Physician-Led Care for Anal Fissure Treatment and Lateral Internal Sphincterotomy in Broward, and Miami-Dade
As a Board-Certified General Surgeon and fellowship-trained minimally invasive colon and rectal surgeon, Dr. Astha Bhatt, MD provides compassionate, highly specialized Anal Fissure care for patients experiencing severe rectal pain, bleeding, or chronic discomfort.
She offers advanced medical management, When symptoms continue, treatment may include prescription topical medication, Botox injection, or lateral internal sphincterotomy—LIS for appropriately selected patients. Dr. Bhatt provides:
Anal Fissure Evaluation — Book Appointment
Same-week Anal Fissure consultation. Complete the form or call our South Florida office at (954) 388-0860
UNDERSTANDING ANAL FISSURES & WHEN SPECIALIST CARE IS NECESSARY
Following a persistent cycle of severe rectal pain and bleeding, a consultation with an anal fissure proctologist is a critical step to break the cycle of discomfort. The primary objective of professional anal fissure treatment is to relax the internal anal sphincter muscle, alleviate painful spasms, and restore proper blood flow to the area so the delicate tissue can heal. Left untreated, chronic fissures can develop scar tissue or sentinel skin tags, making bowel movements increasingly difficult. Dr. Bhatt carefully evaluates several clinical factors with the strict clinical standards of the American Society of Colon and Rectal Surgeons (ASCRS) during your consultation:
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Fissure Chronicity: Diagnosing acute vs. chronic symptoms to select the best medical therapy or advanced anal fissure surgical treatment.
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Sphincter Muscle Tone: Evaluating if high muscle pressure or spasms require targeted relaxation or a precise internal sphincterotomy surgery.
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Diagnostic Accuracy: Confirming your rectal pain is caused by a benign tear and safely ruling out other issues like hemorrhoids.
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Urgent Anal Fissure Relief: Offering same-week care for painful, acute spasms alongside tailored plans for long-term anal fissure treatment.
For specialized Anal Fissue care in South Florida, Dr. Bhatt prioritizes safety, patient comfort, and clinical precision. We proudly serve Broward County, Miami Date, Palm Beach County, and the surrounding communities with dedicated, empathetic, evidence-based treatment.
Anal Fissure Evaluation — Book Appointment
Same-week Anal Fissure consultation. Complete the form or call our South Florida office at (954) 388-0860
Dr. Astha Bhatt, MD develops an individualized anal fissure treatment plan after reviewing the patient’s symptoms, bowel habits, fissure appearance, prior treatment, medical history, and baseline bowel control. Care generally begins with the least invasive effective option, with office-based procedures or surgery considered only when medically appropriate.
Prescription topical medications can help relax the internal anal sphincter, reduce muscle spasm, and support blood flow to the fissure. Depending on the patient’s medical history, Dr. Bhatt may discuss topical diltiazem, nifedipine, nitroglycerin, or another appropriate treatment.
For: A persistent or chronic anal fissure that has not healed with basic home treatment.
Botulinum toxin, commonly called Botox, may be injected into the anal sphincter to temporarily reduce muscle spasm and allow the fissure to heal. It may be considered when topical medication has not worked, when surgery should be postponed, or when preserving sphincter function is an important concern.
For: Selected patients with a chronic fissure, persistent spasm, or increased concern about continence after surgery.
Lateral internal sphincterotomy, also called LIS or internal sphincterotomy surgery, is an outpatient operation used for selected chronic anal fissures that have not healed with medical treatment. Dr. Bhatt evaluates baseline continence, prior childbirth injuries, previous anorectal surgery, age, anatomy, and medical history before recommending LIS.
For: A chronic anal fissure with persistent pain or bleeding despite appropriate non-surgical treatment.
ASCRS lists fiber, stool softening, hydration, sitz baths, topical diltiazem, nifedipine or nitroglycerin, and sphincterotomy among accepted treatment options. It also recognizes that sphincterotomy may affect continence in a small number of patients, making individualized selection important. Patients searching for an anal fissure doctor near me, an anal fissure proctologist, or a rectal pain doctor can meet directly with Dr. Bhatt to understand whether medication, Botox, or internal sphincterotomy surgery may be appropriate.
Patients choose Dr. Bhatt for private, respectful care, clear explanations, and individualized treatment for sensitive colorectal and anal conditions. She personally directs the evaluation, treatment plan, procedure when needed, and follow-up care.Backed by hundreds of verified patient reviews across Google, Healthgrades, and WebMD, Dr. Bhatt (Board Certified General Surgeon & Fellowship Trained in Advanced Colon and Rectal Surgery) is a trusted local choice for advanced Anal Fissure treatment in South Florida.
ANAL FISSURE PATIENT GUIDE
Learn why an anal fissure causes pain, what can delay healing, and how treatment progresses from bowel regulation and prescription medication to Botox injection or lateral internal sphincterotomy. Dr. Bhatt explains which factors help determine the safest option for each patient.
Educational video: Anal Fissures, constipation, prescription medication, and recovery expectations.
In this patient education video, Dr. Bhatt shares clinical insights from over 15 years of medical experience. She provides a patient-friendly explanation of anal fissure symptoms, diagnosis, non-surgical care, Botox injection, lateral internal sphincterotomy, and recovery planning.
If pain, bleeding, burning, or muscle spasm continues despite home treatment, Dr. Bhatt can confirm the diagnosis, explain your options, and help you choose an appropriate next step. Both non-surgical and surgical treatments are available based on your examination and medical needs.
Meet Dr. Astha Bhatt, MD
Personalized evaluation, dedicated follow-up care.
Patients searching for an anal fissure doctor, anal fissure proctologist, or rectal pain doctor in Broward County, Dr. Astha Bhatt, MD offers a unique combination of rigorous training, extensive clinical volume, and deeply empathetic, specialized anal fissure care. Dr. Bhatt is committed to delivering advanced, custom-tailored anal fissure treatment that addresses the root cause of your pain and restores your comfort close to home.
Dr. Bhatt personally guides each patient’s medical evaluation, treatment options, and follow-up care. When appropriate, she provides precise, minimally invasive anal fissure surgical treatment and coordinates seamlessly with primary care physicians, gastroenterologists, and pelvic floor therapists to ensure a complete, safe, and rapid recovery.
Board-Certified Surgeon
Dr. Bhatt is board-certified in general surgery by the American Board of Surgery ensuring exceptional surgical standards for internal sphincterotomy surgery.
Fellowship-Trained Specialist
Dr. Bhatt completed her advanced, accredited Fellowship at AdventHealth Tampa, specializing in tissue-preserving, minimally invasive pelvic floor and anal procedures to protect sphincter function.
Physician-Led Anal Fissure Care
Dr. Bhatt personally directs every step of your anal fissure treatment. Her clinical focus on precise, micro-surgical techniques ensures significantly less post-operative discomfort and a faster return to daily activity.
Sharp or cutting pain during a bowel movement
Bright red rectal bleeding on stool or toilet paper
Painful anal muscle spasms that last for hours
Feeling like passing glass or a persistent anal tear
Dr. Astha Bhatt, MD provides experienced, physician-led consultations for patients seeking a dedicated anal fissure doctor. She welcomes patients across Broward, Palm Beach, and Miami-Dade counties for in-person or telehealth appointments, second opinions, and advanced clinical planning to resolve severe rectal pain safely.
Serving Fort Lauderdale, Wilton Manors, Oakland Park, Lauderdale Lakes, Wilton Manor, Lauderhill, with advanced diagnostic evaluations and precise outpatient anal fissure surgical treatment.
Serving patients in Pompano Beach, Deerfield Beach, Lighthouse Point, Coconut Creek, and Boca Raton needing expert clinical evaluation for persistent spasms, severe pain, or chronic anal fissure treatment.
Providing precise, sphincter-sparing treatments for patients residing in Coral Springs, Parkland, Margate, North Lauderdale, Tamarac, Sunrise, and Weston seeking a certified anal surgery specialist.
Assisting Davie, Plantation, Cooper City, Southwest Ranches, Pembroke Pines, Miramar, West Park, Pembroke Park, Hallandale Beach, Dania Beach, and Hollywood with medical management and outpatient internal sphincterotomy surgery.
Offering second opinions and individualized non-surgical anal fissure treatment for patients from Boca Raton and surrounding Palm Beach County communities.
Dr. Bhatt welcomes patients traveling from Miami-Dade for accurate diagnosis, personalized treatment planning, and anal fissure surgery when medically appropriate.
Schedule a private consultation with Our clinic and Dr. Bhatt, an anal fissure specialist serving Broward County, Palm Beach County, Miami-Dade, and communities throughout South Florida.
Precision Care with a Specialized Anal Surgery Specialist
For patients seeking lasting relief from chronic rectal discomfort, advanced minimally invasive treatment options can safely restore your daily comfort. As a trusted anal fissure specialist in south florida, Dr. Astha Bhatt specializes in sphincter-sparing techniques, prioritizing conservative, non-surgical approaches before recommending clinical procedures.
When surgical intervention is necessary to heal a persistent tear, she performs lateral internal sphincterotomy (LIS). This highly precise outpatient procedure is designed to reduce elevated muscle pressure, stop painful spasms, and promote healthy tissue healing while protecting long-term bowel control. Patient safety, comfort, and a fast return to daily life are always Dr. Bhatt’s primary clinical concerns.
PATIENT QUESTIONS ON ANAL FISSURES
An anal fissure is essentially a small, narrow tear in the lining of your anal canal. While it might sound minor, it occurs in a highly sensitive area, which is why it causes such intense discomfort. When you pass stool, this delicate tissue can split, exposing the underlying muscle fibers of your internal anal sphincter.
This exposure triggers involuntary muscle spasms, which restrict local blood flow and prevent the tear from healing naturally. If you are struggling with this cycle of pain, seeking an evaluation from a specialized anal fissure doctor is the most reliable way to get an accurate diagnosis. Identifying the issue early allows us to start conservative therapies immediately, helping you avoid more chronic complications and the eventual need for surgical intervention. Don’t wait; let’s discuss your symptoms today.
Telling the difference between an anal fissure and a hemorrhoid is crucial for receiving correct care, as their treatments differ significantly. The pattern of discomfort is often different.
While both conditions can cause bright red blood on your toilet paper, the severe, sharp pain is a classic indicator of a fissure. To ensure a safe, accurate diagnosis and avoid ineffective self-treatment, you should schedule an evaluation with an experienced rectal pain doctor who can examine the tissue and recommend the most effective healing path.
The most typical symptom is sharp, tearing, or “glass-like” pain during a bowel movement.Recognizing the symptoms of an anal fissure is essential to getting the right care.
If you are experiencing these symptoms, you should consult an experienced rectal pain doctor immediately. An accurate clinical diagnosis is necessary to ensure you are treating a fissure and not hemorrhoids, helping you start the appropriate medical pathway toward lasting relief. As a Board-Certified General Surgeon and fellowship-trained minimally invasive colon and rectal surgeon, Dr. Bhatt does complete, fact based, and evidence driven examination for Anal Fissures.
If you are experiencing severe pain, rectal bleeding, or persistent itching during or after bowel movements, you should schedule a clinical consultation. It is time to consult a dedicated anal fissure proctologist if your symptoms persist past four to six weeks, as this indicates the tear has likely transitioned from acute to chronic.
Rectal bleeding deserves medical assessment because fissures are common, but they are not the only possible cause.Chronic fissures rarely heal on their own because the underlying sphincter muscle becomes locked in a continuous spasm.
Seek urgent care for fever, increasing swelling, pus, heavy bleeding, dizziness, abdominal pain, or difficulty passing stool or gas. Seeking a clinical evaluation from an experienced rectal pain doctor is essential because rectal bleeding always requires a professional diagnosis to rule out serious conditions. Our compassionate team specializes in diagnostic accuracy. Reach out to our South Florida office to find a trusted anal fissure doctor near me and schedule your evaluation today.
Diagnosing an anal fissure relies heavily on a detailed discussion of your medical history and a gentle physical examination. Your doctor will ask about sharp pain during or after bowel movements, bright red bleeding, constipation, diarrhea, previous treatments, childbirth injuries, prior anal surgery, and baseline bowel control. The lingering pain is caused by the internal sphincter muscle going into spasm. A chronic fissure may have a nearby skin tag or exposed internal sphincter fibers.
Most fissures are visible in the front or back midline as a small tear or ulcer. If the area is extremely painful, a digital rectal examination or anoscopy may be postponed rather than forced. If you suspect you have an anal tear, consulting an anal fissure specialist in south florida ensures an accurate clinical diagnosis and allows us to customize your treatment plan.
A lateral internal sphincterotomy (LIS), often shortened to LIS, is an outpatient operation used mainly for chronic anal fissures that have not healed with appropriate medical treatment. During this brief, outpatient procedure, I make a highly precise, minor incision to divide a small, specific portion of the internal anal sphincter muscle. The surgeon makes a controlled division of a small portion of the internal anal sphincter muscle.
This release is crucial because it immediately reduces the high resting pressure inside your anal canal, stopping the painful muscle spasms that prevent healing.By relaxing this muscle, we safely restore essential blood flow directly to the ischemic tear, allowing the tissue to heal rapidly.
LIS is highly effective in properly selected patients, but it is not automatically the best choice for everyone. Before recommending internal sphincterotomy surgery, the surgeon should review baseline bowel control, previous anal operations, childbirth-related sphincter injury, diarrhea, inflammatory bowel disease, and other continence risks. An experienced anal fissure sphincterotomy surgeon will explain alternatives, expected recovery, and the uncommon possibility of temporary or persistent changes in gas or stool control.If you are experiencing chronic, unyielding pain, consulting the surgeon for anal fissure treament can help you determine if this highly effective outpatient procedure is the right path for you
While some acute fissures can heal with at-home adjustments, you should seek professional medical care if your pain, bleeding, or spasms persist past four weeks.
Seeking timely help from an expert prevents long-term muscle spasms and chronic scarring. Contact our office to discuss your options and schedule an appointment with a leading anal surgery specialist in your area today. You want an anal surgery specialist who prioritizes custom, minimally invasive therapies first, rather than rushing you into an operating room. If you are searching for the Best surgeon for anal fissure treament, look for a highly experienced anal fissure specialist in south florida like Dr. Astha Bhatt, who personally tailors each patient’s care plan to restore their comfort safely.
Most patients are pleasantly surprised by how straightforward the recovery process is after outpatient anal fissure surgery, but the timing differs for each patient.
While it is normal to feel some mild post-operative soreness, the severe, debilitating spasm pain that you experienced prior to surgery is usually completely gone within twenty-four to forty-eight hours.
After lateral internal sphincterotomy, the intense spasm-related pain often improves within several days, although tenderness, mild drainage, or a small amount of bleeding may occur early in recovery.
A soft, regular bowel movement is essential, so follow the prescribed fiber, fluid, and stool-softening plan. Avoid straining and heavy exertion until cleared.
Complete tissue healing takes about four to six weeks, during which we advise eating a high-fiber diet, staying hydrated, and taking warm sitz baths to keep the area clean. Individual instructions always take priority.
Still Have Questions About Anal Fissures? Call (954) 388-0860
Dr. Astha Bhatt personally evaluates persistent anal pain, bleeding, and suspected fissure symptoms to confirm the diagnosis and explain the appropriate next step.
Your treatment plan may include bowel-regulating care, prescription medication, Botox injection, or lateral internal sphincterotomy (LIS) when medically appropriate.
Priority appointments may be available for patients with ongoing pain, bleeding, or an anal fissure that has not improved with previous treatment.
Dr. Bhatt welcomes patients from Fort Lauderdale, Pompano Beach, Davie, Plantation, Coral Springs, Weston, Boca Raton, Hollywood, and surrounding South Florida communities.
Many commercial insurance plans, Medicare, selected Medicaid plans, and self-pay options may be available. Call our office at (954) 388-0860 or book online to verify your benefits and schedule an appointment with a experienced surgeon for anal fissure treatment in South Florida.
