Anal fissures are small tears in the lining of the anus that cause significant discomfort and pain during bowel movements. While acute fissures often heal on their own or with conservative treatment, chronic fissures are persistent tears lasting more than six weeks and often require specialized treatment.
For residents of Ahmedabad and surrounding areas like Sabarmati, Motera, Chandkheda, Ranip, and Vadaj, timely intervention by a chronic fissure specialist doctor in Ahmedabad ensures effective relief and prevents complications. Shah Piles Hospital, led by Dr. Niket Shah and Dr. Devendra Shah, is recognized for its advanced, patient-focused care and comprehensive approach to chronic fissure management.
This blog provides a complete guide to chronic fissures, including symptoms, causes, diagnosis, treatment options, recovery, and preventive measures.
A chronic fissure is defined as a tear in the anal lining that persists for more than six weeks. Unlike acute fissures, chronic fissures are often deeper, may involve exposed muscle fibers, and can lead to persistent pain, bleeding, and anal spasm.
Difference Between Acute and Chronic Fissures:
Acute Fissure: Short-term tear, often heals with home care or medications
Chronic Fissure: Lasts more than six weeks, often requires medical or surgical intervention
Chronic fissures are more likely to recur if not treated effectively, making specialist care essential.
Patients with chronic fissures may experience:
Severe, persistent pain during and after bowel movements
Bright red blood on stool or toilet paper
Burning and itching around the anus
Hard lumps or skin tags near the fissure
Muscle spasms of the anal sphincter
Difficulty sitting or performing daily activities
Recognizing these symptoms early and consulting a specialist doctor ensures timely and effective treatment.
Chronic fissures often result from factors that prevent proper healing of acute fissures:
Prolonged constipation or chronic straining during bowel movements
Hard or large stools causing repeated trauma
Chronic diarrhea
Childbirth-related anal trauma
Low-fiber diet and dehydration
Sedentary lifestyle
Anal injury from accidents or sexual activity
Underlying medical conditions like Crohn’s disease
In Ahmedabad, common causes include dietary habits low in fiber and lifestyle factors that increase the risk of constipation.
Early consultation with an experienced fissure specialist provides:
Accurate Diagnosis: Differentiates chronic fissures from other anorectal conditions
Tailored Treatment: Conservative, medical, or surgical options based on severity
Pain Management: Rapid relief from persistent discomfort
Prevention of Recurrence: Long-term management to avoid repeated fissures
Lifestyle Guidance: Dietary and habit changes to support healing
Shah Piles Hospital offers expert care for chronic fissures under the guidance of Dr. Niket Shah and Dr. Devendra Shah, ensuring the best outcomes for patients in Ahmedabad.
Effective treatment starts with accurate diagnosis. Shah Piles Hospital follows a structured approach:
Medical History: Understanding bowel habits, pain duration, and previous treatments
Physical Examination: Visual inspection of the anal area for tears, skin tags, or inflammation
Digital Rectal Examination: Painless assessment of anal muscles and fissure depth
Anoscopy or Proctoscopy: Precise visualization of the fissure and surrounding tissue
Evaluation of Contributing Factors: Identifying constipation, diarrhea, or other medical issues
Correct diagnosis ensures that treatment is both safe and effective, targeting the root cause of chronic fissure pain.
Treatment for chronic fissures depends on severity, duration, and patient-specific factors. Shah Piles Hospital offers a range of effective options:
1. Conservative Management
For less severe chronic fissures, non-surgical care may provide relief:
High-Fiber Diet: Softens stool and reduces strain during bowel movements
Adequate Hydration: Helps prevent constipation
Warm Sitz Baths: Relieves pain and relaxes anal muscles
Topical Medications: Reduce inflammation and promote healing
Lifestyle Modifications: Avoid prolonged sitting and straining
While conservative management may not fully resolve all chronic fissures, it is often used alongside medical or surgical treatments.
2. Medical Therapy
For persistent fissures, medical treatment may include:
Topical Nitroglycerin: Relaxes anal sphincter and improves blood flow for healing
Calcium Channel Blocker Ointments: Reduces sphincter pressure and promotes tissue repair
Botulinum Toxin (Botox) Injections: Temporarily relaxes sphincter muscles for difficult-to-heal fissures
Pain Relief Medications: NSAIDs for short-term relief
Stool Softeners: Facilitate smooth bowel movements
Medical therapy is effective in reducing pain and aiding healing without surgery in many chronic cases.
3. Laser or Minimally Invasive Surgery
Surgery is considered when conservative and medical treatments fail or when fissures are severe:
Laser Fissure Surgery:
Bloodless and minimally invasive
Precise removal of scar tissue and healing promotion
Reduces anal sphincter pressure
Quick recovery with minimal downtime
Lateral Internal Sphincterotomy:
Traditional surgical method for chronic fissures
Relieves sphincter pressure for faster healing
High success rate in chronic cases
At Shah Piles Hospital, Dr. Niket Shah and Dr. Devendra Shah perform these procedures with precision, ensuring minimal discomfort and maximum success.
Recovery depends on treatment type:
Conservative Care: Gradual improvement over 2–4 weeks
Medical Therapy: Relief within days to two weeks
Laser or Surgical Procedures: Most patients resume normal activities within 24–48 hours
Post-treatment care includes:
Maintaining a fiber-rich diet
Drinking adequate water
Sitz baths to reduce discomfort
Avoiding straining during bowel movements
Follow-up consultations with Dr. Niket Shah and Dr. Devendra Shah
Long-term prevention is key to avoiding repeated fissure pain:
Eat a fiber-rich diet with fruits, vegetables, and whole grains
Stay hydrated with 2–3 liters of water daily
Exercise regularly to support healthy bowel function
Avoid prolonged sitting and straining during bowel movements
Maintain proper anal hygiene
Promptly treat constipation or diarrhea
Follow all post-treatment advice provided by your specialist
These measures support healing and reduce the likelihood of chronic fissure recurrence.
1. Experienced Surgeons
Dr. Niket Shah & Dr. Devendra Shah have extensive experience in managing chronic fissures, providing effective and lasting relief.
2. Advanced Treatment Options
From medical therapy to laser and minimally invasive surgery, Shah Piles Hospital uses modern, safe, and effective techniques.
3. Personalized Care
Each patient receives a tailored treatment plan based on their condition, severity, and lifestyle.
4. Fast Recovery
Minimally invasive procedures allow patients to return to daily activities quickly.
5. Convenient Location
Serving Ahmedabad, Sabarmati, Motera, Chandkheda, Ranip, and Vadaj.
6. Hygienic and Comfortable Facilities
Clean, modern, and patient-friendly environment ensures safety and comfort during treatment.
- Over 44+ years of combined expertise in treating piles, fistula, and fissure & Pilonidal Sinus.
- Thousands of successful treatments with high patient satisfaction.
- Integration of modern techniques for holistic healing.
- Affordable and transparent pricing for all procedures.
- Trusted by patients not only in Ahmedabad but also from across Gujarat.
At Shah Piles Fistula Hospital, we believe that successful treatment is not just about expertise, but also about advanced facilities, modern technology, and patient comfort. Located in Nava Wadaj (380013) and Paldi (380006), Ahmedabad, Gujarat, our hospital is equipped with the latest medical innovations for the treatment of Piles (Hemorrhoids), Fistula, and Fissure & Pilonidal Sinus.
Led by Dr. Niket Shah and Dr. Devendra Shah, both highly experienced specialists in Anorectal Disorders, we combine heritage (Kshar Sutra Therapy) with modern minimally invasive technology (Laser, Stapler, Radio Frequency, and IRC) to deliver the best outcomes.
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Ultra-modern operation theatres designed for precision and infection control.
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Advanced diagnostic tools for accurate assessment of piles, fistula, and fissures & Pilonidal Sinus.
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Cutting-edge surgical techniques like Laser Hemorrhoidoplasty, VAAFT, LIFT, and DGHAL.
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Specialized Kshar Sutra Therapy unit for natural, non-surgical healing.
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Comfortable recovery rooms for patient relaxation and faster healing.
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Hygiene & safety protocols at par with international standards.
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Dedicated Anorectal OPD for quick consultations.
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Day-care Surgery Units (walk-in, walk-out same day).
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Private Recovery Rooms with all comforts.
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Pharmacy for authentic medicines.
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24×7 Emergency Care for sudden complications.
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Counseling & Dietary Guidance for lifestyle management.
We provide Kshar Sutra piles treatment in Ahmedabad for patients from:
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Nava Wadaj
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Paldi
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CG Road
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Navrangpura
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Ellis Bridge
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Ashram Road
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Vastrapur
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Satellite
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Chandkheda
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Maninagar
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Sabarmati
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SG Highway
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Sarkhej
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Naranpura
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Bopal
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Chronic anal fissures can cause persistent pain and discomfort, affecting daily life. Timely consultation with an experienced chronic fissure specialist doctor in Ahmedabad ensures effective treatment and long-lasting relief.
Shah Piles Hospital, led by Dr. Niket Shah and Dr. Devendra Shah, offers comprehensive care, including conservative management, medical therapy, and advanced laser or minimally invasive surgical procedures. Patients from Ahmedabad, Sabarmati, Motera, Chandkheda, Ranip, and Vadaj trust Shah Piles Hospital for safe, professional, and effective chronic fissure treatment.
With expert surgeons, advanced technology, and patient-centered care, Shah Piles Hospital is the top choice for anyone seeking chronic fissure treatment in Ahmedabad.
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