A chronic anal fissure is a small tear in the lining of the anus that persists for more than six weeks. This condition often causes intense pain during and after bowel movements, bleeding, and discomfort. If left untreated, it can significantly affect a person’s quality of life. Dr. Ahmed Al-Santer is a trusted expert in managing chronic anal fissures, offering advanced and compassionate care tailored to each patient’s needs.
What Causes Chronic Anal Fissures?
Chronic anal fissures are typically caused by repeated trauma or strain to the anal area, such as:
- Constipation and passing hard stools.
- Chronic diarrhea or frequent bowel movements.
- Childbirth or other physical strain.
- Underlying conditions such as Crohn’s disease or other inflammatory bowel disorders.
The persistence of the fissure can lead to a cycle of pain and muscle spasms in the anal sphincter, which further delays healing.
Symptoms of Chronic Anal Fissures
Patients with chronic anal fissures often experience:
- A small lump or skin tag near the fissure.
- Sharp pain during and after bowel movements.
- Bleeding, usually bright red, noticeable on toilet paper or in the stool.
- Itching or irritation around the anus.
- A visible crack or tear in the anal area.


How Dr. Ahmed Al-Santer Can Help
Dr. Ahmed Al-Santer provides a comprehensive approach to treating chronic anal fissures. His goal is to not only alleviate symptoms but also to address the underlying causes and promote long-term healing.
Non-Surgical Treatments
For many patients, non-surgical treatments can effectively resolve chronic fissures. These include:
- Medications: Topical ointments, such as nitroglycerin or calcium channel blockers, to relax the anal muscles and promote blood flow.
- Botox Injections: Used to temporarily relax the anal sphincter muscles, allowing the fissure to heal.
- Lifestyle Modifications: Recommendations for a high-fiber diet, adequate hydration, and stool softeners to prevent further strain.
Minimally Invasive Surgery
If non-surgical options do not provide relief, Dr. Al-Santer may recommend a minimally invasive surgical procedure, such as:
- Lateral Internal Sphincterotomy (LIS): A highly effective surgery that involves making a small cut in the anal sphincter to relieve muscle tension and promote healing.
This procedure is typically performed as a day surgery, and most patients experience significant relief within a short recovery period.
Why Choose Dr. Ahmed Al-Santer?
Compassionate Approach: Understanding the discomfort and impact of this condition, he is committed to providing care with empathy and professionalism.
Expertise in Chronic Anal Fissure Management: With extensive experience, Dr. Al-Santer has successfully treated countless patients with chronic anal fissures.
Personalized Care: Every treatment plan is customized based on your symptoms, medical history, and preferences.
Advanced Techniques: Dr. Al-Santer employs the latest, evidence-based methods to ensure optimal outcomes.
Take the First Step Towards Relief
If you are struggling with the pain and discomfort of a chronic anal fissure, don’t hesitate to seek help. Dr. Ahmed Al-Santer and his team are here to provide expert care and guide you through every step of the healing process.
Schedule your consultation today to discuss your symptoms and learn more about the most effective treatment options for you.