Choosing the right fissure doctor in Chennai matters because treatment can range from dietary changes and medication to a surgical procedure.

12+ Years of Surgical Experience

Dr. Preethi Mrinalini K has more than 12 years of surgical experience, with training in General Surgery, Laparoscopic Surgery and Minimal Access Surgery.

Fissure Laser Surgery in Chennai

Marina’s Clinic offers fissure laser surgery in Chennai for selected cases where a minimally invasive procedure is appropriate, alongside conventional surgical options.

Care for Acute and Chronic Fissures

A recent fissure is not treated the same way as one that has been present for several weeks or keeps coming back. Treatment is adjusted according to the stage and symptoms.

Personalised Fissure Treatment Planning

As a fissure specialist in Chennai, Dr. Preethi evaluates symptoms, bowel habits, duration and severity before recommending treatment.

Surgical and Non-Surgical Options

Patients may be treated with conservative measures first or considered for a procedure if the fissure does not heal. The decision depends on the individual condition.

Continuity of Specialist Surgical Care

Dr. Preethi also serves as a Consultant Surgeon at Apollo Main Hospitals, Greams Road, allowing continuity of care from consultation through treatment and recovery.

What Is an Anal Fissure?

An anal fissure is a small, linear tear in the lining of the anal canal.
It commonly develops after passing a hard, large or dry stool. This is why fissure due to constipation is one of the most common patterns seen in patients with this condition.
Anal fissures can affect anyone, but they are particularly common among people who have ongoing constipation or regularly strain during bowel movements.
The pain can feel surprisingly severe for such a small tear because the area is highly sensitive.

Types of Anal Fissures

Identifying whether a fissure is acute or chronic helps determine the appropriate chronic anal fissure treatment or conservative approach.

Fissure Symptoms to Watch For

Common symptoms include:

• Sharp pain while passing stool, sometimes followed by a burning sensation
• Bleeding while passing stool, usually bright red
• A visible tear or small skin tag near the anal opening
• Tightness or spasm around the anal muscle

Pain while passing stool and bleeding are two of the most common reasons people seek medical advice.
Persistent symptoms should be assessed rather than repeatedly managed at home without knowing the cause.

What Causes an Anal Fissure?

An anal fissure develops when the lining of the anal canal is stretched or damaged.
Common causes include:

• Fissure due to constipation and hard stools
• Chronic diarrhoea
• Straining during bowel movements
• Childbirth, particularly vaginal delivery
• Reduced blood supply to the area, which can slow healing
• In some cases, conditions such as Crohn’s disease

Treating the cause is often just as important as treating the fissure itself. For example, controlling constipation can reduce repeated trauma to the area and support healing.

How We Diagnose a Fissure at Marina’s Clinic

Diagnosis usually begins with a simple discussion about your symptoms and bowel habits.

1. Symptom Review

Dr. Preethi will ask about when the pain occurs, whether there is bleeding, how long the symptoms have been present, and whether constipation is a recurring problem.

2. Physical Examination

A gentle external examination is often enough to identify an anal fissure and assess whether it appears acute or chronic.

3. Further Assessment When Needed

If the symptoms are unusual or another condition needs to be ruled out, further assessment may be recommended.
Most fissures can be diagnosed without extensive testing.

Fissure Treatment Options at Marina’s Clinic

Not every patient needs surgery.
The approach to anal fissure treatment in Chennai depends on whether the fissure is acute or chronic and how well it responds to initial treatment.

Fissure Treatment Without Surgery

For many acute fissures, conservative treatment is the first step.
This may include:

• A high-fibre diet
• Adequate fluids
• Stool softeners when appropriate
• Warm sitz baths
• Topical medication to relax the anal muscle and support healing

These measures aim to make bowel movements softer and reduce repeated injury to the fissure.

Laser Treatment for Fissure in Chennai

For selected fissures that have not improved with conservative treatment, laser treatment for fissure in Chennai may be considered.
The suitability of laser treatment depends on the type of fissure, symptoms and findings during examination.

Lateral Internal Sphincterotomy

Lateral internal sphincterotomy is a recognised surgical treatment for chronic fissures that have not healed with conservative care.
The procedure involves making a small, controlled cut in part of the internal anal sphincter muscle. This reduces muscle spasm and allows the fissure to heal.

Fissurectomy

Fissurectomy involves removing the chronic fissure along with scar tissue or an associated skin tag.
It may be considered in selected chronic or recurrent cases depending on the patient’s condition.

Treatment Approaches at a Glance

Fissure Repair Surgery Recovery

Fissure repair surgery recovery varies depending on the procedure performed and the individual patient.
Some discomfort during bowel movements can occur during early recovery. Keeping stools soft is particularly important while the area heals.
Warm sitz baths, adequate fluids and a high-fibre diet may also be recommended.
Many patients gradually return to light daily activities within a few days, although complete healing can take several weeks.
Your surgeon will give you recovery advice based on the procedure performed.

Fissure Treatment FAQs

1. Is fissure surgery a permanent cure?

Surgery successfully treats most chronic fissures, but no procedure can guarantee that a fissure will never return. Preventing constipation and avoiding repeated straining remain important even after anal fissure repair surgery.

2. Do I need fissure surgery, or can it heal without one?

Many acute fissures heal with non-surgical treatment. A chronic fissure that does not improve after conservative care may require a procedure.

3. Laser or conventional surgery: which is better for me?

Neither option is automatically better for every patient. Laser fissure treatment in Chennai, sphincterotomy or fissurectomy may be considered depending on the type and history of the fissure.

4. What is the fissure surgery cost in Chennai?

Fissure surgery cost in Chennai depends on the procedure, anaesthesia, hospital requirements and individual condition. A more accurate estimate can be given after consultation.

5. How long until I can return to normal activity?

Many patients gradually return to light daily activities within a few days. The exact recovery time depends on the treatment performed and how the area heals.

6. What symptoms are normal during recovery?

Mild discomfort during bowel movements, sensitivity and minor spotting may occur during early healing. These symptoms should generally become better over time.

7. When should I contact my surgeon after treatment?

Contact your surgeon if you have heavy bleeding, increasing pain, fever, significant swelling or unusual discharge.

8. How can I prevent a fissure from coming back?

Keeping stools soft is one of the most important steps. A high-fibre diet, enough fluids and avoiding prolonged straining can reduce the chance of another fissure.

What Is the Recovery Time After Fissure Treatment?

Quick Summary

• Many acute anal fissures can heal without surgery.
• Chronic fissures may require a procedure if conservative treatment does not work.
• Pain and bright-red bleeding during bowel movements are common symptoms.
• Constipation and hard stools are frequent causes.
• Dr. Preethi Mrinalini K provides both non-surgical and surgical fissure treatment in Chennai at Marina’s Clinic.

Book a Fissure Consultation

If you have persistent pain or bleeding during bowel movements, or have already been diagnosed with an anal fissure, an assessment can help determine whether conservative treatment or a procedure is appropriate.
Book an appointment with Dr. Preethi Mrinalini K at Marina’s Clinic for anal fissure treatment in Chennai.