Signs & Symptoms
Recognize the early signs that indicate you may need medical attention
Severe Burning Pain
Sharp, intense burning pain during and after bowel movements that can last for hours.
Bright Red Blood
Small amounts of bright red blood on stool or toilet paper after passing stools.
Visible Crack
A visible tear or crack in the skin around the anus, often with a skin tag nearby.
Spasm of the Sphincter
Painful spasm of the internal anal sphincter muscle causing severe discomfort.
Itching
Persistent itching and irritation around the anal area.
Fear of Defecation
Anxiety and avoidance of bowel movements due to anticipated pain.
Common Causes & Risk Factors
Hard or Large Stools
Passing hard, dry stools tears the delicate anal lining — the most common cause of acute fissures.
Chronic Diarrhoea
Repeated, frequent bowel movements cause irritation and micro-tears in the anal lining.
Childbirth
The trauma of vaginal delivery can cause or worsen anal fissures in women.
Anal Pressure
Increased pressure on the internal anal sphincter reduces blood supply, preventing natural healing.
Inflammatory Conditions
Conditions like Crohn's disease can cause persistent or recurrent anal fissures.
Treatment Options
Advanced minimally invasive techniques for better outcomes and faster recovery
Clinical Examination
Careful examination to classify fissure as acute or chronic and assess sphincter tone.
Medical Management
Topical nitroglycerin or diltiazem cream, stool softeners, and warm sitz baths for acute fissures.
Laser Sphincterotomy (LIS)
Laser-assisted procedure to release sphincter spasm — gold standard with 95%+ healing rate.
Post-Treatment Care
High-fibre diet, sitz baths, and follow-up to ensure complete healing and prevent recurrence.
Benefits at Chahal Hospital
Virtually Painless
Laser precision reduces trauma to surrounding tissue, significantly cutting post-op pain.
Day Surgery
Entire procedure done under local anaesthesia — no overnight hospital stay required.
95%+ Success Rate
LIS has the highest cure rate for chronic anal fissures with very low recurrence.
Expert Surgeon
Dr. J.S. Chahal specialises in laser proctology with thousands of successful cases.
Fast Recovery
Most patients resume work and normal activities within 3–5 days of the procedure.
Affordable Cost
Competitive pricing with transparent billing and insurance claim assistance.
Your Specialist
Dr. J.S. Chahal
Senior Consultant – General & Laparoscopic Surgery
MBBS, MS (General Surgery), FALS
Book AppointmentFrequently Asked Questions
The hallmark symptom is sharp, burning pain during and after bowel movements, often with small amounts of bright red blood. A doctor can confirm the diagnosis with a simple examination.
Acute fissures (less than 6 weeks) often heal with conservative management like stool softeners, fibre diet, and sitz baths. Chronic fissures (more than 6 weeks) generally require medical or surgical treatment.
No. The procedure is performed under anaesthesia. Post-operatively, patients may have mild soreness, but this is well-controlled with simple pain medication.
Most patients recover within 1–2 weeks. You can return to light work within 3–5 days and resume normal diet immediately.
Laser-assisted LIS is very precise and cuts only a small portion of the sphincter, making incontinence extremely rare (less than 1% of cases).
Ready to Get Treatment?
Consult our expert specialists for Anal Fissure Treatment. Advanced, minimally invasive care with faster recovery and lasting results.