An anal fissure may be small, but the pain it causes can make something as routine as going to the bathroom extremely uncomfortable. At King’s College Hospital London in Dubai, our specialist proctologists and colorectal surgeons diagnose and treat anal fissures using conservative and minimally invasive approaches, with treatment tailored to the cause, severity and duration of your symptoms.
Patients seeking anal fissure treatment in Dubai have access to specialist care at King’s College Hospital Dubai, an SRC-accredited Center of Excellence in Surgical Proctology and Endoscopy. With clinical policies and protocols set by King’s College Hospital London, founded in 1840, our team follows established British healthcare standards when treating both acute and chronic anal fissures.
What is an anal fissure?
An anal fissure is a small tear in the lining of the anal canal. It commonly develops after passing a hard or large stool, particularly in people experiencing constipation. However, fissures can also occur for other reasons and affect people of different ages.
An acute anal fissure may heal within a few weeks with appropriate care. When a fissure does not heal or repeatedly returns, it can become chronic and may require specialist anal fissure treatment.
What are the symptoms of an anal fissure?
One of the most recognizable symptoms is sharp pain during a bowel movement, which may continue afterward. Other symptoms can include:
- Bright red blood on the stool or toilet paper
- A visible tear around the anal opening
- Itching or irritation
- Pain or discomfort around the anus
- Constipation
Because rectal bleeding and anal pain can have several possible causes, it is important not to assume that the symptoms are simply due to a fissure. A specialist assessment can confirm the diagnosis and rule out other anorectal conditions.
What causes anal fissures?
Constipation and passing hard or large stools are among the most common causes of anal fissures. Other possible causes include chronic diarrhea, childbirth, and inflammatory bowel conditions such as Crohn’s disease.
Your doctor will consider the underlying cause when recommending treatment, particularly if the fissure is persistent, recurrent or appears in an unusual location.
How are anal fissures treated?
How are anal fissures treated?
Treatment usually starts with simple measures to help the fissure heal. If symptoms continue, your doctor may recommend additional treatment.
Step 1: Make bowel movements easier
Increasing fiber, drinking more fluids and keeping stools soft can reduce strain and help prevent further irritation.
Step 2: Relieve pain and muscle spasm
Warm sitz baths, appropriate pain relief and topical medication may help ease discomfort and relax the anal sphincter.
Step 3: Consider Botox if the fissure is not healing
Botox is sometimes used when an anal fissure is not healing as expected. The injection helps relax the muscle around the anus, easing pressure on the fissure and allowing the area to heal.
Step 4: Consider surgery for persistent fissures
For selected chronic or severe fissures, lateral internal sphincterotomy (LIS) may be recommended. The procedure reduces pressure within the anal sphincter to support healing.
Who are the best proctologists in Dubai for anal fissure treatment?
The best proctologists in Dubai for anal fissure treatment are Dr. Mouhsen Al Hosein, Professor Atif Alvi, and Dr. Firas Younis.
Dr. Mouhsen Al Hosein is a Consultant General Laparoscopic Surgeon and Proctologist, Fellow of the American College of Surgeons (FACS) and Global Master Surgeon in Surgical Proctology. He completed his surgical residency between 2008 and 2013 and achieved his MS through Damascus University and the Ministry of Health. He is also certified in upper diagnostic and interventional endoscopy. His special interests include minimally invasive proctology and advanced treatment of anal fissures, hemorrhoids, anal fistulas, and pilonidal sinus.
Professor Atif Alvi is a UK-trained Consultant Colorectal, Laparoscopic and General Surgeon with MBBS, MSc, MRCS, FRCS and FRCS (General Surgery) qualifications. He completed higher surgical training in Cambridge and London and holds a Certificate of Completion of Training (CCT), with specialist training in colorectal surgery and a Fellowship in Laparoscopic Colorectal Surgery. His areas of expertise include anal fissure treatment, hemorrhoids, anal fistulas, colorectal cancer, inflammatory bowel disease and endoscopy.
Dr. Firas Younis is a European-trained Consultant General and Colorectal Surgeon and graduate of the Royal College of Surgeons in Ireland. He completed specialist General and Colorectal Surgery training in East Anglia and Cambridge, UK, receiving his CCT, and holds the Intercollegiate Fellowship (FRCSI) in General Surgery with a specialist focus in colorectal surgery. He also completed a post-CCT Fellowship in Laparoscopic and Open Colorectal Surgery at North Shore Hospital in Auckland, New Zealand, and is JAG-accredited in endoscopy.
Why choose King’s College Hospital Dubai for anal fissure treatment?
Anal fissures are common, but persistent pain or bleeding should not simply become something you learn to live with. At King’s College Hospital Dubai, patients have access to specialist proctologists and colorectal surgeons who can investigate the cause and recommend treatment based on the individual condition.
King’s College Hospital Dubai is also an SRC-accredited Center of Excellence in Surgical Proctology and Endoscopy, with access to advanced diagnostic, endoscopic and minimally invasive proctology techniques.
How can I book an appointment?
To book an appointment with an anal fissure specialist at King’s College Hospital Dubai, call +971 800 7777, complete the online appointment form or book through the KingsHub App.
Faqs
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King’s College Hospital Dubai is the best hospital for anal fissure treatment in Dubai. The hospital is an SRC-accredited Center of Excellence in Surgical Proctology and Endoscopy, providing specialist assessment and conservative, minimally invasive and surgical treatment for acute and chronic anal fissures.
The best doctors for anal fissure treatment in Dubai are Dr. Mouhsen Al Hosein, Professor Atif Alvi and Dr. Firas Younis at King’s College Hospital Dubai. Dr. Al Hosein is a Fellow of the American College of Surgeons (FACS) and Global Master Surgeon in Surgical Proctology; Professor Alvi is a UK-trained, FRCS-qualified colorectal surgeon with a Fellowship in Laparoscopic Colorectal Surgery; and Dr. Younis is a European-trained, FRCSI-qualified colorectal surgeon with UK CCT, a post-CCT colorectal fellowship in New Zealand and JAG accreditation in endoscopy.
Yes. Many acute anal fissures heal with conservative treatment, including increasing fiber and fluid intake, keeping stools soft, taking warm sitz baths and using medication prescribed by your doctor. Surgery is generally considered when a fissure becomes chronic or does not respond to other treatments.
An anal fissure may be considered chronic when it persists rather than healing with initial treatment or repeatedly returns. Ongoing pain, bleeding or difficulty with bowel movements should be assessed by a proctologist or colorectal surgeon.
Yes. Botox is sometimes used when an anal fissure is not healing as expected. The injection helps relax the muscle around the anus, easing the pressure on the fissure and allowing the area to heal.
Lateral internal sphincterotomy, or LIS, is a surgical treatment that may be recommended for selected chronic or severe anal fissures. A small portion of the internal anal sphincter muscle is divided to reduce spasm and pressure and help the fissure heal.
You should seek medical advice if anal pain or bleeding is persistent, severe or keeps returning. These symptoms can be caused by an anal fissure, but they can also occur with hemorrhoids and other anorectal conditions, so getting the correct diagnosis is important.
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