Fissure Treatment In Navi Mumbai|Healing Hands Clinic

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FISSURE
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Fissure

• An Anal Fissure or Fissure-in-ano is a tear or
  cut in the skin of the anal canal. The condition
  affects men and women equally and can occur at
  any age ( infants too ). Anal fissures are
  commonly found in the back part of your anus, in
  line with the cleft of your buttock.
• A fissure which is present for less than 6 weeks
  is called an Acute fissure. That which is more
  than 6 weeks old is called a Chronic fissure. The
  Chronic fissure is usually hard to feel and may
  have a skin tag like growth called Sentinel Pile.

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Anal Fissure
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Treatment of Fissure

• Non Surgical Treatment
• MCDPA
• At Healing Hands Clinic, Dr. Ashwin Porwal
  has devised a regimen called MCDPA as follows
• Medicines - Herbal medicines to reduce
  inflammation in the area
• Constac -Taken before bedtime to add bulk and
  soften the stools.
• Diet - A fibre rich diet to prevent constipation.
  An increase in the water and fluid intake also
  helps
• Physiotherapy - Pelvic floor physiotherapy helps
  to reduce spasm of the anal sphincter.
• Ayurveda therapy - Medicated herbal oils are
  used.

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• Sitz bath
• Sitting in warm water that covers your hips and
  buttocks after a bowel movement helps to reduce
  the post defecation discomfort.

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• Surgical Treatment
• Laser surgery
• This is done with the Leonardo laser introduced
  for the first time in India at Healing Hands
  Clinic. The laser is used to perform internal
  sphincterotomy. This procedure is almost
  bloodless and the surgeon has good control over
  the operation site. Additionally, the chronic
  fibrosed scar is debrided with the laser. This
  prevents any long term discomfort and enables a
  quicker recovery.

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• PLIS ( Partial Lateral Internal Sphincterotomy )
• Done under general anaesthesia, this is a
  minimally invasive procedure in which a small cut
  is made in the internal sphincter. Thus straining
  during defecation is considerably reduced and
  there is satisfactory relief from pain. This
  procedures requires a good amount of skill and
  expertise on the part of the surgeon as an
  inadvertent excessive cutting of the sphincter
  may lead to incontinence.

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Causes of Fissure

• Usually trauma to the anal canal causes a
  fissure.
• Hard stools especially associated with
  constipation - The increased pressure exerted in
  an effort to pass the hard stools causes tearing
  of the delicate perianal skin.
• Diarrhoea - The frequent forceful bowel movement
  causes tearing of the anal skin.
• Iatrogenic - A tear may occur during insertion of
  a rectal thermometer, USG probe, endoscope, enema
  tube.
• Rare causes - Crohns disease, leukaemia,
  tuberculosis, sexually transmitted
• diseases, viral infections etc

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Symptoms Of Fissure

• Bleeding, sometimes seen as a streak of blood on
  stools or blood on the tissue.
• Need to strain while passing stools - This is
  because the anal sphincter goes into a spasm.
• Pruritus ani - Itching in the anal region.
• Malodorous discharge
• Sentinel pile - In long standing cases, a skin
  tag like growth can be felt at the edge of the
  fissure.

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Thank You

• For appointments at Healing Hands Clinic
• Pune Station/Tilak Rd 8888288884
• Salunkhe Vihar 8888522226
• Baner 8888622221
• Chinchwad 8888200004
• Chakan 8888296666
• Navi Mumbai 8888166667
• Mumbai 8888266664
• Kemps Corner Mumbai 888826664
• Nashik 8888366662.
• Bengaluru 8888133338
• Website www.healinghandsclinic.co.in

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