First Treatment Center dedicated to Fissure
फिशरको लागि समर्पित पहिलो उपचार केन्द्र
Laser Fissure Treatment Procedure
Fissure laser treatment closes blood vessels, promoting healing and alleviating pain. It is usually performed in a clinic under local anesthesia. The method normally includes the following steps:
- Before the fissure therapy, you must abstain from eating and drinking for a period of time. You may also need to take a laxative or an enema to clear your rectum.
- The doctor will administer medication to numb the area surrounding your anus so that you do not experience pain during the fissure surgery.
- You will be asked to lie on your side with your knees pulled up to your chest, like you would for a standard rectal exam.
- A small tube with a laser at the end will be carefully placed into your anus.
- The fissure doctor will use the laser to target and shut small blood vessels in the fissure, allowing it to mend and minimize pain. This normally takes just a few minutes.
- Following the anal fissure treatment, you may be given pain medicine and stool softeners to alleviate discomfort and encourage healing.
You will have a follow-up consultation with your fissure specialist to ensure that everything is healing properly and to address any concerns you may have
फिशर लेजर उपचार प्रक्रिया
फिसर लेजर उपचारले रक्त वाहिकाहरू बन्द गर्छ, निको पार्ने र दुखाइलाई कम गर्छ। यो सामान्यतया स्थानीय एनेस्थेसिया अन्तर्गत क्लिनिकमा गरिन्छ। विधिले सामान्यतया निम्न चरणहरू समावेश गर्दछ:
- फिसर थेरापी गर्नु अघि, तपाईंले केही समयको लागि खाने र पिउनबाट टाढा रहनुपर्छ। तपाईंले आफ्नो मलाशय खाली गर्न रेचक वा एनीमा पनि लिनु पर्ने हुन सक्छ।
- डाक्टरले तपाईंको मलद्वार वरपरको क्षेत्रलाई सुन्न गर्नको लागि औषधि दिनेछन् ताकि तपाईंले फिसर शल्यक्रियाको बेला दुखाइ अनुभव नगर्नुहोस्।
- तपाइँको घुँडा तपाइँको छाती सम्म तानेर तपाइँको छेउमा सुत्न भनिनेछ, जस्तै तपाइँ मानक रेक्टल परीक्षाको लागि गर्नुहुन्छ।
- अन्तमा लेजर भएको सानो ट्यूबलाई ध्यानपूर्वक तपाईंको गुदामा राखिनेछ।
- फिसर डाक्टरले लेजरको प्रयोग गरी फिशरमा रहेका साना रक्तनलीहरूलाई लक्षित गर्न र बन्द गर्नका लागि प्रयोग गर्नेछन्, जसले यसलाई सुधार्न र दुखाइ कम गर्न अनुमति दिन्छन्। यसले सामान्यतया केही मिनेट मात्र लिन्छ।
- गुदा फिशर उपचार पछि, तपाईंलाई असुविधा कम गर्न र निको पार्न प्रोत्साहित गर्न दुखाइको औषधि र स्टूल सफ्टनरहरू दिन सकिन्छ।
- सबै कुरा ठीकसँग निको भैरहेको छ भनी सुनिश्चित गर्न र तपाईलाई हुन सक्ने कुनै पनि चिन्तालाई सम्बोधन गर्नको लागि तपाइँसँग तपाइँको फिशर विशेषज्ञसँग फलो-अप परामर्श हुनेछ।
What is Fissure ?
Anal fissures are tears, or cracks, in your anus. Fissures are sometimes confused with hemorrhoids. These are inflamed blood vessels in, or just outside, the anus. Both fissures and hemorrhoids often result from passing hard stool.
फिशर भनेको के हो ?
गुदा फिसर भनेको तपाईंको गुदामा दरारहरू हुन्। फिसरहरू कहिलेकाहीँ बवासीरसँग भ्रमित हुन्छन्। यी मलद्वार भित्र वा बाहिर मात्रै सुन्निने रक्तनलीहरू हुन्। दुवै दरार र बवासीर अक्सर कडा दिसा पास को परिणाम हो।
Types of Fissure
फिशरको प्रकारहरू
Acute Anal Fissure:
An acute anal fissure is like a fresh wound. It develops suddenly, often caused by straining during a bowel movement. Imagine a small, clean tear in the lining of your anus, possibly with some redness and occasional bleeding. The good news is, with proper fissure treatment like stool softeners and warm sitz baths, these acute fissures often heal within weeks.
Chronic Anal Fissure
Untreated acute fissures might progress to chronic ones. Chronic fissures are the tough veterans of the anal tear realm. They look different after more than 8 weeks. The margins become thicker and tougher, while the base turns whitish. Chronic fissures can be far more painful than acute ones, and they can sometimes result in irritating skin tags or irritated pimples nearby. Early fissure surgery is critical to keeping a minor fissure from becoming a chronic problem.
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Frequently Asked Questions
Yes, acute (early-stage) fissures can heal on their own with proper care and medication. Maintaining soft stools, good hydration, and avoiding straining during bowel movements helps natural healing.
हो, सुरुको चरणको (एक्युट) फिसर उचित हेरचाह र औषधिको प्रयोगले आफै निको हुन सक्छ। दिसा नरम राख्ने, पर्याप्त पानी पिउने र जोर नगर्दा फिसर प्राकृतिक रूपमा निको हुन मद्दत गर्छ।
Common symptoms of fissures include severe pain during or after bowel movement, burning sensation around the anus, and fresh red blood on stool or toilet paper. The pain occurs due to a tear in the sensitive anal lining.
फिसरका सामान्य लक्षणहरूमा दिसा गर्दा वा दिसा गरेपछि तीव्र दुखाइ, गुदा वरिपरि जलन हुनु र दिसा वा टिस्यु पेपरमा ताजा रातो रगत देखिनु पर्छ। गुदाको संवेदनशील छालामा चिरा परेकाले दुखाइ हुने गर्दछ।
The first stage of a fissure is called an acute fissure, where a small and fresh tear is present in the anal lining. At this stage, fissures usually heal quickly with medicines and lifestyle changes.
फिसरको पहिलो चरणलाई एक्युट फिसर भनिन्छ, जसमा गुदा छालामा नयाँ र सानो चिरा हुन्छ। यस अवस्थामा औषधि र जीवनशैली सुधारले फिसर छिटो निको हुन्छ।
Fissure is not serious in early stages but can become painful and chronic if untreated. But, delayed treatment can lead to long-term pain and spasm.
फिसर सुरुमा गम्भीर हुँदैन, तर उपचार नगरेमा दुखाइ बढ्दै दीर्घकालीन समस्या बन्न सक्छ। ढिलो उपचार गर्दा लगातार दुखाइ र गुदा मांसपेशी कडा हुने समस्या आउन सक्छ।
The duration of a fissure depends on its stage and treatment. Acute fissures usually heal within 10–14 days with proper medication, diet changes, and stool softening. In some cases, healing may take up to 4–6 weeks. Chronic fissures last longer than 6 weeks and often require advanced medical or surgical treatment.
फिसर कति दिनसम्म रहन्छ भन्ने कुरा यसको अवस्था र उपचारमा निर्भर गर्छ। एक्युट फिसर सामान्यतया उचित औषधि, खानपान सुधार र दिसा नरम राख्दा १०–१४ दिनभित्र निको हुन थाल्छ र केही अवस्थामा ४–६ हप्तासम्म लाग्न सक्छ। ६ हप्ताभन्दा बढी समयसम्म रहने फिसरलाई क्रोनिक फिसर भनिन्छ, जसका लागि विशेष चिकित्सा वा सर्जरी आवश्यक पर्न सक्छ।
Fissure and piles are different conditions with different symptoms. A fissure causes severe cutting or burning pain during and after bowel movement, often with a small amount of fresh blood. Piles usually cause painless bleeding, swelling, or a lump around the anus, with mild discomfort only in advanced stages. Pain intensity and timing are the main factors that help differentiate fissure from piles.
फिसर र पाइल्स फरक रोग हुन् र तिनका लक्षण पनि फरक हुन्छन्। फिसरमा दिसा गर्दा वा दिसा गरेपछि चिरा परेको जस्तो तीव्र दुखाइ र जलन हुन्छ र थोरै ताजा रगत देखिन सक्छ। पाइल्समा प्रायः दुखाइ बिना रगत आउनु, मासु सुन्निनु वा गुदा वरिपरि गाँठो देखिनु मुख्य लक्षण हुन्छ। दुखाइको तीव्रता र दिसा गर्दा दुखाइ हुने समय नै फिसर र पाइल्स छुट्याउने मुख्य आधार हो।