Fissure in Ano Treatment in Delhi: Medicines, Laser, LIS and Cost (2026)
Fissure in ano (anal fissure) is a small tear in the lining of the anal canal. It causes a sharp, cutting pain while passing stool, often followed by a burning ache that can last for an hour or more, and a streak of bright red blood on the stool or tissue. It is one of the most common reasons people see a proctology surgeon, and it is often confused with piles.
This guide explains how fissure in ano is treated at THE CLINICS in South Delhi, when medicines are enough, when laser or lateral internal sphincterotomy (LIS) is advised, what recovery looks like, and what the treatment costs.
What is fissure in ano?
The anal canal is lined by a thin, sensitive skin. Passing a hard or large stool, straining, or repeated loose motions can tear this skin. The tear makes the ring of muscle around the anus (the internal sphincter) go into spasm. The spasm reduces blood supply to the tear and keeps it from healing, so the pain–spasm–tear cycle repeats with each motion.
Acute fissure: present for less than about six weeks. Most heal with diet changes and medicines.
Chronic fissure: present for more than six to eight weeks, often with a skin tag (sentinel pile) at the outer end and hard edges. These are less likely to heal with medicines alone.
Symptoms of an anal fissure
Sharp, tearing pain during a bowel movement
Burning or throbbing pain for minutes to hours afterwards
Bright red blood on the stool or toilet paper
A small lump or skin tag near the anus
Itching or irritation
Fear of passing stool, which leads to constipation and makes the fissure worse
Bleeding from the back passage always deserves an examination. Piles, fistula, polyps, inflammatory bowel disease and, less often, bowel cancer can cause similar symptoms. A careful local examination, sometimes with a proctoscopy or colonoscopy, comes before any treatment plan.
Fissure, piles or fistula: how are they different?
Fissure: a tear in the anal lining. Main symptom is pain during and after motion, with a little bright blood.
Piles (haemorrhoids): swollen blood vessels. Usually bleeding without pain, or a lump that comes out during motion. See piles treatment.
Fistula: an abnormal tunnel between the anal canal and the skin, usually after an abscess. Main symptom is discharge of pus or fluid near the anus. See fistula treatment.
Treatment without surgery: the first step
Most acute fissures heal without an operation. Treatment usually includes:
Fibre (25–30 g a day from fruit, vegetables, whole grains, or a fibre supplement) and 2.5–3 litres of water a day, unless your doctor has restricted fluids
Stool softeners so motions are soft and easy to pass
Warm sitz baths for 10–15 minutes, two or three times a day
Ointments that relax the sphincter (such as diltiazem or glyceryl trinitrate) and local anaesthetic gels, used as prescribed
Not straining, and not sitting on the toilet for long periods
This plan is usually followed for six to eight weeks. Many patients feel better within two weeks. If the fissure keeps coming back or does not heal, a procedure is discussed.
When is a procedure needed for fissure in ano?
The fissure has not healed after six to eight weeks of proper treatment
Pain is severe and affecting work, sleep or eating
The fissure keeps coming back
There is a chronic fissure with a sentinel tag or a hypertrophied anal papilla
Laser treatment for fissure in ano
In laser fissure treatment, a thin laser fibre is used to treat the fissure bed and the tight sphincter fibres, and to remove a sentinel tag where present. It is usually done as a day-care procedure under anaesthesia at THE CLINICS MISC, Hauz Khas. Many patients go home the same day and return to desk work within a few days. Laser is one option; it is not suitable for every patient, and the surgeon will explain why it is or is not advised in your case.
Lateral internal sphincterotomy (LIS)
LIS is a small, precise cut in part of the internal sphincter muscle. It relieves the spasm so that the fissure can heal. It is a well-established operation for chronic fissure. As with any anal operation, there is a small risk of reduced control of wind or stool, which the surgeon will discuss with you before you decide. Other options, such as botulinum toxin injection or fissurectomy, may be considered in selected patients.
Read more about the procedures on our laser fissure treatment in South Delhi page.
Recovery after fissure treatment
Most patients go home the same day or the next morning
Pain during motions usually settles over one to two weeks
Desk work: usually after two to five days; heavier work after one to two weeks
Continue fibre, water and stool softeners for several weeks, and sitz baths as advised
A follow-up visit checks healing and the plan to prevent a recurrence
Fissure in ano treatment cost in Delhi
At THE CLINICS, a fissure procedure, like other proctology surgeries (piles, fissure and fistula), is offered as an all-inclusive package of about ₹75,000 to ₹1,50,000, covering the surgery, hospital stay and standard consumables. Laser is included. The package depends on the type of treatment you need. A final quotation is given once the doctor has examined the patient.
Type of treatment: laser, LIS, fissurectomy or a combined procedure
Package: day care or overnight stay, and the room category
Anaesthesia and medicines after the procedure
Any tests needed before surgery
THE CLINICS offers this as an all-inclusive package, and a final quotation is given once the doctor has examined the patient. Insurance facilities available. Consultation fee: ₹1,500 + ₹100 registration. For costs of piles and fistula surgery, see piles, fissure and fistula surgery cost in Delhi.
Who treats fissure in ano at THE CLINICS?
Dr Saurabh Bansal is a GI & laparoscopic surgeon with 18 years of experience (DMC Reg. No. 37887), with an International Clinical Fellowship in Colorectal Surgery from Taiwan. Dr Aayush Nagpal is a colorectal and proctology surgeon at THE CLINICS. Consultations are private, and examinations are done with a chaperone when you wish.
Preparing for fissure surgery
Bring any previous reports and a list of your medicines
Tell the doctor about blood thinners, diabetes medicines and allergies
Fasting for about six hours before the procedure
Arrange someone to take you home after day-care surgery
Keep stool softeners, fibre and a sitz-bath tub ready at home
Questions to ask your surgeon
Is this a fissure, or could it be piles, a fistula or something else?
Is my fissure acute or chronic?
Can I try medicines first, and for how long?
Do you advise laser, LIS or another procedure, and why?
What are the risks, including any effect on bowel control?
What does the all-inclusive package cover?
Frequently asked questions about fissure in ano
Can fissure in ano heal on its own?
Many acute fissures heal in four to eight weeks with fibre, water, stool softeners, sitz baths and prescribed ointments. Chronic fissures that last longer than six to eight weeks are less likely to heal without a procedure.
Is laser better than LIS for fissure?
Neither suits everyone. Laser is a day-care option with a quick return to work for many patients. LIS is a long-established operation for chronic fissure. The surgeon recommends one after examining you and explains the reasons and the risks of each.
How much does fissure treatment cost in Delhi?
At THE CLINICS, fissure surgery, like other proctology surgeries, is offered as an all-inclusive package of about ₹75,000 to ₹1,50,000, with laser included. This is an all-inclusive package covering the surgery, hospital stay and standard consumables. A final quotation is given once the doctor has examined the patient. Insurance facilities available.
Is fissure surgery covered by health insurance?
Fissure surgery is usually covered when it is medically needed, subject to your policy terms and waiting periods. The desk at THE CLINICS helps with the paperwork. Insurance facilities available.
How long does recovery take after laser fissure treatment?
Most people return to desk work within two to five days. Pain during motions usually settles over one to two weeks, and complete healing of the area takes a few weeks.
Will the fissure come back after treatment?
A fissure can recur, mainly if constipation or straining continues. Keeping motions soft with fibre, water and regular habits lowers the chance of it coming back.
Is fissure in ano the same as piles?
No. A fissure is a tear that causes pain during motion. Piles are swollen blood vessels that usually cause bleeding without pain, or a lump. They can occur together, so an examination is needed.
Do I need a colonoscopy for a fissure?
Not always. A colonoscopy may be advised if you are over 45–50, have a change in bowel habit, weight loss, anaemia, a family history of bowel cancer, or if the fissure is in an unusual position.
Can I eat normally after fissure surgery?
Yes, with plenty of fibre, fruit, vegetables and water. Limit very spicy and fried food for the first couple of weeks if they upset your motions.
फिशर से जुड़े सवाल (हिंदी में)
क्या फिशर बिना ऑपरेशन के ठीक हो सकता है?
हाँ, नया फिशर अक्सर फाइबर, पानी, स्टूल सॉफ्टनर, गुनगुने पानी की सिकाई और दवाओं से 4–8 हफ्तों में ठीक हो जाता है। पुराना फिशर हो तो लेज़र या LIS की सलाह दी जा सकती है।
फिशर के लेज़र ऑपरेशन का खर्च कितना है?
THE CLINICS में फिशर, पाइल्स और फिस्टुला की सर्जरी का खर्च लगभग ₹75,000 से ₹1,50,000 तक है, लेज़र शामिल है। अंतिम खर्च इलाज के प्रकार और पैकेज पर निर्भर करता है। यह ऑल-इन्क्लूसिव पैकेज है, जिसमें सर्जरी, अस्पताल में रहना और सामान्य कंज़्यूमेबल्स शामिल हैं। डॉक्टर द्वारा जांच के बाद अंतिम कोटेशन दिया जाता है।
लेज़र के बाद काम पर कब लौट सकते हैं?
ज़्यादातर लोग 2–5 दिन में ऑफिस का काम शुरू कर देते हैं।
Book a consultation
Call the desk on +91 92173 81353 or +91 83683 75734, or WhatsApp +91 92173 81353. Consultation fee: ₹1,500 + ₹100 registration. Insurance facilities available.
THE CLINICS MISC, H2, Hauz Khas Main Road, opposite Neeli Masjid, New Delhi 110016 (surgery and OPD)
THE CLINICS Green Park, G-32, Green Park Main Market Road, New Delhi (OPD)
THE CLINICS has no emergency department. In an emergency, go to the nearest hospital or call 112.
This article was prepared with AI assistance for review by Dr Saurabh Bansal, GI & laparoscopic surgeon (DMC Reg. No. 37887). It is general information and not a substitute for medical advice.
