{"id":264,"date":"2026-06-22T20:58:34","date_gmt":"2026-06-22T15:28:34","guid":{"rendered":"https:\/\/www.gastrochennai.com\/blog\/anal-fissure-laser-treatment-chennai\/"},"modified":"2026-06-22T20:58:34","modified_gmt":"2026-06-22T15:28:34","slug":"anal-fissure-laser-treatment-chennai","status":"publish","type":"post","link":"https:\/\/www.gastrochennai.com\/blog\/anal-fissure-laser-treatment-chennai\/","title":{"rendered":"Chronic Anal Fissure: When Creams Stop Working and Laser Surgery Is the Answer"},"content":{"rendered":"<p>Few conditions are as painful, or as misunderstood, as an anal fissure. The sharp, burning pain during and after passing stool can make people dread going to the toilet, and many suffer quietly, hoping it will settle on its own. Sometimes it does. But when a fissure becomes chronic and stops responding to creams, modern laser surgery offers a precise, lasting solution as a simple daycare procedure.<\/p>\n<h2>What Is an Anal Fissure?<\/h2>\n<p>An anal fissure is a small tear or crack in the lining of the anal canal, the last part of the back passage. It is often caused by passing a hard or large stool, which stretches and splits the delicate lining. The tear exposes the underlying muscle, and because that muscle goes into spasm, it causes intense pain and reduces blood flow to the area, which in turn makes healing difficult. This vicious cycle is why fissures can be so stubborn.<\/p>\n<h2>Acute Versus Chronic Fissures<\/h2>\n<p>An acute fissure is recent and shallow, and most of these heal within a few weeks with simple measures. A chronic fissure is one that has lasted longer, typically more than six to eight weeks, and often shows additional features such as a small skin tag or hardened edges. Chronic fissures are far less likely to heal on their own and are the ones that tend to recur despite treatment.<\/p>\n<h2>Symptoms That Point to a Fissure<\/h2>\n<p>The symptoms are usually distinctive, and recognising them helps you seek the right care:<\/p>\n<ul>\n<li>Sharp, knife-like pain during a bowel movement<\/li>\n<li>A burning or aching pain that can last for hours afterwards<\/li>\n<li>Bright red blood on the stool or on the toilet paper<\/li>\n<li>Spasm or tightness in the back passage<\/li>\n<li>A small skin tag near the fissure in long-standing cases<\/li>\n<\/ul>\n<h2>Why Medically Managed Fissures Often Recur<\/h2>\n<p>First-line treatment involves stool softeners, a high-fibre diet, warm sitz baths and ointments that relax the muscle and improve blood flow. These work well for acute fissures. For chronic fissures, however, the underlying muscle spasm is hard to overcome with creams alone, so the fissure may heal partially and then break down again. Repeated cycles of healing and tearing are frustrating and exhausting, and at this point a more definitive treatment is sensible.<\/p>\n<h2>How Laser Treatment Works<\/h2>\n<p>The key to curing a chronic fissure is to relieve the spasm of the internal sphincter muscle so that blood flow improves and the tear can finally heal. Laser internal sphincterotomy uses precise laser energy to release a small, controlled portion of the tight muscle. Because the laser is accurate and gentle on the surrounding tissue, the procedure is quick, involves minimal bleeding and avoids the larger wounds of older techniques.<\/p>\n<h2>The Advantages and Recovery<\/h2>\n<p>Laser treatment for fissures is performed as a daycare procedure, so you go home the same day. Pain relief is usually rapid, and most people return to their normal routine within a day or two. When performed precisely, the risk of affecting bowel control is very low, which is an important reassurance for patients who worry about that. Combined with good bowel habits afterward, the results are durable and the misery of recurrent fissures can finally end.<\/p>\n<h2>You Do Not Have to Endure It<\/h2>\n<p>If you have been managing a painful fissure for months with creams that only help for a while, that pattern is a signal to seek specialist care. A short consultation can confirm the diagnosis and determine whether laser treatment is right for you, offering a path out of the cycle of pain.<\/p>\n<div style=\"background:#0d1f3c;color:#c8a96e;border-radius:8px;padding:1.5rem 1.75rem;margin-top:2rem\">\n<p style=\"color:#c8a96e;margin:0 0 0.5rem;font-size:1.2rem;font-weight:bold\">Stuck with a painful, recurring fissure?<\/p>\n<p style=\"color:#ffffff;margin:0\">Dr. Gautham Krishnamurthy specialises in laser proctology at P&amp;G Hospital, Chennai, offering precise, daycare treatment for chronic anal fissures. Consultations are private and unhurried. For appointments, contact reception.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Anal fissure treatment in Chennai: why chronic fissures recur and how laser sphincterotomy offers lasting relief. Daycare proctology by Dr. Gautham Krishnamurthy.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48],"tags":[78,79,51,52,80],"class_list":["post-264","post","type-post","status-publish","format-standard","hentry","category-laser-proctology","tag-anal-fissure","tag-fissure","tag-laser-surgery","tag-proctology","tag-sphincterotomy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Chronic Anal Fissure: When Creams Stop Working and Laser Surgery Is the Answer - GastroChennai Blog<\/title>\n<meta name=\"description\" content=\"Anal fissure treatment in Chennai: why chronic fissures recur and how laser sphincterotomy offers lasting relief. 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