Anal Fissure: Signs that indicate you may need a surgical procedure- Explained by Dr. Ranajoy Dutta

 


Do you notice blood in your stool along with a sharp, burning pain that makes it difficult to pass motion? Does every trip to the bathroom feel like a nightmare?

These could be signs of an anal fissure. This refers to a small tear or cut in the lining of the anus that causes intense discomfort, bleeding, and fear of passing stool.

While some fissures heal with medication and care, others become chronic and may need surgical attention.

In this blog, a trusted anal fissure surgeon explains the signs that indicate surgery might be the next step and what treatments can help you recover comfortably.

What is the final stage of Fissures?

When an anal fissure reaches its chronic stage, it no longer heals on its own or with basic treatment. This is considered the final stage. You may notice:

  • Persistent pain lasting hours after bowel movements

  • Visible skin tags or a lump near the tear

  • Thickened edges around the fissure

  • Spasms in the anal muscles that worsen pain

At this stage, the fissure has typically been present for more than six weeks, and scar tissue may have formed, making healing without surgery nearly impossible.

Chronic fissures also lead to complications like infections or abscesses. If you have tried creams, sitz baths, and diet changes with no relief, you may be dealing with an advanced fissure that needs surgical care.

How do you know if you have a Fissure?

Many people confuse fissures with piles, but there are some key symptoms that point directly to an anal fissure:

  • A sharp, cutting pain during or after a bowel movement

  • Fresh red blood in the stool or on the toilet paper

  • A visible tear or crack in the anal area

  • A burning or itching sensation around the anus

  • Muscle tightness or spasms

If the pain is so bad that it makes you want to avoid going to the toilet altogether, that’s a red flag. Waiting too long will worsen the tear and make recovery more complicated.

A proper diagnosis by an experienced anal fissure surgeon in Kolkata, like Dr. Ranajoy Dutta ensures you understand the severity and get the right treatment plan.

What Type of Fissures Require Surgery?

While many acute fissures heal within a few weeks with ointments, laxatives, and diet control, surgery becomes necessary in the following situations:

  • Fissure has lasted more than 6–8 weeks

  • Pain continues despite proper non-surgical treatment

  • Signs of infection or the development of skin tags or sentinel piles

  • Anal spasms are severe and recurring

  • Multiple recurrent fissures occur over time

The most common surgery is Lateral Internal Sphincterotomy (LIS). This is a safe and effective procedure performed by Dr. Ranajoy Dutta, that reduces muscle tension and promotes healing. Newer, minimally invasive options like laser surgery also offer quick recovery and minimal pain.

Under Dr. Dutta’s care, surgical intervention is planned for your condition, focused on long-term relief and better quality of life.

Don’t suffer in silence

Anal fissures are more common than you think and more treatable than they seem. If pain, bleeding, and discomfort have become part of your daily routine, it’s time to take action.

If you suffer in silence, thinking it will heal on its own, then you are putting your health at risk. Before the condition becomes severe, its advisable to get yourself checked by the doctor.

Book your consultation today

To get expert care , Contact Dr. Ranajoy Dutta, a leading anal fissure surgeon in Kolkata, and find the right treatment to get rid of the pain.

Relief is possible. Let’s make it happen.


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