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Anal Fissure Surgery


What is an anal fissure?

An anal fissure is a tear around the lining of the anal canal. Anal fissures occur with painful ulcers at the end of anal canal. Anal fissures cause pain and bleeding during defecation and continue to hurt even after several hours of defecation.

What are the factors contributing to anal fissures?

Following factors result in anal fissures:
  • 1.Passing hard stools resulting in the damage of the lining in the anal canal.
  • 2.Muscle tone increase in the anal canal
  • 3.Reduction in nitric oxide synthesis which is responsible for facilitating relaxation of the internal anal muscles.

What is anal fissure surgery or sphincterotomy?

The surgical methods to treat anal fissures are as follows:
  • 1.Lateral internal sphincterotomy.
  • 2.Fissurectomy
  • V-Y advancement flap

What are the symptoms of anal fissures?

Following are the symptoms of fissures:
  • 1.Blood in the stools
  • 2.A small lump near the skin in the anal area
  • 3.Pain while passing stools
  • 4.Pain for several hours after passing stools that keeps increasing and recurring


What are the Non-surgical remedies available for fissures?

Surgery is required in very few cases, unless the fissures are not chronic in nature and mild pain and swelling can be relieved with some home remedies like eating high fiber food which make the bowel movement easier by softening the stools and increasing the bulk of the stools passed. Pain killers can also provide relief. Application of creams with hydrocortisone helps and using pads with witch hazel or any other numbing agent helps. Soaking the anal area in warm water for 10 to 15mins every day for 2 to 3 three times will provide relief. Doctors might suggest creams, ointments and pads containing ingredients such as witch hazel, or hydrocortisone and lidocaine. Along with the above mentioned remedies. Drinking a lot of water will prevent hard stools and in turn facilitate easier bowel movement. Medications such as diltiazam, nifedipine, or nitroglycerin ointment help in relaxing the anal sphincter muscles aiding recovery. Stool softeners are also recommended in order to make passing stools easy. Externally applied nitroglycerin promotes blood flow and this helps the anal sphincter to relax thus facilitating the fissures to heal. Botulinum toxin type A (Botox) injection relaxes the anal sphincter when administered and helps in relaxing spasms.

Why Should You Choose To Get Treated Under Dr. Mutharaju?

Dr. Mutharaju is Laparoscopic surgeon and a Bariatric surgery specialist with 21 years of experience in performing various surgeries; by choosing to get treated under him one can rest assured that he/she can expect a full recovery and a permanent solution for their problems.

How Should One Get Ready For The Procedure?

The doctor will recommend a complete physical examination in order to check if the patient is healthy enough for the surgery. On the day of the surgery the doctor will recommend the patient to stop eating and consuming liquids few hours before the operation. If the patient is taking supplements, blood thinners and medications for any other medical conditions they will be asked to not take it before the procedure.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.



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“A disorder involving excessive body fat that increases the risk of health problems. Obesity often results from taking in more calories than are burned by exercise and normal daily activities. Obesity occurs when a person's body mass index is 25 or greater. The excessive body fat increases the risk of serious health problems. The mainstay of treatment is lifestyle changes such as diet and exercise”


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Our goal is to deliver quality of care in a courteous, respectful, and compassionate manner. We hope you will allow us to care for you and to be the first and best choice for healthcare. We will work with you to develop individualised care plans, including management of obesity diseases. We are committed to being the region’s premier healthcare network providing patient centered care that inspires clinical and service excellence.




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