Anal Fissure — Symptoms, Medical Treatments and Fast Pain Relief Options

If you experience sharp pain or bleeding during bowel movements, you might be suffering from an anal fissure — a small tear in the lining of the anus that causes severe discomfort. Although it may sound minor, untreated fissures can become chronic and interfere with daily life.

At Om Sai Nursing Home, Ranchi, our specialists provide effective and modern anal fissure treatment in Ranchi, focusing on fast pain relief and complete healing through medical and minimally invasive approaches.

What Is an Anal Fissure?

An anal fissure is a small crack or ulcer that forms in the inner lining of the anal canal. It often occurs due to passing hard stools, prolonged constipation, or excessive straining during bowel movements. The fissure exposes sensitive nerves and blood vessels, resulting in intense pain and sometimes bleeding.

There are two types of fissures:

  • Acute fissure: short-term and can heal with medicines and lifestyle changes.
  • Chronic fissure: lasts for more than 6 weeks, often requiring specialized treatment or minor surgery.

Common Symptoms of Anal Fissure

Recognizing the symptoms early helps prevent complications. Common anal fissure symptoms include:

  • Sharp, burning pain during or after bowel movement
  • Bright red blood in the stool or on toilet paper
  • Itching or irritation around the anus
  • A visible tear or crack in the skin
  • Muscle spasm in the anal sphincter (feeling of tightness)

If you notice these symptoms, don’t delay consultation. Many patients confuse fissures with piles (hemorrhoids), but both conditions need different treatments.

Major Causes and Risk Factors

Anal fissures can affect anyone, but certain factors increase the risk:

  • Chronic constipation or diarrhea
  • Straining during defecation
  • Pregnancy and childbirth
  • Low-fiber diet
  • Anal trauma or infections
  • Inflammatory bowel disease (IBD)
  • Sedentary lifestyle

Addressing these causes through diet, hydration, and timely medical care can prevent recurrence.

Diagnosis at Om Sai Nursing Home, Ranchi

Our expert doctors at Om Sai Nursing Home conduct a simple physical and digital rectal examination to confirm the presence of a fissure.
In chronic or complex cases, anoscopy or proctoscopy may be performed to visualize the anal canal and rule out other issues like piles or fistula.

Medical Treatments for Anal Fissure

Most acute fissures heal without surgery if treated early. The goal is to reduce pain, relax the anal sphincter, and promote natural healing. Below are the most recommended medical treatments:

1. Topical Diltiazem Cream

Topical diltiazem 2% is one of the most effective non-surgical treatments for chronic anal fissure. It works by relaxing the internal anal sphincter muscle, improving blood flow, and speeding up healing.

According to a clinical study published in the National Library of Medicine (PMC), diltiazem ointment showed healing rates of over 70–80% in chronic fissure cases without significant side effects compared to surgical options.
(Reference: PubMed Central – Topical Diltiazem for Anal Fissure)

2. Topical Nitroglycerin Ointment

This helps increase blood flow to the anal tissue and promote healing. However, it can sometimes cause headaches, which is why many doctors prefer diltiazem as a first-line treatment.

3. Pain Relief and Stool Softeners

For fast fissure pain relief, your doctor may prescribe:

  • Sitz baths (warm water baths for 15–20 minutes, 2–3 times a day)
  • Local anesthetic gels to reduce burning pain
  • Stool softeners and fiber supplements to prevent straining

4. Botulinum Toxin (Botox) Injection

In some cases, a Botox injection may be used to temporarily relax the anal sphincter, allowing the fissure to heal naturally. It’s minimally invasive and provides good results for chronic fissures.

Surgical Treatment (When Needed)

If the fissure doesn’t heal after 6–8 weeks of medical management, or if pain is persistent, surgical treatment may be recommended.

The most common and effective procedure is Lateral Internal Sphincterotomy (LIS).
This involves making a small cut in the anal sphincter muscle to reduce tension and allow the fissure to heal completely.
At Om Sai Nursing Home, Ranchi, LIS is performed using modern, minimally invasive techniques, ensuring quick recovery and minimal discomfort.

Home Care and Lifestyle Tips for Faster Healing

In addition to medical treatment, these lifestyle changes can speed up your recovery:

  • Eat a high-fiber diet (vegetables, fruits, whole grains)
  • Drink at least 8–10 glasses of water daily
  • Avoid spicy or processed foods
  • Don’t delay bowel movements
  • Take regular sitz baths
  • Avoid straining or sitting for long periods
  • Maintain good hygiene

These steps not only help heal the fissure but also prevent recurrence.

Why Choose Om Sai Nursing Home, Ranchi for Anal Fissure Treatment

  • Experienced surgeons and gastro specialists
  • Advanced treatment options including topical diltiazem and laser-assisted procedures
  • Fast recovery with minimal pain
  • Affordable treatment packages
  • Support under Ayushman Bharat Yojana and other insurance panels
  • Dedicated post-treatment care and physiotherapy support

At Om Sai Nursing Home, we believe in holistic healing — from accurate diagnosis to lifestyle guidance and follow-up care.

When to Consult a Doctor

You should see a doctor immediately if:
✅ Pain during bowel movement persists for more than a week
✅ There’s visible blood in your stool
✅ Over-the-counter creams fail to provide relief
✅ The pain disrupts your daily routine

Ignoring these symptoms can lead to chronic fissures that may require surgery. Early medical consultation ensures quick and long-lasting relief.

Book an Appointment Today

If you’re searching for “anal fissure treatment in Ranchi” or need fast fissure pain relief, visit Om Sai Nursing Home, one of Ranchi’s most trusted centers for anorectal treatments.

📞 Call/WhatsApp: +91-9570142204
📍 Address: Ara Gate, puruliya Road, Birla University Road, nearby Ara panchayat, No 1, Karol Nagar, Ranchi, Jharkhand 835103