Anal Fissure Cause

The anal fissure cause is mostly due to hard stool passing through the anal cavity. In women the anal fissure cause is much different and more common, as the space between the vaginal and anal cavities is very thin. The anal fissure cause can usually be fixed over time if bowel movements arent held in and a good diet with fiber is maintained. The anal fissure cause can be found in a person’s diet, hard stool will tear the thin lining in the anal cavity. The other anal fissure cause may also be anal intercourse. Any objects put into the anal canal may also be a cause of an anal fissure. Fissure Surgery cost in hyderabad


Fissure Surgery cost in hyderabad
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Anal Fissure Surgery cost?

The average cost of Fissure Surgery cost  is 15,000/- to 85,000/- (Pay in Monthly or Credit Card) according to 2020 statistics from the India Society of Plastic Surgeons. Anal Fistula Surgery costs can widely vary. The average fee referenced above is only part of the total cost – it does not include anesthesia, operating room facilities or other related expenses. ✅ Pay in Monthly Options 0% EMI Available ✅ Insurance ✅ Cashless ✅ Get 50% Low-Cost 


Lowest cost (approx) 15,000

Highest cost (approx) 25,000

The anal canal is very delicate and fissures tend to be very painful and very hard to heal. Large stool causes the anal cavity to stretch; the stool usually becomes hard because of constipation and holding bowel movements in. In pregnant women anal fissures tend to be more common as they seem to hold stool in and have more constipation issues rather than men. Anal fissures occur closest to the spine area where the skin is the thinnest.

Fissures can also be caused by a doctor’s tool. Some doctors even though they take care when working in the anal region may inadvertently tear the anal lining. This is another cause which is not so common in people but can occur. Fissures may also cause skin tags to occur around the bottom of the anus. Fissures in the anus generally take a long time to heal as there is no normal glands in the area which are found every where else on the body. Anal fissures tend to rip open very easily which causes them to be very painful and makes going to the bathroom a nightmare for some. 
Fissure Surgery cost in hyderabad

dr amar raghu narayana
Doctor. Amar Cosmetic and Plastic Surgeon
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Dr. Mohammed Arifuddin

Urologist MBBS, MS – General Surgery,
MCh – Urology/Genito-Urinary Surgery

Dr. Mohammed Khaja Arifuddin is a Urologist in KPHB, Hyderabad and has an experience of 16 years in this field. Dr. Mohammed Khaja Arifuddin practices at Padmaja Hospital in KPHB, Hyderaad. He completed MBBS from Dr. NTR University of Health Sciences Andhra Pradesh in 2004,MS – General Surgery from Dr. NTR University of Health Sciences Andhra Pradesh in 2011 and MCh – Urology/Genito-Urinary Surgery from Dr. NTR University of Health Sciences Andhra Pradesh in 2016.He is a member of Indian Medical Association (IMA). Some of the services provided by the doctor are: Varicocele Surgery, Transurethral Resection of The Prostate (TURP),Male Sexual Dysfunction Treatment,Percutaneous nephrostomy and Prostate Laser Surgery etc.


Urologist MBBS,
MS – General Surgery, MCh – Urology/Genito-Urinary Surgery

Devoted medical professional with proven experience of surgical practice for 5+ years and specialization in Urology. Passionate about serving people with my experience, knowledge and skill for better growth and health of the community.
Assistant Professor at Princess Esra Hospital, Hyerabad. Performed over 200+ surgeries and took care of outpatients in the Urology department. Completed various surgeries like Nephrectomy, URSL, PCNL, TURP, Radical cystectomy, etc.
Super Specialty Post graduation (M.Ch):P.G degree in Urology studied during 2016-2019 at Andhra Medical College & King George General Hospital, Vishakhatnam. Post-graduation (M.S):P.G degree in General surgery studied during 2010-2013 at Osmania Medical college & Osmania General Hospital, Hydrabad. Medical College (M.B.B.S): Studied during 2003-2008 at SVS Medical College, Mahbubagar. 


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The Cause and Treatment of Anal Fissure – A Different View

The symptoms of most anal fissures can be relieved with wheatgrass. You won’t have to change your diet, drink gallons of water, use stool softeners or load your bowel with fibre. Best of all, you won’t have to suffer the pain and bleeding that can be so distressing in this condition. Fissure Surgery cost in hyderabad

Surgery, like botox injections and other expensive procedures should only be considered as a last resort.

Anal Fissure Surgery cost in hyderabad

Fissure Surgery cost in hyderabad


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FAQ’S About Fistula removal

Anal fissure – What is it?

A fissure is a split or tear at the outer end of the anal canal wall, usually at the posterior or back side of the anus. In chronic fissures, a skin tag known as a “sentinel pile” often overlies the fissure and can be mistaken for a painful hemorrhoid. Fissure Surgery in hyderabad

The power of wheatgrass healing

Although it affects a different part of the body, anal fissure results from a breakdown in the anal wall very much like a split lip which, as many of us know, can also be very painful and difficult to treat. A young male patient suffered this problem for more than a year and received numerous treatments that didn’t work including steroids and antibiotics. His wound however healed in one week after only one application of wheatgrass cream. (See link at the end of this article for photographs) Fissure Surgery cost in hyderabad

What are the symptoms of anal fissure?

Typical symptoms may be:

Pain, which can be severe, during and after bowel movements
Red blood in the stool (blood on the toilet paper)
Constipation – due to pain causing avoidance of passing stool
Anal itchiness, burning
Difficulty in passing urine
Why is there so much pain?

The area where anal fissure occurs is supplied by numerous nerve endings that are highly sensitive. Even a tiny split in the wall of the anal canal can be very painful, particularly during a bowel motion when the anal muscles are stretched.

Who else gets anal fissure?

Anal fissure is very common. It is estimated that approximately 250,000 new cases occur each year in the US alone. It can occur in newborns and right across the age spectrum to old age, and affects both sexes equally. It is most common from young adulthood to middle age. Pregnancy and childbirth can aggravate or initiate the condition.

How long does it last?

Approximately 50-60% of anal fissures will heal spontaneously. However it can recur or become chronic (sometimes lasting for years) in the other 40-50%.

How is anal fissure diagnosed?

Symptoms of pain and rectal bleeding will alert your doctor to make a simple examination of the outer end of the anal canal. If an acute fissure is present, it will look like a small tear in the posterior (the back end, near the spine) of the anus. Chronic fissures have thickened edges and a “sentinel pile” as mentioned earlier.

If considered necessary, particularly if bleeding is present, the doctor will arrange further investigations such as colonoscopy to exclude other causes of blood loss.

How is anal fissure treated?

My method is simple. I use a wheatgrass extract in a cream base and get the patient to apply a small amount just inside the anal opening twice daily with a cotton bud. In greater than 80 percent of cases, the symptoms disappear, usually within four to six weeks, sometimes within a few days.

Because the fissure itself is not a life-threatening condition, it is not essential to heal the fissure although most of them do heal in time. The aim should always be to rid patients of their symptoms so they can resume a normal quality of life – something that wheatgrass is very good at.

What causes anal fissure?

Doctors invoke all kinds of reasons why fissures develop including constipation, hard bowel motions, diarrhea, inflammation, reduced blood flow to the anal region, poor bowel habit and even “spiky” foods such as peanuts. They seem to forget that many fissure patients do not have constipation, (some in fact have diarrhea) and some babies are born with fissures. It is unlikely the cause is related to trauma unless there is some direct injury to the anal wall e.g. from colonoscopy or childbirth.

More likely, the fissure occurs first and the constipation follows. In other words, constipation is an effect and an aggravating factor, not a cause of anal fissure. How do I know this?

The answer is based on simple clinical observation of numerous patients with chronic constipation. Many of them had undiagnosed chronic anal fissures, because an anal examination had not been performed. Following relief of pain with wheatgrass treatment their constipation cleared up.

Therefore, I believe that anal fissure is most likely an auto-immune condition.

What does auto-immune mean?

Normally the immune antibodies our bodies produce act to stave off bacteria, viruses and other organisms that try to invade the body, and to kill off cancer cells that continually develop inside us. When this system goes awry, such as when the body undergoes severe or prolonged emotional or physical stress or severe illness, these antibodies can attack and damage healthy cells, tissues or organs. This is called an auto-immune reaction which can eventually cause an auto-immune condition if it continues long enough. In rheumatoid arthritis for example, joints can become severely damaged. i.e. they become red, swollen and painful and eventually lose their function. Fissure Surgery in hyderabad

I believe this is what occurs in anal fissure and possibly in other similar painful conditions such as tennis elbow and plantar fasciitis and perhaps even in a split lip. For some reason, these antibodies attack the mucous membrane on the anal wall. This breaks down and the fissure opens up. At time of passing stool, the anal muscles reflexly go into spasm and the bare nerve endings in the fissure produce a painful sensation. The pain leads to stool avoidance which can then cause constipation which aggravates the fissure and the whole process becomes cyclical.

Unless some way is found to heal the fissure, or the body repairs itself, the fissure becomes chronic. The anal verge being unable to “rest” for any length of time because of the need for bowel evacuation, the fissure remains open.

So the aim should be to fix the fissure, not the constipation. However, this has never been an easy task – until now.

How does wheatgrass work for anal fissure?

Having used wheatgrass on thousands of patients for a variety of conditions it has been strikingly obvious to me that it facilitates natural healing e.g. for wounds, burns, fractures, anal fissure etc. One can actually see the healing in progress for example in burns and infected wounds when the open wound is re-covers itself with a thin film of new cells in 24-48 hours. This keeps the body fluids in and the bacteria out, and the patient’s pain disappears as well. These are not phenomena one sees when the body is healing itself unaided.

Wheatgrass in some way “normalizes” damaged tissue and facilitates rapid healing. It can also work dramatically in some cases of auto-immune related disorders such as acne rosacea and psoriasis. In other words, it appears to act as a topical (surface) immunomodulator.

How do I know if I have a crack?

If you notice a bulge or swelling near your midsection, midsection, or groin, you may have a cleft. You should see a doctor immediately and get a diagnosis.

What is the best fissure treatment?

If your fissure hurts or seems to grow continuously, the doctor may suggest surgery. Most fissure surgeries are performed on an outpatient basis. The doctor will make an incision and then put the tissue back in place or remove it.

Can you live with a cleft without surgery?

Cracks do not go away on their own. Only surgery can repair a crack. Some people may never need surgery for a small crack. If the crack is small and you don’t have any symptoms, or if the symptoms don’t bother you much, you and your doctor can just continue to monitor the symptoms. 

What can make a fissure worse?

However, a fissure can cause discomfort and pain, with symptoms often worsening when standing, stretching, or lifting heavy objects. In some cases, a fissure requires immediate surgery, such as when part of the intestine is blocked or pinched by a fissure in the groin.

What is the best treatment for old cracks?

Frequent loose stools may require the use of antidiarrheal medications. Warm baths (sitz baths) for 10 to 20 minutes several times a day (especially after a bowel movement) are pleasant and cause relaxation of the anal muscles and promote the healing process.

Can I walk after fissure surgery?

Gradually increase your walking time. Walking improves blood circulation and helps prevent pneumonia and constipation. Check with your doctor when you can drive again. After surgery, most patients are able to return to work within 1-2 weeks.

What is the procedure for a crack operation?

There are two ways to complete the process. Your surgeon creates a small incision in your skin to view the sphincter muscle during an open sphincterotomy. Typically, the incision is exposed to heal. A blade is inserted under your skin to reach and cut the muscle in a closed sphincterotomy.

Is fissure surgery painful?

Sphincterotomy, or fissure surgery, is less painful than the fissure itself. This procedure causes very little discomfort while reducing the pain and pressure caused by the fissures.

What is the procedure for a crack operation?

There are two ways to complete the process. Your surgeon creates a small incision in your skin to view the sphincter muscle during an open sphincterotomy. Typically, the incision is exposed to heal. A blade is inserted under your skin to reach and cut the muscle in a closed sphincterotomy.

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