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Top Anal Fissures Gastroenterologist

The anal fissures are painful piercings in the anus that may result in bleeding and pain during bowel movements. Dr. Bharat Pothuri, a Gastroenterologist, is board-certified, and in GastroDoxs, Houston, he provides a highly qualified diagnosis and tailor-made effective treatment methods to calm the pain and ensure permanent healing.

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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

What Are Anal Fissures?

Specifically, anal fissure is a small cut or a fissure on the lining of the anal. Mostly it brings acute pain and reddish-red bloody bowel movements.

Ordinary Causes and Risk Factors.

  • Difficult or massive stools as a result of chronic constipation.
  • Repeat diarrhea with annoying anal skin.
  • Difficult bowel movements.
  • Childbirth trauma or other anal trauma.
  • Inflammatory disorders like crohn disease.

Signs and Symptoms

  • Pain ahead, acute pain during and after bowel movements.
  • Bright red blood on either toilet paper or in the stool.
  • Near the anal opening, tear or crack is visible.
  • Around the fissure, itching or irritability.
  • Development of a tiny lump or a skin tag at the tear.

Anal Fissure Expert Treatment with Dr. Bharat Pothuri.

Dr. Pothuri applies by stages:

Health History and Physical Exam.

He examines your symptoms-pain, bleeding, bowel habits-and inquires about the risk factors of same such as persistent constipation, diarrhea, childbirth or previous anorectal problems.

The use of Digital Palpation and Visual Inspection.

Closer inspection of external is done to identify presence of visible cracks, skin tags or spasmatic signs. A motionless rectal check-up and identification of the fissure are done by a soft digital rectal examination.

Anoscopy

He examines the anal canal lining directly with a low-pressure anoscope in order to establish the presence of fissure, evaluate the depth of the fissure and exclude other pathologies such as hemorrhoid or tumors.

Advanced Testing (if needed)

  • Anal manometry as the procedure that is used to determine the resting sphincter pressure in the case of muscle spasm.
  • Endoanal ultrasound to determine the integrity of the sphincter in chronic or recurrent cases.
Bharat Pothuri
Treatment

Our Team provides a comprehensive service of anal fissure care.

1. Lifestyle and Diet Changes

  • Take a lot of water since this hardens stools.
  • Take fiber supplements e.g. psyllium powder.
  • Increased intake of fruits, vegetables and whole grains.
  • You should spend some time visiting the bathroom; you should not hurry.
  • Apply sitz baths two to three times a day.

2. Medications

  • Nitroglycerin applied as a topical paste to relax anal muscles or calcium channel blocker.
  • To avoid straining, stool softeners or mild laxatives may be used.
  • Over-the-counter non-prescription painkiller or prescription creams to relieve pain.

3. Minimally Invasive or Advanced Surgery.

  • Treatment of muscle spasms by Botox injections.
  • Lateral internal sphincterotomy in order to achieve less pressure and facilitate healing.
498

Patients Treated

Dr. Pothuri has treated more than 498 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

Are there instances that anal fissures can heal without medication?

Dietary and sitz bath can cure mild fissures. Talk to the doctor in case of pain or bleeding which continues over a period of more than two weeks.

Do hemostatic fissures have anything to do with hemorrhoid?

Yes. Both of them can result in pain and bleeding, although the methods of treatment can vary. Dr. Pothuri monitors the two conditions and provides care accordingly.

What causes fissures to itch once healed?

Itching is experienced with new skin development. Cleaning gently is also relieving, warm sitz bath, and creams goodwill fragrance-free.

So how long does the fiber supplements take to work?

The majority of patients will report softer bowel movements and less difficult stools within 3-5 days of taking such supplements as psyllium.

Are persistent fissures considered to be treated solely by surgery?

No. Botox injections usually do not have a response on chronic fissure. Cases in which the treatment fails other forms are treated with surgery (lateral internal sphincterotomy).

Is it possible to have anal fissures in pregnant women?

Yes. Expectant mothers risk increasing due to hormonal changes and childbirth. Dr. Pothuri has provided effective and safe methods of treating expectant mothers.

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