Anal Fissure Treatment at Dr Eleri’s Piles & Fistula Clinic
What is an Anal Fissure?
An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. While they are incredibly common, they can cause significant pain and bleeding during bowel movements feel like “passing shards of glass.” Fissures are very common and are often confused with hemorrhoids. They can occur in both men and women equally, most often in the back midline (85–90%), less commonly in the front midline (10–15%). Rare fissures on the sides may indicate underlying conditions like Crohn’s disease, ulcerative colitis, or infections.
Understanding Anal Fissures: Symptoms, Causes and Relief
Symptoms
- Sharp pain during and after bowel movements (can last for hours)
- Bright red blood on the toilet paper or surface of the stool
- Fear of passing stools due to pain
- Visible tear or a small lump/skin tag near the site of the injury
- Sentinel pile (skin tag) or swelling in chronic cases
- Spasms in the anal sphincter muscle
Unlike hemorrhoids, fissures cause sharp tearing pain with defecation. Delayed diagnosis can turn an acute fissure into a chronic fissure, which is harder to treat.
Causes & Risk Factors
Fissures usually occur when the tissue is stretched beyond its capacity. Common triggers include:
| Cause | Description |
| Constipation | Passing large or hard stools is the #1 cause. |
| Diarrhea | Frequent, liquid movements can irritate and tear the lining. |
| Childbirth | Trauma to the anal canal during labor. |
| Tight Sphincter | High muscle tension makes it harder for the area to heal. |
| Medical Conditions | Crohn’s disease or other inflammatory bowel diseases (IBD). |
Ayurvedic Understanding
In Ayurveda, fissures are known as Parikarthika, caused mainly by vitiated Vata dosha and imbalanced Agni (digestive fire). Treatment aims at balancing these factors to heal the tear and relieve pain.
Our Approach at Dr Eleri’s Clinic
We follow a multi-dimensional Ayurvedic protocol combining medicines, therapies, and minimally invasive procedures:
- Oral Ayurvedic Medications – Herbs with Deepana, Pachana, Rechana, and Vatanulomana properties to regulate digestion, soften stools, and promote natural healing.
- Matra Vasti (Medicated Oil Enema) – Reduces Vata imbalance, relaxes sphincter spasm, and accelerates wound healing.
- Sphincterolysis Procedures (for chronic fissures):
- Agnikarma (Laser Sphincterolysis)
- Digital Sphincterolysis
- Knife-assisted Sphincterolysis
These procedures release sphincter spasm, give immediate pain relief, and allow fissures to heal quickly.
Fast & Safe Recovery
All procedures are performed under local anesthesia as daycare treatment. Patients can go home within 2 hours and resume normal activities from the next day. Most experience significant pain relief within 2 days.
At Dr. Eleris Clinic, we ensure safe, painless, and recurrence-free treatment for both acute and chronic anal fissures.