Anal Fissure Surgery, Treatment and Care
Anal Fissure Surgical Treatment in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, Florida
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Anal Fissure Surgical Treatment in Broward County, FL
Anal Fissure Surgery, Treatment and Cure
Best Anal Fissure Doctor in Pompano Beach, FL and Broward County, FL
Anal Fissure Symptoms in Coral Springs, FL, Fort Lauderdale, FL,
What is an Anal Fissure?
Anal fissures are a common condition that affects many individuals, causing discomfort and pain in the anal area. An anal fissure is a small crack or tear in the skin of your anus (where poo leaves your bottom). An anal fissure is a small tear or split in the skin that lines the anus. These small tears or cracks in the lining of the anus can occur for various reasons, such as constipation, diarrhea, or trauma during childbirth. Although they may seem like a minor inconvenience, anal fissures can significantly impact a person’s quality of life, making it essential to seek proper medical attention.
- Acute anal fissures
- Chronic anal fissures
An anal fissure can be very uncomfortable, but it will usually heal if you make some changes to your diet and follow some simple treatments. Most anal fissures are caused by injury to the area. This can happen when you pass a hard or large stool (poo). You can also get an rectal fissure after having severe diarrhoea. They affect men and women equally and both the young and the old. Fissures usually cause pain during bowel movements that often is severe. An anal fissure is the most common cause of rectal bleeding in infancy. An anal fissure is a common condition and affects anyone in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Coral Springs, FL, Plantation, FL, Davie, FL and surrounding area of Broward County, FL regardless of age, sex, race, or ethnicity.
What Causes Anal Fissure? How to Treat Anal Fissure?
Anal fissures are caused by injury to the rectal canal from increased pressure. Anal sphincter is under a certain amount of pressure all the time; however, if the pressure builds up too much, it can lead to reduced blood flow in the area and cause muscle spasms that tear the sphincter walls, causing a fissure. The increased pressure and the resulting tears and injuries commonly happen when you’re constipated and struggling to go to the bathroom or when you pass an abnormally large stool. Chronic diarrhea and childbirth can also cause an anal fissure.
According to Astha Bhatt, MD, a colorectal surgeon in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Coral Springs, FL, Plantation, FL, Davie, FL and surrounding area of Broward County, FL changes in your bowel habits can put stress and pressure on your system and increase your risk of developing an anal fissure. There are some things you can do at home to alleviate or prevent a fissure, including following an appropriate anal fissure diet.
- Chronic constipation :Constipation is the main rectal fissure cause. Constipation persisting for a long time is quite harmful and may become a reason for anal fissures, Chronic diarrhea
- Stool: Straining during bowel movements, and use of the phone in the toilet becomes the anal fissure cause.
- Frequently having anal intercourse proves problematic for women by increasing the chances of occurrence of anal fissure.
- Inflammation of the anus and rectum, Crohn’s disease, anal injury
- Passing of hard stools, and straining during the process of defecation.
- Cancer of the rectum for
- Dr Bhatt is expert in Anal Fissures treatment.
Anal Fissure Surgical Treatment in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, FL
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Anal Fissure Symptoms and causes
According to Astha Bhatt, MD, a colorectal surgeon located in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Coral Springs, FL and surrounding area of Broward County. the symptoms of anal fissure can vary from person to person. The most common signs include pain during bowel movements, bright red blood on the toilet paper or in the toilet bowl, itching, and a burning sensation in the anal area. These symptoms can be exacerbated by activities that put strain on the anus, such as sitting for prolonged periods or engaging in vigorous physical activity.
The causes of recal fissures are multifactorial. Chronic constipation, for instance, puts excessive pressure on the anus, leading to the formation of fissures. Similarly, diarrhea can irritate the delicate lining of the anus, making it more prone to tearing. Other causes include anal trauma, inflammatory bowel disease, and sexually transmitted infections. It is important to identify the underlying cause of the fissure to effectively manage and treat the condition.
Tom Calcutta2024-04-15Dr. Bhatt is very through. She explains the available treatment options gives her recommendations and takes the time to answer all of your questions.Paul Nj2024-04-15Zero wait time, exceptional staff, Dr. Bhatt listens and explains all the options in great detailBehli Hansotia2024-04-10I was able to get earliest requested appointment on line very easily and the clinic staff followed up courteously with phone call/email. During visit, staff was very courteous & helpful.The surgeon listened to my health issue very carefully & patiently, asked right questions and after examining disused with me options. I got the needed treatment from the Surgeon which she rendered gently & constantly checked about my comfort. I would have no hesitation in recommending Dr Astha Bhatt to my friends.Dave Boyer2024-04-07Besides being a knowledgeable and skilled surgeon Dr Bhatt is also a caring person .I felt immediately comfortable as she addressed my questions and concerns and was quick to feel a high level of confidence that I was getting the best care possible. This the way healthcare should be..Justin Money2024-04-07Very Friendly, awesome staff, and cares ablut their patientsShanty2024-04-06Appointments were easy to make, great communication with office. MD was very efficient and knowledgeable. I was very confident explaining all my concerns, MD listened and spent time with me. Now a days your just a number when visiting the doctor. I never felt that here.Dj- Badaoui2024-04-06Best colorectal surgeon
- Anal fissures usually lie in the posterior midline but may occur in the anterior midline. Those off the midline may have specific etiologies, particularly Crohn disease.
- An external skin tag (the sentinel pile) may be present at the lower end of the fissure, and an enlarged (hypertrophic) papilla may be present at the upper end.
- Fissures cause pain and bleeding. The pain typically occurs with or shortly after defecation, lasts for several hours, and subsides until the next bowel movement.
- Examination must be gentle but with adequate spreading of the buttocks to allow visualization.
- Chronic fissures must be differentiated from anal cancer, primary lesions of syphilis, tuberculosis, and ulceration caused by Crohn disease.
- The main symptoms are a sharp pain when going to the toilet. This can be followed by a burning pain, which can last several hours
- If you are constipated (when your poo is dry and you find it difficult to have a poo), this can cause an rectal fissure. You can also get an anal fissure after having severe diarrhoea.
- Sometimes the cause is not known.
- The most common location for an anal fissure in both men and women (90% of all fissures) is the midline posteriorly in the anal canal, the part of the anus nearest the spine.
- Fissures are more common posteriorly because of the configuration of the muscle that surrounds the anus.
How to Treat, Heal the Anal Fissure?
Anal fissures aren’t associated with more serious diseases, such as bowel cancer, although cancer of the anus may mimic an anal fissure. Some of the possible complications of an anal fissure include:
- Pain and discomfort
- Recurrence of anal fissure. Difficulty with bowel movements.
- Chronic anal fissure – the tear fails to heal. Over time, this can cause extensive scar tissue at the site of the fissure (sentinel pile).
- Anal fistulas – abnormal ‘tunnels’ join the anal canal to surrounding organs, usually other parts of the bowel.
- A tear that extends into the surrounding muscle
- Anal stenosis – the anal canal becomes abnormally narrowed either due to spasm of the anal sphincter or contraction of the resultant scar tissue.
- Failure to heal, requiring surgery
- Possible recurrence even after treatment
- Clotting, Uncontrolled bowel movements and gas
Anal Fissure Surgical Treatment in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, FL
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Medication for Fissure in Ano
50% of anal fissures will heal with non-surgical therapy after they have been present for more than 3 months. Non-dietary therapies may include stool softeners, fiber supplements, warm baths or sitz baths and regular exercise.
Medications play a vital role in the treatment of anal fissures. Topical ointments or creams that contain ingredients like nitroglycerin or calcium channel blockers are commonly prescribed. These medications work by relaxing the muscles and increasing blood flow to the anal area, promoting healing and reducing pain.
Nitroglycerin ointment, in particular, has shown promising results in healing anal fissures. It helps to improve blood flow, reduce muscle spasm, and accelerate the healing process. However, it may cause side effects such as headaches and dizziness in some individuals. Calcium channel blockers, on the other hand, help to relax the muscles and relieve pain without significant side effects.
It is important to follow the prescribed dosage and duration of medication as directed by your healthcare provider. If your symptoms do not improve or worsen, consult your doctor for further evaluation and adjustment of your treatment plan.
Anal Fissure Surgical Treatment in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, FL
Accepting all New Patients (Insured, Uninsured, Self Pay). Instant Appointments.
Anal Fissure Surgery in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, FL
Surgery may be recommended in persistent cases of anal fissure where self-help measures and medicine have not helped. When conservative treatments and medications fail to provide relief or if the anal fissure is severe, surgical intervention may be necessary. Colorectal surgeons can offer various surgical treatment options, depending on the specific needs of the patient. Surgery is often very effective at treating anal fissures, but it does carry a small risk of complications, such as temporary or permanent loss of bowel control (bowel incontinence).
Lateral internal sphincterotomy is a commonly performed surgical procedure for rectal fissures. It involves making a small incision in the internal anal sphincter muscle to reduce pressure and promote healing. This procedure has shown high success rates in relieving symptoms and allowing the fissure to heal.
Externally applied nitroglycerin (Rectiv)
Topical anesthetic creams
OnabotulinumtoxinA (Botox) injection
Surgery - lateral internal sphincterotomy (LIS)
Smaller and Less Noticeable Scars
Anal fissures usually heal within a few weeks without the need for treatment. Advancement flap repair is another surgical option for complex or recurrent anal fissures. It involves using healthy tissue from the rectal or vaginal area to cover the fissure, creating a new, healthy lining. This promotes healing and reduces the risk of recurrence.
Botulinum toxin injections have also gained popularity in the treatment of anal fissures. The injections help to relax the sphincter muscles, allowing the fissure to heal. This non-invasive approach is particularly beneficial for individuals who wish to avoid surgery or have underlying medical conditions that increase the risks associated with surgical procedures.
Women who have had multiple vaginal deliveries and older patients may have a weak anal sphincter complex, which puts them at a high risk of developing fecal incontinence after surgical treatment of anal fissure or rectal surgery. Such patients should undergo one of the procedures that do not require division of the anal sphincter muscle (eg, botulinum toxin injection, fissurectomy, or anal advancement flap). Other patients who are not at risk of developing fecal incontinence may undergo lateral internal sphincterotomy, which is considered the most effective treatment for anal fissure
Ease Symptoms for Rectal Fissure in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, FL
Prevent - Anal Fissures
- Changing your diet to increase fiber and water, steps that will help regulate your bowel movements and reduce both diarrhea and constipation
- Using topical medicines, such as nitrates or calcium blockers
- Drink enough water to stay well hydrated.
- Maintain a routine bowel habit. Ask your healthcare provider about what this should be for you.
- not ignoring the urge to poo – this can cause your poo to dry out and become harder to pass
- exercising regularly – you should aim to do at least 150 minutes of physical activity every week
Treatment - Ano Fissures
- Doctor may recommend stool softeners (for constipation) and topical ointments. Topical ointments (like nitroglycerin) can help fissures heal by relaxing the muscles of the anus. You can use ointments multiple times a day, or as your provider recommends.
- Surgical options – Botox injection: Botox around the anus can help relax the muscles around the anus.
- Surgical options – Internal anal sphincterotomy: This is a procedure to cut a small portion of the muscles around the anus.
- Laser surgery (laser sphincterotomy with fissurectomy)
- Fissurectomy
- Rectal Surgery
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Anal Fissure Treatment in Broward County, FL
Anal Fissure in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, FL
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In Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, FL Dr. Bhatt is a highly regarded colorectal surgeon who specializes in the diagnosis and treatment of rectal fissures. With years of experience, more than 4000+ surgical procedure and a dedication to patient care, Dr. Bhatt has helped numerous individuals find relief and healing from their anal fissures.
Dr Astha Bhatt is a General & Colon Rectal Surgeon, She takes a personalized approach to each patient, taking the time to understand their unique circumstances and concerns. She combines her expertise in colorectal surgery with a compassionate bedside manner, ensuring that patients feel comfortable and supported throughout their treatment journey.
Dr. Bhatt mission is to provide personalized excellent care, guidance and service to all patients using the most advanced innovative technologies that are evidence-based.
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