An anal fissure is a tear in the anal lining — often triggered by hard stools or straining. Pain can be severe even when the tear looks small. Care at our Madeenaguda clinic emphasises healing the tear and preventing recurrence.
Hindi readers: फिशर / गुदा विदर का मतलब (Hindi + English).
Symptoms
Sharp, cutting pain during or after stools
Bright red blood on paper or stool surface
Spasm / fear of passing stools (which worsens constipation)
A small skin tag near the tear in chronic cases
Evaluation
Diagnosis is usually clinical. Gentle examination confirms the tear and looks for infection or other issues. Further tests are reserved for atypical or concerning features.
Treatment options
Medical care (first step for most)
Soft, formed stools — fibre, fluids, softeners as advised
Sitz baths to ease spasm
Prescribed topical medicines
Avoid straining and prolonged toilet sitting
When procedures are considered
Chronic fissures that do not heal may need botulinum toxin in selected cases, or surgical options such as sphincterotomy — discussed with risks (including incontinence risk) explained clearly. Laser-assisted approaches may be offered in some settings; suitability varies.
When to consult
Seek care if pain lasts beyond a few days, bleeding recurs, or you develop fever/swelling. Do not rely only on over-the-counter creams for weeks without review.
Patients from Kompally and surrounding areas
We do not have a clinic in Kompally. Evaluation and treatment for these conditions are provided at our Madeenaguda (Madhinaguda) clinic. Patients from Kompally, Suchitra, Pet Basheerabad, Jeedimetla, Dullapally, Quthbullapur, Alwal and Bolarum regularly visit Madeenaguda for specialist care.
See healthcare for patients from Kompally for directions and related services.
Related
Often linked with constipation and sometimes confused with piles. See also fistula if discharge persists.