Symptoms and signs
- Sharp or burning pain while passing stool, lasting for some time afterwards
- Bright red blood on tissue
- Itching or irritation near the anus
- Fear of passing stool because of the pain
- A small lump or skin tag near the tear
See a doctor urgently if
- Heavy bleeding or persistent pain with fever needs prompt review
- Fissures that do not heal or occur in unusual places should be checked by a doctor
If you have a medical emergency, call 112 or go to the nearest hospital. Do not wait for an enquiry reply.
Causes and risk factors
- Hard stools and straining
- Chronic constipation or diarrhoea
- Childbirth
- Tight anal muscles
- Some medical conditions
How a doctor assesses it
A doctor asks about your symptoms and examines the area gently. A fissure can often be seen without an instrument, and examination may be limited if it is very painful. Other conditions can look similar, so the doctor may advise further checks if the fissure is unusual or long-lasting.
Who may need it
Surgery is considered when a fissure has lasted a long time or keeps returning despite medicines and lifestyle measures. The surgeon decides after examination.
Treatment options
Diet, water and stool softeners
Soft stools help the tear to heal. Ask your doctor about medicines to use.
Warm water sits and creams
These can ease pain and muscle tightness. A doctor advises which creams to use and for how long.
Injections
Some doctors use injections to relax the anal muscle when other care fails.
Surgery
Lateral internal sphincterotomy relaxes the muscle by a small cut, and other procedures may be used in selected cases.
What the procedure involves
Surgery is done under anaesthesia chosen by the team and is often day-care. The surgeon makes a small cut in the inner anal muscle to relax it, which lets the fissure heal. Sometimes the fissure edges are also treated.
You are given instructions for diet, stool softening and hygiene, and follow-up visits check healing.
Recovery
- Some pain or discomfort for a period, usually easing as healing continues
- Warm water sits and a soft diet as advised
- Plenty of fluids and fibre
- Avoid straining
- Follow-up visits check healing
Everyone heals differently. Follow your own surgeon's instructions.
Risks
- Bleeding
- Infection
- Problems with bowel control, which are uncommon but important
- The fissure coming back
- Slow healing
- Pain after the procedure
- Risks linked to anaesthesia
Your surgeon will explain which risks matter most for you. No result can be guaranteed.
Cost and payment
The cost of anal fissure treatment depends on your case and cannot be fixed without a medical assessment. These are the main things that change it:
- The procedure chosen
- Whether it is day-care or needs a stay
- The hospital or day-care centre and the room type
- The surgeon's and anaesthetist's fees
- Tests and scans before surgery
- Medicines, dressings and follow-up visits
- Whether you pay in cash, use EMI or claim insurance
Our team explains your options for cash, EMI and insurance, helps you compare packages and handles insurance paperwork. Try the EMI calculator to plan your payments. Insurance cover depends on your policy and insurer, and approval cannot be promised.
Questions to ask your surgeon
- Is my fissure acute or long-lasting?
- What are the non-surgical options for me?
- What are the risks to bowel control with surgery?
- How do I stop it coming back?
- Who will perform my procedure, and how often have they done it?
- What are the risks for me and how are complications handled?
- What is the full cost, in writing, and what does it include?
Check that any doctor is registered, for example on the National Medical Commission register or with the state medical council.
Our step-by-step support
From your first call to your follow-up visits, our team stays with you:
- Our team connects with you. We call you, listen to your concern and understand the exact problem.
- We find the right hospital and doctor. Based on your treatment, we help you shortlist a suitable doctor and hospital.
- Package, cash, EMI or insurance. We explain the package and help you choose between cash, EMI and insurance.
- Doctor consultation arranged. We book your consultation with the doctor and share what to bring.
- Surgery is planned. If surgery is advised, we help plan the date and the steps before it.
- Cab booked for you. We arrange a cab for your hospital visit.
- Papers checked before treatment. We check your documents and reports so nothing is missed on the day.
- Insurance filing handled. We help fill in and follow up your insurance paperwork.
- Care from admission to discharge. We stay in touch through admission, surgery and discharge.
- Free follow-ups and diet plans. After surgery, you get free follow-up consultations and diet plans.
Frequently asked questions
Will a fissure heal on its own?
Many acute fissures heal with soft stools and care. Long-lasting ones often need more treatment.
Is fissure surgery safe?
It is commonly done, but like any surgery it has risks, including a small risk to bowel control. Your surgeon will explain them.
Why does it hurt so much?
The tear exposes sensitive tissue, and passing stool can cause muscle spasm that adds to the pain.
Can a fissure come back?
Yes. Keeping stools soft and regular helps reduce the chance.
Can you help with insurance and EMI?
Yes. Our team explains cash, EMI and insurance options and helps with the paperwork. Insurance cover depends on your policy and insurer, and approval cannot be promised.
How do I book a free consultation?
Call or WhatsApp +91 96255 29133, or fill in the form on this page. Our team will contact you the way you choose.
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Read the guidePlease note: This page is general information, not medical advice. Results vary and cannot be guaranteed. A qualified doctor must assess you before any treatment.