Anal Fissure and Laser Fissure Treatment in South Delhi

An anal fissure is a small tear in the lining of the anus that causes sharp pain during and after passing stools, sometimes with bright red blood. Most new (acute) fissures heal in a few weeks with stool softeners, fibre, sitz baths and prescribed ointments. A fissure that has not healed after 6–8 weeks of proper treatment is called chronic and may need a procedure. At THE CLINICS MISC, Hauz Khas, South Delhi, Dr Aayush Nagpal (coloproctologist, DMC Reg. No. 103369) and Dr Saurabh Bansal (DMC Reg. No. 37887) treat chronic fissures with laser and other methods, usually as day care.

Procedures at: THE CLINICS MISC, H2, Hauz Khas, opposite Neeli Masjid, New Delhi 110016
Consultations: Hauz Khas and THE CLINICS Green Park, Mon–Sat
OPD hours: Mon–Sat, 9 am–9 pm. Round-the-clock nursing care for admitted patients. No dedicated emergency department; for urgent concerns, call +91 9217381353.
Book: WhatsApp +91 9217381353 · call Hauz Khas +91 92173 81353 · Green Park +91 84488 30013 · book online

Symptoms of an anal fissure

Sharp, cutting pain while passing stools, often lasting minutes to hours afterwards
A streak of bright red blood on the stool or toilet paper
A small lump or skin tag at the edge of the anus (a "sentinel pile") in long-standing fissures
Spasm of the anal muscle that makes the pain worse

Bleeding from the back passage can have other causes, including piles, polyps and bowel cancer. See a doctor if bleeding continues, if you are over 45, or if you have weight loss, anaemia or a change in bowel habit.

Acute vs chronic fissure

• Acute fissure: How long: Less than about 6 weeks

• Chronic fissure: How long: Not healed after 6–8 weeks of treatment

• Acute fissure: Look: Fresh, shallow tear

• Chronic fissure: Look: Deeper tear, often with a skin tag

• Acute fissure: First treatment: Medicines and diet

• Chronic fissure: First treatment: Medicines, then a procedure if it still doesn't heal

Treatment without surgery

Most fissures heal without an operation:

Soft stools: a high-fibre diet, 2–3 litres of water a day and a stool softener so you don't strain
Sitz baths: sitting in warm water for 10–15 minutes, two or three times a day
Prescribed ointments: to relax the anal muscle and improve blood flow, and to ease pain
Toilet habits: avoid sitting long on the toilet and don't delay the urge to go

Procedures for a chronic fissure

When a fissure has not healed with medicines, we offer two procedures: laser treatment and lateral internal sphincterotomy (LIS). The doctor recommends one after examining you.

Laser treatment

Under anaesthesia, a thin laser fibre is used to clean the base of the fissure and release the tight muscle spasm that stops it healing. There are no large wounds and most patients go home the same day or the next morning.

Lateral internal sphincterotomy (LIS)

In LIS, the surgeon makes a small, controlled cut in part of the internal anal sphincter muscle. This relieves the muscle spasm so the fissure can heal. It is a day-care procedure under anaesthesia. There is a small risk of affecting control of wind or stool, which the doctor explains before you decide.

Recovery after laser fissure treatment

Most people return to desk work within a few days.
Pain usually eases over the first week; some spotting is common.
Keep stools soft with fibre, water and a stool softener for several weeks.
A review visit is usually within one to two weeks.
Call or WhatsApp +91 9217381353 for heavy bleeding, fever or inability to pass urine.

Your doctors

Dr Aayush Nagpal

Coloproctologist and general surgeon. DMC Reg. No. 103369 · 5+ years in practice.
MBBS, MS (AIIMS New Delhi), FACRSI, FISCP.
Timings: THE CLINICS MISC Hauz Khas, Mon–Sat 5–7 pm.

Dr Saurabh Bansal

GI, laparoscopic and bariatric surgeon. DMC Reg. No. 37887 · 18 years in practice.
MBBS, DNB (General Surgery), FNB (Minimal Access Surgery), fellowship in colorectal surgery (Taiwan).
Dr Bansal's OPD: THE CLINICS MISC Hauz Khas, Mon–Sat 9 am–6 pm; THE CLINICS Green Park, Mon–Sat 6–8 pm.

Fissure treatment near you

We see patients from Hauz Khas, Green Park, Safdarjung Enclave, Malviya Nagar, Saket, Vasant Kunj and across Delhi, as well as Gurgaon and Noida. Patients from abroad (Australia, the UK, the UAE and elsewhere) can send their history on WhatsApp before travelling; see international patients. Insurance facilities are available; our team helps with the paperwork (insurance and costs).

Frequently asked questions

Can an anal fissure heal without surgery?

Yes, most new fissures heal in a few weeks with soft stools, fibre, water, sitz baths and prescribed ointments. A procedure is considered only if the fissure has not healed after 6–8 weeks of proper treatment.

What is laser treatment for a fissure?

Under anaesthesia, a thin laser fibre is used to clean the base of a chronic fissure and release the muscle spasm that stops it healing. There are no large wounds, and most patients go home the same day or the next morning.

What is lateral internal sphincterotomy (LIS) for a fissure?

LIS is a day-care procedure in which the surgeon makes a small, controlled cut in part of the internal anal sphincter muscle to relieve the spasm, so the fissure can heal. There is a small risk of affecting control of wind or stool, which your doctor explains first.

How long does recovery take after laser fissure treatment?

Most people return to desk work within a few days, and pain usually eases over the first week. Keep stools soft for several weeks. Your doctor reviews you within one to two weeks.

Can a fissure come back after treatment?

Yes. A fissure can come back, especially if constipation or straining continues. Keeping stools soft with fibre, water and good toilet habits lowers the chance. Your doctor explains the chance of recurrence for your case.

Where can I find a fissure doctor near me in South Delhi?

Dr Aayush Nagpal, coloproctologist, sees patients at THE CLINICS MISC, Hauz Khas, Mon–Sat 5–7 pm, and Dr Saurabh Bansal sees them at Hauz Khas and Green Park. WhatsApp +91 9217381353 to book.

Is laser fissure treatment covered by health insurance?

Usually yes, when it is medically advised, subject to your policy's waiting period. Insurance facilities available at THE CLINICS. Our team helps with the paperwork.

Laser surgery for piles, fissure and fistula · Laser fistula treatment · Piles treatment · Can a fissure heal on its own? · Insurance and costs · Book a consultation

This page was prepared with AI assistance and medically reviewed by Dr Saurabh Bansal, GI, laparoscopic and bariatric surgeon (DMC Reg. No. 37887). Last reviewed: 20 October 2026. It is general information and does not replace a consultation.