Hello doctors..can u plzz tell me about the reason behind the anal fissure..and is it realted to piles if yes thn how..? Also what should be the treatment of it..is it necessary to do operation??...
Mostly caused due to stretching of anal mucous membrane beyond it's capability and treatment initially start non surgical procedure given local ointment- nitroglycerin and calcium channel blocker when it not heal than used surgical procedure.