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What is an anal fissure?

It is a tear in the thin tissue that lines the anus.

Who is at risk for the development of anal fissures?

Anal fissures can occur at any age, but are more common in infants and middle aged adults.

Constipation—Straining at stools during bowel movement and passing hard stools increases

 The risk of tearing of the anal mucosa.

Childbirth—Anal fissures are more common in women after they give birth.

Crohn’s Disease—This inflammatory bowel disease makes the lining of the anal tract more

Vulnerable to tearing.

Anal Intercourse


Pain, sometimes severe during bowel movements.

Pain after bowel movements that can last up to several hours.

Bright red blood on the stool or toilet paper after a bowel movement.

A visible crack or tear in the skin around the anus.

A small lump or skin tag on the skin near the anal fissure.

When to consult your Doctor?

If you have pain during bowel movements.

Notice blood on the stools or toilet paper after a bowel movement.


A fissure can be diagnosed by visual inspection of the anus or by gentle exam with the tip of the finger.



Prevent constipation—Eat high-fiber foods, drink adequate water and exercise to keep from

Straining during bowel movements. 

Avoid straining or prolonged sitting on the toilet.

Cleansing the anorectal area more gently. Keep the anorectal area dry. Wipe the area with soft materials, avoid rough and scented toilet paper.

In infants change diapers more frequently and treat constipation (if that is determined to be the cause).


The goal of treatment is to lower the pressure on the anal cavity by making the stools soft as well as easing discomfort and bleeding.  Conservative treatments are tried first and and include one or more of the following:

Explaining to the patient the necessity to follow the principles of prevention.

Use of stool softners.

Increase in intake of high fiber foods and fiber supplements.

Soak in a warm bath(also called a Sitz bath) for 10 to 20 minutes twice daily to promote the relaxation of the anal muscles.

If these measures fail, SURGERY is contemplated

Conservative management usually fails   due to scarring and muscle spasms of the internal anal sphincter muscle. Surgery usually consists of making a cut to a small portion of the internal anal sphincter muscle, thereby   decreasing the spasm in the muscle allowing the fissure to heal.


Failure to heal—An anal fissure that fails to heal within eight weeks is considered chronic and may need further treatment.

Recurrence—Once you’ve experienced an anal fissure there is a possibility that you are prone to having another one.

A tear can extends to the surrounding muscle into the ring of muscle that holds the anus closed making it more difficult for the anal fissure to heal.  This causes a cycle of discomfort and pain.

At Hande Hospital we routinely treat Fissure in Ano with Laser. This has several advantages. Unlike conventional surgery there is no cut or suture. Post operative pain is substantially less. The procedure is a Day Care procedure and the patient can get back to work in a day or two. 

Often the patient suffers from both Fissure and Piles and both these conditions can be treated effectively with Laser.


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Skin Specialist in Chennai (Dermatologist)

+91 9962522667

HANDE MEDICAL CENTRE – Nungambakkam – Dr. Murali MD (Dermatology) DNB (DV) consults here.  He specializes in Acne, Acne scars, Pigmentation, Wrinkes, Warts and Skin Tags, Vitiligo, Hair loss, and Nail disorders. Facilities at Hande Medical Centre include Chemical Peel, Microdermabrasion, Derma Roller, Radio Frequency Cautery, Photo therapy, Laser, Botox, Fillers, and Mesotherapy. Hair Transplantation is also performed here.  Below is shown a video presentation of Derma Roller for intractable Acne scarring.

View HANDE MEDICAL CENTRE in a larger map

Hande Medical Centre in The Hindu Business Line

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View Krishna Hande's profile on LinkedIn

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Abdominoplasty or Tummy Tuck at Hande Hospital, Chennai

+91 9500060991

Dr. Krishna Hande

At Hande Hospital (9500060991) Abdominoplasty (Tummy Tuck) is performed as a cosmetic procedure (pendulous or hanging abdomen especially after repeated child births) and also along with a Ventral Hernia repair (Umbilical, Para-Umbilical, and Incisional Hernia). It can also be combined with Hysterectomy and other elective procedures and many of our patients opt for this combination of procedures after the surgeon has determined the feasibility of combining both procedures.
Stay in hospital will be for three to five days. There will be a thin scar hidden in the panty line. This settles over a period of time. Tummy tuck can be combined with liposuction especially of the hips etc.
Tummy tuck is performed usually for women, after she has completed her family.

Picture of a patient before and after a Tummy Tuck (Abdominoplasty). She also had an Umblical Hernia which was repaired during the surgical procedure.

Picture of a patient who wanted a Tummy Tuck and a Breast implant. Both procedures were performed simultaneously.

Dr. Krishna Hande is a specialist in tummy tuck on

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What is new at Hande Hospital ?

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We are constantly upgrading ourselves so that we may serve our patients better. New Operating Theatre Lights, a new Datex Omeda Anaesthesia machine, New state of the art Multi Para Monitor, C – Arm for Intra Operative X-Rays, and a Digital X-Ray system are some of the recent additions.


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