What is Anal Fissure?

An Anal Fissure, also known as Fissure-in-Ano, is a small tear or cut in the thin skin lining the external opening of the anal canal.

What are the common causes of Anal Fissure?

Passing Hard Stools. Passing large amount of stool suddenly. Persistent watery stools or diarrhea. During childbirth. Anal Intercourse. Inflammatory Bowel Disease like Chron’s Disease. Syphilis. Tuberculosis. HIV. Anal Cancer.

What are the Risk Factors of Anal Fissure?

Injury to the anal mucosa can happen when: You pass a large and hard stool You are constipated and try to pass a hard stool You have repeated diarrhea You gave birth ( childbirth can cause trauma to anal canal) Any foreign body entering into the anal canal In some cases, due to Crohn’s disease

What are the Types of Anal Fissure?

Anal Fissure are usually of Two Types: Acute Anal Fissure: Anal Fissures of Recent Onset. Chronic Anal Fissure: Anal Fissures lasting for more than 8 to 12 weeks.

What are the Symptoms of Anal Fissure?

Symptoms of anal fissure may include: Pain , sometime severe, during bowel movement. Burning or Itching sensation in the anal canal. You may see a small spot of bright red blood on toilet paper or a few drops in the toiled bowel. A visible crack in the skin around the anus. A small lump or skin tag on the skin near the anal fissure.

What are the Signs of Anal Fissure?

Looking at the fissure by gently separating the buttocks. A digital rectal examination , in which the doctor inserts a gloved finger into the anal canal. Initially, a fissure is just a tear in the anal mucosa and is defined as an acute anal fissure. If the fissure persist over time, it progresses to chronic fissure, and often, an enlarged anal skin tag is present in the anal canal proximal to the fissure and hypertrophied anal papillae are present in anal canal proximal to fissure. Most anal fissures occur in the posterior midline, with remainder occurring in the anterior midline. About 2% of the patients have anterior and posterior fissures. Fissures occurring off the midline should raise the possibility of other bowel conditions (for example Crohn's disease), infection (for example sexually transmitted diseases or AIDS), or cancer. Anoscopy: This involves using a short, lighted scope to look into the canal.

What are the Treatment Options for Anal Fissure?

Majority of the Anal Fissures will not need any surgical treatment. Lifestyle modifications like High Fibre Diet, Stool Softeners, Increasing water intake to promote soft bowel movements, Warm Sitz Bath, Local application of appropriate ointments will usually promote the healing of the Anal Fissure. Chronic Anal Fissures and very rarely certain Acute Anal Fissures not responding to medical therapy, will need Surgical Treatment .

What are the Medical Treatment for Anal Fissure?

First line of treatment consists of therapy with stool-bulking agents, such as fiber supplementation and stool softeners. Laxatives are used as needed. Mineral oil may be added to facilitate the passage of stool. Sitz baths after bowel movements and as needed to provide significant symptomatic relief. Second line medical therapy consists of intra-anal application of 0.4% nitroglycerin (NTG; also called glycerol trinitrate) ointment directly to internal sphincter.

What are the Surgical Treatment for Anal Fissure?

The most commonly performed surgery is a Lateral Internal Sphincterotomy. Certain Chronic Fissure which may not heal completely with a Lateral Sphincterotomy, will need an Excision of the Fissure with cover of the defect by an Advancement Flap. Lasers can be also used as a modality in the treatment of Anal Fissure.

What Post Operative Care is required after Anal Fissure Surgery?

Try to avoid constipation Include fruit, vegetables, beans, and whole grains in your diet every day. These foods are higher in fiber. Drink plenty of fluids. Get some exercise every day. Take a fiber supplement, every day if needed. Do not strain when you have bowel movement and do not sit on toilet too long. Take Sitz baths 2 to 3 three times every day. Instead of using toilet paper, use baby wipes or medicated pads.

Dr Rajarshi Mitra

Dr. Rajarshi Mitra is a patient-centered, highly-rated Specialist Laparoscopic Surgeon & Proctologist in Abu Dhabi, offering Advanced Laparoscopic Surgery, Minimally Invasive Proctology & Lasers in Proctology. He is MBBS; MS (Surgery); FIAGES; FICS (USA); Dip. Lap (France); and Dip. Hernia (APHS) with 18 years of extensive experience in Laparoscopic Surgery, Minimally Invasive Proctology and Fellowship training in Colorectal and Bariatric Surgery.

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Paru selvakumar

1726813539

I had my gallbladder removed through laparoscopic surgery by Dr. Rajarshi Mitra, and the entire experience was excellent. From the first consultation in the OPD to the surgery itself, everything went smoothly. Dr. Mitra’s professionalism, expertise, and compassion made the entire process seamless. From consultation to surgery and post-operative care, I received outstanding attention. His clear explanations and willingness to address all my concerns made me feel confident and comfortable throughout the journey. The surgery was a success, and my recovery was smoother than expected.I’m truly grateful for his care and highly recommend Dr. Mitra to anyone seeking laparoscopic or proctology services. His warm demeanor and outstanding attention put me at ease every step of the way.Thank you, Dr. Mitra, for your exceptional care!

Joey Lopez

1726744061

Thanks to the best doctor “Dr.Mitra “

Patrick Joseph Sana

1726423636

He is very nice and approachable. Highly recommended laparoscopic surgeon.Thank you Doctor for the successful laparoscopic cholecystectomy.

sriganth r

1726392353

I’m Sriganth Raja. I recently had an emergency laparoscopic appendectomy on 05/09/2024 performed by Dr. Rajarshi Mitra Specialist Laparoscopic Surgeon after being diagnosed with acute appendicitis. The moment I met Dr. Mitra put me at ease with calm and professional way. He thoroughly explained the procedure and what I could expect during recovery, which really helped to calm. The surgery itself went smoothly, and the incisions were small and healed quickly. Dr. Mitra provided excellent post-op care, ensuring that I had everything I needed for a smooth recovery. I would highly recommend Dr. Rajarshi Mitra Specialist Laparoscopic Surgeon, to anyone needing this type of surgery !!! Thank you..

harish haary

1723535782

Dr.Rajarshi Mitra is one of the best doctor I have met in life so far, from the first appointment in OPD, follow ups ,surgery and post surgery treatments everything was smooth, I had quick recovery.Dr.Mitra is really friendly,responsible,caring and had excellent knowledge,Thank you for your exceptional service🙏Highly recommend.

Chand Pasha

1723478557

Friendly doctor , thanks for your valuable care . Surgery gone successfully and post operation follow up was good. Suggestions given for the upcoming future care to avoid constipation and acidic issues. Big thanks to Dr.Mithra. Highly recommended

Anik Das

1723470272

simimohammed thanoon

1723184615

Dr.Rajashri Mithra in NMC hospital is an exceptional surgeon whose expertise, compassion and dedication are truly commendable. From the moment in walked into his cabin for my fistula treatment i was greeted with warmth and proffesionalism by him.His depth of knowledge instilled confidence in me knowing that i was in capable hands. A big thanks to Dr Mithra's guidance and expertise i have experienced significant improvement in my health Dr. Mithra’s professionalism and expertise were evident throughout my visit. He took the time to thoroughly explain my condition and discuss treatment options in detail, making sure I felt comfortable and informed. His compassionate approach and dedication to patient care truly stand out. I highly recommend Dr. Mithra to anyone seeking a knowledgeable and caring physician." A big thanks to NMC hospital to bring him for us

Atiqur rahman

1722293117

Dr.Rajarshi MitraOne of best doctor in my life.to be honest i m really v.happy to my life fast surgery (hernia repayar)with dr.mitra.any thing i ask he answer me v.friendly and confidently. i pray on my heart Allah give u long & healthy life.big thanks give to u on my heart.💕🤲💕

Abubakkar Sithik

1721909335

Big thanks for Dr. Rajarshi mitra taking care of me. And i recovered in a short time than I expected. I wish you good health and that you get what you wish for.

ChieChie Gonz

1718850389

I recently had my gallbladder removed by Dr. Rajarshi Mitra and I'm very pleased with his care. The surgery went smoothly with no complications. Dr. Mitra was professional and patient, explaining all my options and answering all my questions. He gave me time to decide and provided great moral support throughout the process.Dr. Mitra was always reachable on WhatsApp and responded quickly to my messages, even after the surgery. His follow-up care showed how much he truly cares about his patients. I highly recommend Dr. Mitra for his excellent care and dedication. Thank you, Dr. Mitra!

Bakr Sairafi

1718359637

Thank you very much for the excellent treatment, excellent work and perfect achievement. I wish you good health and that you get what you wish for.

sanjay kumar tripathi

1718354958

Vanessa Gadiaza

1717421679

Big thanks for Dr. Rajarshi mitra taking care of me. And i recovered in a short time than I expected. Thank you NMC for having a top notch specialist like Dr mitra,❤️

John Leary O. Ampaya

1717407420

Thank you for your Good hands Doc for my surgery. I am in a good condition now.

Satya Narayana

1716892329

I recently underwent hernia surgery under Dr. Rajarshi Mitra. My experience during his NMC hospital visits and pre/post surgical procedures and consultations was highly satisfying. From my experience Dr. Mitra is extremely compassionate and helpful as he replies every small queries on whatsapp even sometimes on his non working hours .I felt very safe and comfortable throughout this process. I highly recommend him for his sympathetic and friendly nature...

laksiri acharige

1716824321

This Was My Whole Life 1st Surgery And DR.Mithra Such a Great Doctor I have Seen In My Life, Appreciate As Always To Protect My Life And God Bless You All Your TeamKindly RegardsLokamunna Acharige Laksiri

Kanish Chandran

1716812810

I have good experience with doctor, after diagnosis i was disappointed but doctor give me good briefing about my disease now i am alright

Ramanan K

1716721343

Dear Dr. Rajarshi Mitra, I wanted to take a moment to express my deepest gratitude for the exceptional care you provided during my recent surgery. Your kindness, attentive nature, and willingness to address all my concerns made a significant impact on my overall experience. I felt genuinely comforted by your presence, and your ability to listen and respond to my questions put me at ease. Thank you so much Dr. Rajarshi for all the kindness, great care during my pre and post operation. I sincerely appreciate your commitment to your patients, and I feel truly blessed to have had you as my surgeon. May God continue to bless you in your noble profession, and I will not hesitate to recommend you to anyone in need of surgical expertise. Thank you once again for your outstanding care. With heartfelt appreciation.

Mohamed Yoosufthoufeek

1716623590

I had a hernia and went to theDr. Rajarshi Mitra who allayed my fears and explained what to do before and after the surgery and successfully completed it. He explained very clearly what needs to be done after the surgery and reassured.Anytime I contacted him via phone or WhatsApp regarding my surgery, he answered my calls without any hesitation.Thank You Dr. Mitra

Sushil Kumar Mishra

1715871858

I underwent treatment with Dr. Rajarshi Mitra recently. I am very satisfied with his treatment. I underwent surgery to have my gallbladder removed. My OPD Visits were very satisfactory. Surgery was also very smooth. Post surgery visits were highly satisfying. Now I am back to work as usual. Finally I thank Dr. Mitra from the bottom of my heart for successfully treating me. He had been readily available on WhatsApp chat too for any immediate advice.I also thank all the staff of NMC. They took great care during surgery & during stay in ward post surgery.

Chinna Babu

1715184791

Very Good & Professional Doctor, i Never felt like I got operation. It was so smooth from begning to End . Medication and personal care from doctor was another level of Experience. Doctors like Rajshree are very beneficial for the society.

Ignatius joseph

1714903860

I am blessed that you are my doctor! I have great confidence in you and your abilities.Thank you so much for the great care and surgery you performed on me.I am very happy with doctor. I am away from my home country . And he was always available in call to guide & support me .Once again God Bless you sir 🙏 .Thanking youignatius joseph

abhishek kapdi

1714901431

I recently underwent fistula surgery under Dr. Rajarshi Mitra. My experience during his clinic visits and pre/post surgical procedures and consultations was highly satisfying. From my experience Dr. Mitra is extremely compassionate and helpful as he replies every small queries on whatsapp even sometimes on his non working hours .I felt very safe and comfortable throughout this process. I highly recommend him for his sympathetic and friendly nature...

M.S.A

1714900803

I do appreciate Dr.mitra for his follow up and diagnosis. Thanks you very much

Rajeshwari Sunil Nambiar

1713787225

I recently underwent gallbladder removal surgery under Dr. Rajarshi Mitra. My experience during his clinic visits and pre/post surgical procedures and consultations was highly satisfying. From my experience Dr. Mitra is a very approachable, patient, comforting and reassuring doctor. I felt very safe and comfortable throughout this process.

Anna Margarita De Vera

1713774466

Highly recommended for his exceptional medical skills and compassionate patient care. I had my gallbladder removed in NMC Specialty a week ago under his care. It was my first time to visit him and I really appreciate how he explained my condition and the surgery I need. In his very calm way of communicating made me feel safe, confident and cared. He made sure that I am doing well pre and post surgery. To Dr. Mitra and his team , I am very thankful for your compassion and dedication to you chosen field. Praying for you safety 🙏🏻🙏🏻Godbless you and your family 😇😇

Karthikeyan K

1712690127

Would like to thank Dr Rajarshi Mitra for the support and care provided during pre and post surgery / medical checks. During this period all my doubts related to food/diet, exercises and use of medication were properly clarified and even when i called the Dr. at odd hours for doubts/questions my calls were answered. Thanks again for the utmost care offered during the healing process ..

vaibhav patil

1712596533

Dr Rajarshi Mitra has performed my wife's gallbladder surgery very smoothly.Doctor has really helped us very well during overall surgery process.During every pre and post surgery appointments he has been very polite and calm in answering our doubts.I will surely recommend Dr. Mitra for gallbladder treatment's .

Rohit Sharma

1712400332

I had my gallbladder removal surgery from Dr Rajarshi Mitra. I was anxious as this was my first surgery. But Dr Mitra made this surgery simple and easy.He guided me through all processes and procedures before surgery. Also, provided a thorough consultation and care post surgery as well. I am recovering very well after surgery.I would like to say a big Thanks to Dr Mitra. Highly recommended.

Aryan Bhagania

1711872454

My experience with Dr. Mitra was great! Zero Complaints. Quick and comfortable consultation in the OPD. The care provided for the operation as well as the Post-Op follow up is commendable.

Andre Paula Paras

1711864134

GooddayI just shared my experience with my gallstone removal surgery, with Dr. Rajarshi Mitra he explained all the procedures well and that my surgery went well with him and that I recovered quickly. Thank you for treating me well. Thank you, God may bless you.

bjay valdez

1711834534

Dr. Mitra was recomended by one of my friend who had a laparascopic cholecystectomy, I had the same procedure a week ago at first i was so hesitant to do the procedure, He explained it to me every single detail of the procedure why it was needed and all the things that i needed to know before during and after surgery. He is one of the best and one of most professional Doctor that i have met, Life is safer with a Doctor like you 🙏 highly recomended! once again thank you Doc 🙏 keep yourself and ur patients safe as always!

bpk Raveendran

1710694037

Greetings,I underwent a surgery on January 2024, performed by Dr. Mitra at NMC speciality hospital, Abu Dhabi. Actually, I was too scared about the surgery and before the surgery I read all the reviews about Dr. then I decided to visit the doctor. After first visit also frankly speaking, I was not ready for surgery. But doctor advised me very calmly and explained the facts and I was convinced and made up my mind for the surgery. I appreciate doctor’s calmness and softness and he is a great listener. Sometimes a patient needs a good doctor with listening skill. I must say it is a great skill. And after the surgery he was very much available for me through WhatsApp and he replied to my concerns from time to time. He never ignored me during post operation days and that was a great support for me. I will definitely recommend Dr. Mitra. In fact, I have already given his contact to my colleagues already.Dr. Mitra, please keep your character the same and may God bless you abundantly.

Debra D'Souza

1710436433

My experience with Dr. Mitra's expertise was when I had my gallbladder removal surgery alongside an umbilical hernia repair.I had heard all sorts of horrific experiences of people having excruciating pain after the gallbladder removal and consulted Dr. Mitra about all of it before going in for the surgery.Dr. Mitra is a cool, calm, and realistic doctor who puts things in perspective without alarming you. His vast experience across the globe and his expertise is a blessing. My pre-op consultation was very thorough and he did not leave a stone unturned to ensure there would be no other complications. He is extremely 'patient' centric and asked me to contact him anytime if I was anxious and needed to know anything more.Post surgery, he visited me before he left for the day to check that everything was OK and I was being monitored and followed up with timely visits until I was discharged on the 3rd day. I am recovering really well, thanks to Dr. Mitra and have planned another hernia repair that needs doing. I would confidently put my life in Dr. Mitra's hands.Truly an exceptional doctor and 5 stars are limiting. Thank you!Best wishes.

Allen Pinto

1708193821

I had the privilege of being under the care of Dr. Rajarshi Mitra my recent appendicitis surgery. His expertise and professionalism were evident throughout the entire process. The surgery was successfully completed, and I am grateful for the excellent care provided. Dr. Rajarshi Mitra ensured a smooth recovery, and I highly recommend their services.

Aida Padiangan

1708154485

I am very satisfied to doc.mitra he is take care of me during my operation..im so thanks to him

Terence Jainar

1708154308

Dr. Mitra, was a very nice Dr. He is a Approciable and the way he talk to the Patient was very cool. I was under go in surgery to Dr. Mitra and it was good and Successful.. thank you Dr.

ijaz mir

1708079914

Doctor has very good manners and treats his patients very skillfully

binoj sekharan

1707993340

Pankaj Pandey

1707974161

Great Experience With Dr Rajarshi Mitra, I had to do a cyst removal. He examined and explained all details about the growth and what would be the procedure for removal.For assurance that the growth is not abnormal he conducted some tests and inspections and after all results he made sure that I was comfortable. During the cyst removal i didn't feel a little pain throughout the surgery.Doctor is accessible and is always available over WhatsApp or phone pre or post surgery.Thank you Dr Mitra for all your efforts and the good care given at NMC AbuDhabi.

Tejas Tamore

1707729641

I had hernia surgery, doctor has been supportive from the start to end process. Doctor was reachable on call/ chat which is also very useful. Surgery was done smoothly and I am recovering speedily.

Rajesh Prabha

1707722210

Aditya Krishnan

1707373713

I recently underwent a cyst removal surgery on my neck performed by Dr. Rajarshi Mitra, and I couldn't be more pleased with the entire experience. From the initial consultation to the post-operative care, every aspect of my journey was outstanding.Dr. Rajarshi Mitra is not only a highly skilled and experienced surgeon but also an empathetic and caring professional. During the consultation, they took the time to thoroughly explain the procedure, addressing all my concerns and ensuring I felt comfortable and informed.The surgery itself was a success, and I am incredibly grateful for Dr. Rajarshi Mitra's precision and expertise. The follow-up appointments were thorough, demonstrating a genuine commitment to my recovery and well-being.I highly recommend Dr. Rajarshi Mitra to anyone in need of surgical expertise coupled with genuine care. Thank you for your exceptional service.

Eunice Gingo

1707107477

A great experience as a first timer. Dr. Rajarshi is extremely knowledgeable ,high experienced, helpful and has a friendly approach . He took his time to explain my conditions and the treatment options.

nujoomvm Nujumudeen abdul rehuman

1706619012

Dr.Rajarshi mithra was a wonderful surgeon, and the staff was always helpful and kind. They ensured I had a smooth prep, surgery, and follow-up. I am so glad I chose NMC abudhabi and would highly recommend to anyone.

imeabasi joe

1706550116

Doctor Mitra is one of the best doctors I have met so far. I had my second surgery with him, from the OPD, the surgery done and the post operative follow-up, excellent, high standard medical practice, truly one of the best.You deserve more than 5 stars.And thank you Doctor Mitra👍👍.

Ansari Queen

1705921626

My surgery experience with Dr. rajarshi mitra has been very good. He talks very well and my gallstones were in the last stages but he performed my surgery best based on his best experience and best knowledge. My whole family's prayers are with you. Thank you very much 🫡🤲🤲🤲🤲

junaid ali shah

1705914827

Dr. Mitra is very helpfull along with he is easily reachable any time.Should prefer anyone to him.

Ahmed Gehad Ashour

1705596089

One of the best doctors who knows how to explain the disease and how to rectify it with medication and with surgery.