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When it comes to health concerns, finding the right clinic is of utmost importance. For those suffering from fissure or hemorrhoids, seeking specialized care from an experienced clinic is crucial. In Mumbai, there is one clinic that stands out among the rest – the Gopal Rao Piles Clinic. Renowned for its expertise, experienced specialists, and commitment to patient well-being, Gopal Rao Piles Clinic has earned the title of the best fissure clinic in Mumbai.

A rip or cut in the skin of the anal canal is known as an anal fissure or Fissure-in-ano. Men and women are equally affected by the illness, which can develop at any age ( infants too ). Anal fissures are often located in the back of your anus, parallel to the buttock cleft.

Acute fissures are those that have been present for under six weeks. A chronic fissure is one that is older than six weeks. The Sentinel Pile, which resembles a skin tag and may be present in the Chronic fissure, is typically difficult to feel.


Medicines – Usually, medications are used to treat acute fissures (those that are younger than 6 weeks). Even Chronic fissures undergo a preliminary patient care trial. Breaking the cycle of anal sphincter spasms and anal skin tearing is the goal of the therapy


  • Medicines – Herbal remedies to lessen localized inflammation
  • Before bed, take Constac to give your stools more weight and soften them.
  • Diet : Consume a diet high in fiber to avoid constipation. Increasing fluid and water intake is also beneficial.
  • Physiotherapy – Pelvic floor physiotherapy aids in lowering anal sphincter spasms.
  • Ayurvedic therapy employs the use of medicinal herbal oils.

Sitz bath

After a bowel movement, relaxing in warm water that encompasses your hips and buttocks will help ease any soreness


It works to lessen the anal sphincter’s spasm when applied topically. However, it has negative side effects like headaches and dizziness that limit its usefulness.

Nifedipine ointment

The anal sphincter is also relaxed with this method.

How does botox work in the fissure?

Botox is an injectable medicine that is used to reduce the appearance of wrinkles and to soften the look of lines on the face. Botulinum toxin, commonly known as botox, is a naturally-occurring protein that regulates muscle activity by blocking signals from traveling back and forth between nerve cells. This can lead to soft youthful faces and muscular weakness in areas where it is injected.

How is Botox injected?

Because the anal region is so delicate, you will be briefly sedated to lessen the discomfort. Sedation is not always necessary because local anesthetics can sometimes be used to numb.

  • Botulinum Toxin is injected into the sphincter muscle surrounding the anus after the area has been cleaned.
  • The actual injection time is about 5 minutes out of the 20 to 30 minutes that the process as a whole lasts.
  • As soon as you feel at ease, you can return home.

What follows the procedure?

In order to ease any discomfort following the injection, painkillers may be given. The next 72 hours saw a gradual onset of Botox’s effects, which peak at 4 weeks and last for 3-6 months ( individual variation ). A diet high in fiber and the use of stool softeners as directed is crucial for maintaining soft stools.

Bleeding, temporary inability to regulate bowel movements or flatulence (incontinence), an allergic reaction to Botox, muscle weakness, and postural hypotension are possible adverse effects (found in a small percentage of patients).


The reason Botox is so popular is that it provides a non-surgical option for treating chronic anal fissures. Most people have at least some pain alleviation from it. In roughly 60–70% of situations, it works. It can be readily repeated after six months, which is an additional benefit. There is a potential that it won’t work for a tiny percentage of people, in which case it would be necessary to investigate alternative treatment choices.