowel movements that has lasted longer than two weeks.
- Bleeding that continues despite a high-fibre diet and stool softeners.
- A fissure that healed and has come back.
- Pain severe enough that you are avoiding going to the toilet.
Cost of Anal Fissure Treatment in Hyderabad
Medication and lifestyle changes are inexpensive; surgery costs more and is needed less often. These are the ranges our patients fall into.
| Procedure | Estimated Cost |
|---|---|
| Consultation & medical management Out-patient, including a course of topical medication | ₹1,500 – ₹6,000 |
| Botox injection Day care, effect lasts around three months | ₹18,000 – ₹35,000 |
| Lateral internal sphincterotomy Day care or one night’s stay | ₹30,000 – ₹55,000 |
| Laser sphincterotomy Day care, same-day discharge | ₹40,000 – ₹70,000 |
| Fissurectomy with flap One night’s stay | ₹50,000 – ₹80,000 |
What changes the estimate
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Acute or chronic
An acute fissure usually needs a prescription and a diet change. A chronic one with a sentinel tag and scarring needs a procedure.
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Coexisting conditions
Fissures often come with piles or a fistula, and treating both in one sitting changes the theatre time and the estimate.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Benefits of Anal Fissure Treatment at Lux Hospitals
What patients treated here can expect:
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Immediate relief
The spasm pain typically resolves from the first bowel movement after surgery.
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Quick recovery
Minimally invasive day-care procedures, with most patients back at work in days.
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Low recurrence
Cure rates above ninety per cent when the sphincter spasm is properly treated.
Other Proctology Treatments
Our Surgeons
Anal Fissure Specialists at Lux Hospitals
The proctologists and colorectal surgeons who treat anal fissures at our HITEC CITY hospital.
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Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
8 years experience
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Dr. Abhishek Katha
Consultant General & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
17 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for fissures, piles and fistulas at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Samhitha Reddy on fissures, piles, fistulas and colorectal health.
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Best Piles Doctor in Hyderabad: What to Look For
Dr. Samhitha Reddy
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Which Grade of Piles Needs Surgery?
Dr. Samhitha Reddy
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Signs of Colorectal Problems That Need Medical Attention
Dr. Samhitha Reddy
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Frequent Stomach Discomfort? Signs You May Have IBS
Dr. Samhitha Reddy
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Everything You Need to Know About Irritable Bowel Syndrome
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Got Questions?
Frequently Asked Questions
Common questions about anal fissures, their treatment, and what it costs at Lux Hospitals.
What does an anal fissure look like?
An anal fissure appears as a small tear in the lining of the anus. In chronic cases there may also be a sentinel pile (a small skin tag) or visible scar tissue around the fissure.
What is the difference between anal fissures and haemorrhoids?
Anal fissures are tears in the anal lining caused by trauma or strain, and they cause sharp pain during bowel movements and a visible crack. Haemorrhoids (piles) are swollen blood vessels in the rectum or anus, and they cause itching, bleeding and a feeling of fullness rather than a sharp tearing pain.
How painful is an anal fissure?
Anal fissures can cause intense, sharp pain during and after bowel movements. The pain may last from a few minutes to several hours, and it is often described as passing broken glass.
Can anal fissures be treated without surgery?
Yes. Many anal fissures heal with non-surgical treatment, especially when addressed early: topical creams to relax the sphincter, stool softeners, a high-fibre diet and sitz baths. Most patients never need an operation.
When is surgery recommended for anal fissures?
Surgery is usually recommended if the fissure is chronic, has not healed with medication after six to eight weeks, or is causing severe pain and bleeding.
Is a Botox injection a surgical procedure?
No. Botox injections are a non-surgical treatment used to relax the anal muscles so the fissure can heal. The effect lasts around three months, and the sphincter is not permanently altered.
Will fissure surgery affect my bowel control?
A lateral internal sphincterotomy divides only a measured part of the internal sphincter, leaving the external sphincter, which does the work of holding on, untouched. Permanent problems with control are rare, and the amount divided is judged against your own sphincter pressure.
How long is the recovery after anal fissure surgery?
Recovery typically takes a few weeks, with most patients experiencing relief from pain almost immediately after the procedure. Desk work is realistic within two to three days, and full healing is confirmed at around six weeks.
How much does it cost to treat an anal fissure?
Medicines and lifestyle changes are the most affordable route, from around ₹1,500 for a consultation and a course of treatment. Surgery ranges from about ₹30,000 for a sphincterotomy to ₹70,000 for a laser procedure. A written, fixed-cost estimate is shared before treatment begins.
How can I book an appointment for anal fissure treatment at Lux Hospitals?
You can book an appointment by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book Your Anal Fissure Consultation in Hyderabad
Fast relief from fissure pain with laser and non-surgical options, and a fixed-cost estimate shared before treatment begins.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032