Anal Fissure

An anal fissure is a small cut or tear in the thin, moist tissue (mucosa) that lines the anus. This tear can cause sharp pain, especially during or after passing stool, as well as mild bleeding or irritation.

Anal fissures are mostly caused by trauma to the anal canal, often due to passing hard stools or constipation. While they are not typically serious, they can be very uncomfortable and may become chronic if left untreated.

The most common causes of anal fissure in Dubai and worldwide include:

• Chronic constipation or straining during bowel movements
• Passing large or hard stools
• Chronic diarrhea
• Prolonged sitting, especially on hard surfaces
• Childbirth (especially in women with vaginal deliveries)
• Anal infections or inflammation
• Tight anal sphincter muscles leading to increased pressure

In some cases, underlying conditions like Crohn’s disease or inflammatory bowel disease (IBD) can also increase the risk of developing fissures.

Symptoms of an anal fissure in Dubai can range from mild to severe, depending on how deep or chronic the tear is.

Common symptoms include:

• Bright red blood found on toilet paper or in stool
• Itching or irritation around the anus
• Visible or apparent tear or crack in the skin near the anus
• Muscle spasms or tightness in the anal sphincter
• Fear of passing stool due to anticipated pain

If these symptoms persist for more than a few days or become severe, it’s essential to seek professional anal fissure treatment in Dubai and Abu Dhabi to prevent chronic conditions.

There are two main types of anal fissures:

Acute Anal Fissure

This is a fresh tear that typically heals within a few weeks with conservative treatment and lifestyle modifications.

Chronic Anal Fissure

When a fissure lasts more than six weeks or keeps recurring, it is considered chronic. Chronic fissures often have a deeper tear, scar tissue, or a small skin tag, requiring medical or surgical intervention.

At CosmeSurge, our specialists use a detailed and gentle diagnostic approach to identify the cause and severity of the fissure.

Diagnosis typically includes:

• Medical History: Review of symptoms, bowel habits, and lifestyle.
• Physical Examination: Visual inspection of the anal area.
• Anoscopy: A small instrument may be used to examine the anal canal if the pain allows.

In cases of chronic fissures or recurrent symptoms, further tests may be done to rule out conditions such as Crohn’s disease, infections, or tumors.

Treatment for anal fissure in Dubai and Abu Dhabi depends on whether the fissure is acute or chronic. The goal is to relieve pain, reduce sphincter spasm, and promote healing.

Non-Surgical Treatments

Dietary and Lifestyle Changes

• Increase fiber intake through fruits, vegetables, and whole grains.
• Drink plenty of water (minimum 8-10 glasses a day).
• Avoid straining during bowel movements.
• Use stool softeners or mild laxatives if necessary.
• Maintain good anal hygiene.

Medications

• Topical ointments: Nitroglycerin or calcium channel blockers relax the anal muscles, improving blood flow and healing.
• Pain relievers: Local anesthetic creams can reduce pain during bowel movements.
• Sitz baths: Sitting in warm water for 10–15 minutes several times a day helps relax the muscles and relieve discomfort.

Botulinum Toxin (Botox) Injection

For chronic fissures, Botox may be injected into the anal sphincter to temporarily relax the muscles, reduce spasms, and allow healing. This minimally invasive approach is highly effective and often avoids the need for surgery.

Surgical Treatment for Anal Fissures

If conservative treatments fail, surgical intervention may be recommended. At CosmeSurge, we offer advanced anal fissure treatment in Dubai and Abu Dhabi using modern surgical techniques.

Lateral Internal Sphincterotomy (LIS)

This is the most common and effective surgery for chronic anal fissures. The procedure involves making a small incision in the anal sphincter muscle to decrease tension and promote healing. It provides rapid relief from pain and prevents recurrence.

Fissurectomy

In some cases, the surgeon removes the chronic fissure, scar tissue, or sentinel tag to allow new healthy tissue to form.

Combined Procedures

If the fissure is associated with other conditions like hemorrhoids or skin tags, both can be treated in the same session for better results.

All surgeries are performed by highly experienced colorectal surgeons using minimally invasive methods, ensuring faster recovery and minimal discomfort.

Recovery after anal fissure treatment in Dubai is generally quick and straightforward. Patients typically experience relief from pain within a few days.

• Resume light activities within 1–2 days.
• Follow a high-fiber diet to prevent constipation.
• Keep the area clean and dry.
• Continue warm sitz baths as advised.
• Avoid lifting heavy weights or prolonged sitting.
• Attend follow-up appointments for proper healing assessment.

At CosmeSurge, we provide continuous guidance throughout recovery to ensure long-term success and prevent recurrence.

Preventing fissures is often easier than treating them.

Follow these tips to reduce your risk:

• Stay hydrated throughout the day.
• Eat a fiber-rich diet.
• Exercise regularly to promote bowel movement.
• Avoid delaying the urge to pass stool.
• Use proper posture when using the toilet.
• Avoid excessive wiping or harsh soaps in the anal area.

Consistent care and a healthy lifestyle can significantly reduce the risk of fissure recurrence.

The cost of anal fissure treatment in Dubai varies as per the severity of the condition, treatment type (medical or surgical), and the required follow-up care. Factors such as diagnostic tests, medications, and specialist consultations also influence the total cost.

At CosmeSurge, we provide transparent, customized cost estimates during your initial consultation. Whether you are seeking treatment in Dubai or Abu Dhabi, our focus remains on high-quality, affordable care that delivers lasting relief.