Anal Fissure Treatment

anal fissure treatmentAnal Fissure treatment at our Guardian featured Clinic addresses the underlying issues, not just the symptoms. There are usually several underlying issues, which can be identified through diagnostic medical tests. Treatment is carefully tailored to meet each patient’s unique needs. This approach works far better than a one size fits all approach.

Anal Fissure Treatment: What is an anal fissure?

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter).

Anal fissures are very common in young infants but can affect people of any age. Our anal fissure treatment addresses the underlying issues.

What are the symptoms?

Anal fissures typically cause a sharp pain that starts with the passage of stool. This pain may last several minutes to a few hours. As a result, many patients may try not to have bowel movements to prevent pain.

Other symptoms include:

  • Bright red blood on the stool or toilet paper after a bowel movement
  • A small lump or skin tag on the skin near the anal fissure (more common when chronic)

Our treatment for anal fissure

Anal fissure treatment involves identifying the root causes of the fissure, and working to address not just the symptoms, but the underlying imbalance that caused it to happen. Once healing has occurred, guidance is given for maintaining proper bowel function and a good diet, which are both necessary for prevention of further episodes.

We also treat any issues related to IBS, which is often associated with this condition.

A 49 year old man presenting with high blood pressure and a very painful anal fissure, which had troubled him for the last two years:

“Having just finished a course of treatment under the auspices of Deborah Grant, I hope a fitting testimonial with regards to its success would be of some compelling incentive to try it. I was impressed from the start with the relaxed environs and professionalism of Deborah. Everything is thoroughly discussed and explained, so that you feel fully informed and actively involved in your own healing process.

My chronic problems responded quickly to the ttreatment and were resolved within four months and, as an unexpected bonus, I found seemingly unconnected conditions also improved too. I would not hesitate to recommend this approach, and only wish I had discovered it sooner!” Ambrose – London


Botulinum toxin injection vs topical nitrates for chronic anal fissure: an updated systematic review and meta-analysis of randomized controlled trials. Sahebally SM, Meshkat B, Walsh SR, Beddy D.Colorectal Dis. 2018 Jan;20(1):6-15. doi: 10.1111/codi.13969.PMID: 29166553
Botulinum toxin versus botulinum toxin with low-dose glyceryltrinitrate for healing of chronic anal fissure: a prospective, randomised trial. Asim M, Lowrie N, Stewart J, Lolohea S, Van Dalen R.N Z Med J. 2014 May 2;127(1393):80-6.PMID: 24816958 Clinical Trial.
Bilateral versus unilateral botulinum toxin injections for chronic anal fissure: a randomised trial. Pilkington SA, Bhome R, Welch RE, Ku F, Warden C, Harris S, Hicks J, Richardson C, Dudding TC, Knight JS, King AT, Mirnezami AH, Beck NE, Nichols PH, Nugent KP.Tech Coloproctol. 2018 Jul;22(7):545-551. doi: 10.1007/s10151-018-1821-2. Epub 2018 Jul 18.PMID: 30022331 Free PMC article. Clinical Trial.
Botulinum toxin injection versus lateral internal sphincterotomy for chronic anal fissure: a meta-analysis of randomized control trials. Chen HL, Woo XB, Wang HS, Lin YJ, Luo HX, Chen YH, Chen CQ, Peng JS.Tech Coloproctol. 2014 Aug;18(8):693-8. doi: 10.1007/s10151-014-1121-4. Epub 2014 Feb 6.PMID: 24500725 Review.

Optimal Dosing of Botulinum Toxin for Treatment of Chronic Anal Fissure: A Systematic Review and Meta-Analysis.

Lin JX, Krishna S, Su’a B, Hill AG.Dis Colon Rectum. 2016 Sep;59(9):886-94. doi: 10.1097/DCR.0000000000000612.PMID: 27505118 Review.

If you would like professional Anal Fissure treatment

Contact Deborah’s Medical Secretary for an appointment