Fissure Specialist in Borivali – Expert Anal Fissure Treatment by Dr. Bhavesh Doshi
Anal fissures are a common yet painful condition that can significantly affect everyday life. Symptoms such as sharp pain during bowel movements, burning sensations, and bleeding can make even routine activities uncomfortable. Many people hesitate to discuss these problems because of embarrassment, often delaying medical attention. However, early diagnosis and appropriate treatment can help prevent chronic discomfort and complications.
If you are searching for a Fissure Specialist in Borivali, Dr. Bhavesh Doshi at Dhanvantari Hospital provides evaluation and surgical treatment for anal fissures, piles, fistulas, and other anorectal conditions. With specialized qualifications in general and paediatric surgery and experience in laparoscopic and minimally invasive procedures, he focuses on accurate diagnosis and personalized treatment.
What Is an Anal Fissure?
An anal fissure is a small tear or crack in the thin lining of the anal canal. It commonly develops when hard or large stools stretch and injure the anal lining during bowel movements.
Although an anal fissure may appear small, it can cause considerable pain and discomfort. Some patients experience pain that continues for several hours after passing stools.
Anal fissures are generally classified into two categories:
Acute Anal Fissure: A recently developed tear that usually heals with appropriate medication, dietary changes, and bowel management.
Chronic Anal Fissure: A fissure that persists for several weeks or longer, sometimes developing scar tissue or an associated skin tag and requiring specialized treatment.
Early medical consultation helps determine the severity of the condition and identify the most suitable treatment.
Common Causes of Anal Fissures
Anal fissures can develop due to repeated injury or excessive pressure on the anal canal. Some common contributing factors include:
Chronic Constipation: Passing hard stools can stretch and tear the delicate anal lining.
Excessive Straining: Repeated pressure during bowel movements increases the risk of tissue injury.
Low-Fibre Diet: Insufficient fibre intake can cause hard stools and constipation.
Inadequate Water Intake: Dehydration may make stools harder and more difficult to pass.
Chronic Diarrhoea: Frequent bowel movements can irritate and damage the anal lining.
Pregnancy and Childbirth: Increased pelvic pressure and physical strain may contribute to anorectal problems.
Underlying Medical Conditions: Certain inflammatory bowel diseases, including Crohn’s disease, may be associated with anal fissures.
Identifying the underlying cause is important for preventing repeated injury and supporting long-term recovery.
Symptoms That Indicate You May Have an Anal Fissure
Recognizing the symptoms of an anal fissure can help you seek treatment before the condition becomes chronic.
Common symptoms include:
Sharp or cutting pain during bowel movements.
Burning sensation around the anus.
Bright red blood on toilet paper or the surface of stools.
Pain that continues after passing stools.
Itching or irritation around the anal opening.
A visible small crack near the anus.
Fear of passing stools because of anticipated pain.
A small skin tag near the fissure in some chronic cases.
Persistent bleeding or severe anal pain should be medically evaluated. Similar symptoms can occur with piles, infections, fistulas, and other colorectal conditions, so an accurate diagnosis is essential.
How Are Anal Fissures Diagnosed?
A proper examination helps determine whether the symptoms are caused by an anal fissure or another anorectal disorder.
Dr. Bhavesh Doshi may recommend the following assessments depending on the patient’s symptoms:
1. Medical History: The doctor discusses bowel habits, duration of symptoms, pain, bleeding, previous treatments, and relevant medical conditions.
2. Physical Examination: A careful inspection of the anal region may help identify the fissure and assess its location and appearance.
3. Digital Rectal Examination: When appropriate and tolerable, this examination helps assess the anal canal and surrounding structures. It may be deferred if severe pain is present.
4. Proctoscopy or Anoscopy: These procedures allow visualization of the anal canal and help identify associated conditions.
5. Additional Investigations: Colonoscopy or other tests may be advised when symptoms, age, medical history, or examination findings suggest another underlying condition.
Effective Anal Fissure Treatment Options
Treatment depends on whether the fissure is acute or chronic, its severity, and the patient’s overall health. Many acute fissures heal without surgery when managed appropriately.
1. Dietary and Lifestyle Modifications
Increasing fibre intake through fruits, vegetables, whole grains, and fibre supplements can help soften stools and reduce straining.
Patients are generally advised to:
Drink adequate water throughout the day.
Avoid delaying bowel movements.
Maintain regular physical activity.
Avoid excessive straining.
Follow healthy bowel habits.
2. Warm Sitz Baths
Sitting in comfortably warm water for approximately 10–15 minutes can help relax the anal muscles, improve comfort, and reduce irritation. Sitz baths may be particularly helpful after bowel movements.
3. Medications and Topical Treatments
Doctors may prescribe stool softeners, pain-relieving medication, and topical treatments such as diltiazem or glyceryl trinitrate to relax the internal anal sphincter and improve blood flow to the affected area.
These treatments can support healing and reduce discomfort. They should be used according to medical advice.
4. Lateral Internal Sphincterotomy (LIS)
For chronic fissures that do not respond to adequate medical treatment, a surgical procedure called Lateral Internal Sphincterotomy may be recommended.
During this procedure, the surgeon carefully divides a small portion of the internal anal sphincter muscle. This reduces excessive muscle pressure, improves blood supply to the fissure, and allows healing.
LIS is an established treatment for selected chronic anal fissures. However, potential complications, including changes in bowel control, should be discussed with the surgeon before surgery.
5. Other Treatment Options
Depending on the patient’s condition, other options may include botulinum toxin injections or selected sphincter-preserving procedures. The choice depends on the fissure’s characteristics and the patient’s medical history.
Meet Dr. Bhavesh Doshi – Experienced General and Laparoscopic Surgeon
Dr. Bhavesh Doshi is a qualified General, Laparoscopic, and Paediatric Surgeon practising in Mumbai. He holds an MS in General Surgery and an MCh in Paediatric Surgery, along with specialized training in minimally invasive and paediatric surgical procedures.
His professional experience includes managing a broad range of surgical conditions in adults and children. His areas of expertise include:
Piles, anal fissures, and fistulas.
General and laparoscopic surgery.
Hernia repair.
Gallbladder and kidney stone surgery.
Appendicitis treatment.
Paediatric gastrointestinal surgery.
Congenital anomaly surgery.
Advanced paediatric urology.
Neonatal and minimally invasive surgery.
His expertise as a Pediatric Surgeon in Mumbai also includes the evaluation and surgical management of complex childhood conditions.
As a Pediatric Urologist in Mumbai, his specialized work includes procedures for conditions such as hypospadias, undescended testes, urinary tract abnormalities, and other paediatric urological disorders.
Dr. Doshi emphasizes understanding the patient’s condition, explaining appropriate treatment choices, and selecting surgical techniques according to individual clinical requirements.
Why Choose Dr. Bhavesh Doshi at Dhanvantari Hospital?
Choosing an experienced surgeon is important when dealing with painful anorectal conditions. Patients need an environment where they can discuss personal symptoms comfortably and receive appropriate medical guidance.
Dr. Bhavesh Doshi’s surgical practice focuses on:
Specialized surgical qualifications: MS in General Surgery and MCh in Paediatric Surgery.
Comprehensive evaluation: Assessment of piles, fissures, fistulas, and related anorectal conditions.
Individualized treatment: Recommendations based on the diagnosis and severity of the condition.
Minimally invasive expertise: Experience in laparoscopic and advanced surgical techniques.
Patient-focused care: Clear communication about treatment, recovery, and follow-up requirements.
At Dhanvantari Hospital, patients can seek surgical consultation and appropriate treatment planning in a hospital-based clinical setting. The focus is on patient comfort, accurate diagnosis, and responsible surgical care.
Book Your Consultation with Dr. Bhavesh Doshi in Borivali
Living with an anal fissure can make everyday activities uncomfortable, but timely medical attention can help prevent the condition from becoming chronic. Whether you are experiencing sharp pain during bowel movements, burning sensations, or rectal bleeding, an early surgical consultation can help identify the cause and determine suitable treatment.
Dr. Bhavesh Doshi provides evaluation and treatment for anal fissures, piles, fistulas, and other general surgical conditions at Dhanvantari Hospital.
📞 9820565205 ☎️ 022 28338378
Get directions to the clinic – Dhanvantari Hospital
Contact Dr. Bhavesh Doshi today to schedule your consultation and receive professional guidance for effective anal fissure treatment.
Frequently Asked Questions (FAQs)
1. What are the common symptoms of an anal fissure?
Common symptoms include sharp pain during bowel movements, burning sensations, bright red bleeding, itching, and discomfort that may continue after passing stools. Chronic fissures may also develop a small skin tag.
2. Can an anal fissure heal without surgery?
Yes. Most acute anal fissures can heal with dietary changes, adequate hydration, stool softeners, warm sitz baths, and prescribed topical medications. Chronic fissures that do not respond to medical treatment may require surgery.
3. What is the best surgical treatment for chronic anal fissures?
Lateral Internal Sphincterotomy (LIS) is an established surgical treatment for selected chronic anal fissures. It reduces internal sphincter pressure and helps the fissure heal. The surgeon evaluates the patient’s condition and discusses potential risks before recommending it.
4. How can I book an appointment with Dr. Bhavesh Doshi in Borivali?
You can call +91 9820565205 or 022 28338378 to schedule an appointment with Dr. Bhavesh Doshi. You can also email info@drbhaveshdoshi.com. His consultation location is Dhaval Apartment, Factory Lane, Near Railway Station, Borivali West, Mumbai.
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