Monday 9 September 2013

fissure in ano- minor problem ;major suffering

fissure in ano- minor problem ;major suffering




 a 25 yr old girl came to our clinic with symptoms
 of  severe pain while passing motion.she had cutting or burning type of pain while passing motion.  she was suffering from this problem since last two yrs. the problem stared after her child"s delivery. she had difficulty in passing motion & she used to apply pressure while passing motion she used to go to some general doctor who used to give her some medicines saying her it was piles.she would get some relief with diet control& after some time again problem would come up as she used to get constipation .

 we  understood her problem only by her symptoms ,that she is suffering from fissure in ano& not piles.
we examined her- she had developed chronic fissure in ano. fissure is a ulcer in motion area, like we get ulcer in mouth.it occurs due to mainly constipation where patient has difficulty in passing motion .hence patient applies pressure to pass motion leading to a cut in that area, which is cause of the pain.

she has developed complication due to improper treatment- anal stenosis( it is a condition where  anus(motion hole) becomes very narrow like a child's hence patient has difficulty in passing motion even when patient is having normal stools ).

 hence now she requires surgery to correct the problem.
 ist attack of fissure is called acute fissure& when patient gets this problem for more that  3 months ,it is called chronic fissure. acute condition is treated with medications ,but chronic condition requires surgery.

during surgery motion area is made wider so that stools can pass easily,& fissure area is cleaned, so that would heals.. surgery takes only 10 mins.

lesson to be learnt: consult specialist for piles & fissure.if delayed surgery is required in most cases. surgery of piles & fissure is very safe & there are no long term complications. many people fear they might lose control over motion after stool , this is not a fact.
 fissure is one condition very minor but if not treated properly & timely can make patients life very miserable.

 this patient was very happy after surgery ,  she was afraid of eating since every motion would give her great pain, she now eats happily as much she likes.

 we have 100's of such stories of our patients.

 we are best fissure surgeon/DOCTOR IN MIRAROAD, BHYANDER.

  

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