🚨Ouch... Sharp pain down there? 😣Acute vs. Chronic Anal Fissures
Expert Treatment for Anal Fissure by Dr. Yaswanth Tummala | Vijayawada
Get expert treatment for anal fissure
An anal fissure is a small tear in the thin, moist tissue that lines the anus. It often happens after passing a hard or large stool and can cause severe pain that lasts for hours afterwards.
Medically reviewed by Dr Yaswanth Tummala, updated Oct 2026
Procedure timeAbout 20 minutes
Hospital stayUsually same day
Back to desk work2–3 days
AnaesthesiaSpinal or general
Symptoms
- Sharp pain during bowel movements
- Burning pain lasting minutes to hours afterwards
- A small amount of bright red blood
- A small skin tag near the tear in long-standing fissures
Causes
- Passing hard or large stools
- Chronic constipation or diarrhoea
- Tight anal sphincter muscles
- Childbirth
Diagnosis
A fissure can usually be seen during a gentle examination of the area. An internal examination is often postponed until the pain settles.
Your treatment options
Treatment is matched to how severe your condition is and how it affects your daily life. Compare the approaches below.
Non-surgical treatment
- Stool softeners and a high-fibre diet
- Prescription ointments that relax the sphincter muscle and improve healing
- Warm sitz baths
Surgical treatment
If a fissure does not heal after 6 to 8 weeks of treatment, a minor procedure called lateral internal sphincterotomy may be recommended. It relaxes the muscle to let the tear heal.
Ask if this suits youLaser and minimally invasive treatment
Laser-assisted treatment may be offered for chronic fissures and can reduce post-operative pain for some patients.
Ask if this suits youRecovery
Most acute fissures heal within a few weeks with home care. After surgery, pain usually improves within a few days and healing takes 2 to 4 weeks.
- Days 1–3Pain during bowel movements eases noticeably
- Week 1Return to routine activity
- Weeks 2–4The tear heals; keep stools soft
Typical recovery. Your own timeline depends on your health and the procedure chosen.
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Discuss your treatment with Dr Yaswanth Tummala
Every patient is different. A consultation is the best way to understand your condition and the options that suit you.