Colorectal Surgery

Anal Fissure Specialist Los Angeles

An anal fissure is a small tear in the lining of the anus that can cause sharp pain, bleeding, and discomfort with bowel movements. At Surgery Group LA in Los Angeles and Beverly Hills, Dr. Yosef Nasseri and Dr. Moshe Barnajian offer expert evaluation and tailored treatments, from medical management to advanced surgical repair. Using minimally invasive and robotic techniques, these colorectal specialists help patients achieve long-lasting relief while minimizing downtime and recurrence.

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What causes Anal Fissures?

Anal fissures often arise from a combination of factors that place undue stress on the delicate tissues surrounding the anus.

Straining During Bowel Movements: Anal fissures, a common anal tear, often result from excessive pressure during bowel movements, especially when straining. This is commonly associated with constipation or hard stools.
Constipation: Chronic constipation, characterized by hard and dry stools, increases the risk of anal fissures. Addressing constipation through a fiber-rich diet and proper hydration is crucial for prevention.
Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease or ulcerative colitis weaken intestinal walls, making the anal area more prone to fissures. Managing underlying IBD is vital to prevent fissures.

What are the symptoms of Anal Fissures?

Recognizing the early signs of anal fissures is essential for prompt intervention and effective management of the condition.

Sharp Pain During Bowel Movements: Anal fissures cause sharp, stabbing pain during and after bowel movements.
Bright Red Blood on Toilet Paper: Presence of bright red blood on toilet paper after bowel movements indicates anal fissures.
Itching and Discomfort: Persistent itching and discomfort around the anal opening are early signs of fissures.
Visible Tear Near the Anal Opening: A visible tear or crack near the anal opening may be observed, prompting individuals to seek medical attention for proper diagnosis and treatment.

Diagnosis & Screening

How are Anal Fissures diagnosed?

Diagnosing anal fissures involves a careful assessment by healthcare professionals to determine the extent of the condition and rule out other potential issues. Common diagnostic procedures include:

Physical Examination: A thorough physical examination of the anal area allows healthcare providers to visually inspect for signs of anal fissures. The presence of visible tears or other abnormalities provides important diagnostic clues.
Digital Rectal Examination (DRE): A digital rectal exam involves the insertion of a gloved, lubricated finger into the rectum to assess for tenderness, swelling, or other abnormalities. This hands-on approach aids in identifying fissures and evaluating the overall health of the rectal area.
Anoscopy or Proctoscopy: These procedures involve using a lighted tube to examine the anal canal and lower rectum. Anoscopy focuses on the anal canal, while proctoscopy extends the examination to the lower rectum. These visualizations help confirm the presence of anal fissures and assess their severity.

Treatment

How are Anal Fissure Treated?

Dr. Nasseri and Dr. Barnajian use a combination of lifestyle modification and medications to treat anal fissures. They include:

Medication-Based Strategies

Topical analgesics or ointments containing nitroglycerin help relax the anal sphincter, reducing pain and promoting blood flow to the area.
Stool softeners or fiber supplements may also be prescribed to further ease bowel movements and prevent recurrence.

Lifestyle Guidance

Fiber-rich diet: Incorporating a fiber-rich diet aids in softer, more easily passable stools, reducing the strain on the anal tissues.
Staying hydrated: Adequate hydration complements this by maintaining stool consistency.
Soaking in a sitz bath or warm bath: This involves soaking your anal area for about 10-15 minutes and can be done 2-3 times daily.
Physical activity: Embracing more movement, such as regular exercise and avoiding prolonged periods of sitting, contributes to overall anal health.

What surgical interventions are used to treat Anal Fissures?

Surgical Interventions

When conservative treatments and medications prove insufficient, surgical interventions become a consideration. Procedures like sphincterotomy, which involves a small incision to relax the anal sphincter, can facilitate healing. However, surgery is typically reserved for severe or persistent cases, emphasizing the importance of exploring less invasive options first. Tailoring treatment to individual needs ensures a comprehensive approach to anal fissure management, promoting comfort and long-term well-being.

Coping

What to know about living with Anal Fissures?

Facing the challenges of anal fissures extends beyond the physical realm, acknowledging the emotional impact and coping with anal fissure self-care. Individuals experiencing anal fissures may feel a range of emotions, including frustration, embarrassment, or anxiety. It’s crucial to recognize and validate these feelings, understanding that emotional well-being is integral to the overall healing process.

If you are currently experiencing symptoms or have been diagnosed with anal fissures, reach out schedule a consultation with our experienced anal fissure specialists.

Anal Fissures

Frequently Asked Questions

Is there a link between anal fissures and dietary habits?

Yes, diets low in fiber can lead to constipation and the passage of hard stools, which increases the risk of developing anal fissures. Incorporating fiber-rich foods and staying hydrated can help prevent fissures by promoting regular and soft bowel movements.

Can chronic anal fissures lead to other complications?

Chronic anal fissures can result in the formation of skin tags or sentinel piles, and may lead to the development of anal fistulas if left untreated. Persistent fissures can also cause significant discomfort and impact the quality of life.

What non-surgical treatments are available for chronic anal fissures?

Non-surgical options include topical nitroglycerin or calcium channel blockers to relax the anal sphincter, botulinum toxin injections to reduce muscle spasms, and sitz baths to alleviate discomfort. These treatments aim to promote healing and reduce symptoms.

How does pregnancy affect the risk of developing anal fissures?

Pregnancy, especially during childbirth, can increase the risk of anal fissures due to increased pressure and potential trauma to the anal region. Hormonal changes can also affect bowel habits, contributing to the risk.

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Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Schedule a consultation with an Anal Fissure Specialist Near Me

Seeking care from anal fissure doctors is essential for effective management. Our dedicated team of doctors are experienced in anal fissure treatment, ensuring that you receive expert care tailored to your condition. We're here to answer your questions and guide you on your journey to better health.

310-861-7493

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