Frequently asked questions about Fissure in ano

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1. What if a fissure does not heal by medicines..?
   A fissure that does not heal should be re-examined to determine if an underlying problem that prevents healing exists. This could be due to scarring or muscle spasm of the internal anal sphincter muscle. Those which continue to cause pain and/or bleeding can be corrected by Kshar Sutra Therapy. .


2. What happens during the Major Surgery ?
   Surgery is done under general anaesthesia and consists of cutting a portion of the anal muscle and leaves the wound to heal by the time. This helps the fissure to heal by preventing spasm, which interferes with healing. At times, cutting this muscle may interferes with the ability to control bowel movements. Some surgeons may also remove the fissure and the underlying scar tissue, but it will result in a very big wound that may take 3-4 weeks to heal.


3. How much time is required for complete recovery after surgery ?
   patients have to stay in the hospital for a day or two. Complete healing occurs in a few weeks, although pain often disappears after a 5-7days.


4. What happens during Kshar Sutra Therapy ?
   Kshar Sutra therapy is done under Local anaesthesia (i.e, only anus will be anaesthetised). It includes putting Kshar Sutra (Medicated Alkaline Thread) at a suitable place in the anus, so as the spasm of anal muscles are released. At times, Kshar Sutra is used to take out the whole Fissure , but not necessary in all patients because the actual cause is spasm of anal muscles.


5. Can Fissure lead to colon cancer ?
   Absolutely Not..! Persistent symptoms need careful evaluation, however, since conditions other than fissure can cause similar symptoms.

There are a few important things to remember

First is that fissure-in-ano is not life threatening, although they can affect your quality of life.

Secondly, is that you should not suffer silently and unnecessarily with continuous anal pain. If you are consistently changing your whole life activities (not exercising, drastic change in diet, avoiding eating out or going to an event, etc.) due to the pain and suffering of a fissure, and all of the conservative measures are not working, you should come in to discuss the Kshar Sutra Therapy as it is 90% effective. If on the other hand your symptoms resolve and only every now and then do you develop a tolerable recurrence I suggest continuing conservative therapy.

The bottom line is that if you do not need Kshar Sutra Therapy , you should not even be in the line for a the therapy but when you do need Kshar Sutra Therapy, you should be at the very front of the line to have it done.