Is operation necessary for fissure?

SURGICAL TREATMENT Although most anal fissures do not require surgery, chronic fissures are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscles relax which reduces pain and spasms, allowing the fissure to heal.

Can fissure be treated by medicine?

Your doctor may recommend: Externally applied nitroglycerin (Rectiv), to help increase blood flow to the fissure and promote healing and to help relax the anal sphincter. Nitroglycerin is generally considered the medical treatment of choice when other conservative measures fail.

Is fissure completely curable?

About 9 out of 10 short-term fissures heal with home treatment—including using stool softeners or fiber supplements and taking regular sitz baths. And about 4 out of 10 long-term anal fissures will heal after home treatment is used. But not all fissures will heal with just home treatment.

Is fissure surgery painful?

Fissure surgery or sphincterotomy is less painful than the fissure itself. This surgery causes mild pain and reduces pain and pressure resulting from fissures.

Can fissures come back after surgery?

Having a fissure come back again (recur) after a sphincterotomy is rare and most patients are satisfied with the results of the procedure.

How fissure operation is done?

The procedure can be done in two ways. In an open sphincterotomy, your surgeon makes a small cut in your skin so they can see the sphincter muscle. The cut is usually left open to heal. In a closed sphincterotomy, your surgeon passes a blade under your skin to reach and cut the muscle.

Will fissure heal on its own?

Acute anal fissures — the ones that don’t last longer than 6 weeks — are common and usually heal on their own with self-care. Chronic anal fissures — those that last longer than 6 weeks — may need medicine or surgery to help them heal.

How long does chronic fissure take to heal?

The tear and split commonly heals within days or a few weeks, not more than a month. Hence, chronic anal fissure refers to those fissures which won’t heal properly after 4 to 6 weeks of proper medication.

How do you know if a fissure is healing?

The pain you experience during a bowel movement in less than the time before.

The pain that you experience after a bowel movement does not last as long as the time before.

The overall level of pain you experience before,during and after a bowel movement is less than the day before.

How to cure fissures naturally?

Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water — two or three times a day for 10 to 15 minutes — you can clean the anus, improve blood flow, and relax the anal sphincter. These habits are usually enough to heal most anal fissures within a few weeks to a few months.