Clinic Timings Peshawar: Mon–Fri 2–7 PM Lahore: Sat 9 AM–4 PM Islamabad: Sun 9 AM–4 PM Khattak Medical Center, Dabgari Garden, Peshawar
Laser Proctology

Anal Fissure Treatment in Peshawar

An anal fissure is a small tear in the lining of the anal canal, and it causes pain out of all proportion to its size. Dr. Muhibullah Dawar treats acute and chronic fissures medically first, and surgically where the tear has stopped healing on its own.

Written and reviewed by Dr. Muhibullah Dawar, FCPS (General Surgery) Last updated 2026-09-07

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Key takeaways: Anal Fissure

  • Why a fissure does not heal — The tear triggers spasm in the internal sphincter. The spasm reduces blood flow to the very place that needs to heal, and the next hard stool tears it open again. Breaking that cycle is the whole of the treatment.
  • Signs you may have an anal fissure — Sharp, tearing pain as the stool passes.
  • Assessed and performed at Advance Surgery Clinic, Dabgari Garden, Peshawar.

What is an anal fissure?

A fissure is a longitudinal tear in the lining of the lower anal canal, usually caused by a hard or bulky stool. The classic symptom is sharp, tearing pain during a bowel motion followed by a burning ache that can last for hours, often with a streak of bright red blood on the paper.

Most acute fissures heal within a few weeks with stool softeners, a high-fiber diet, warm sitz baths and a topical agent that relaxes the sphincter. A fissure that has been present beyond six to eight weeks is called chronic, and by then it usually has a fibrous base and a sentinel skin tag. Chronic fissures rarely heal on medication alone and are the ones considered for a procedure.

Assessed before any treatment is recommended.

Signs you may have an anal fissure

  • Sharp, tearing pain as the stool passes
  • A burning ache that continues for minutes to hours afterwards
  • A streak of bright red blood on the stool or the paper
  • Fear of opening the bowels, which makes constipation worse
  • A small skin tag felt at the anal margin

An early assessment is what keeps the options open.

Questions before booking?

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FAQs

Frequently asked questions

The questions patients ask most often before booking this procedure.

An acute fissure often will, with stool softeners, fiber, sitz baths and a topical sphincter relaxant. A fissure that has lasted more than six to eight weeks usually will not, and should be assessed.

The concern is real, which is why the technique used is designed to preserve the sphincter. The risk is discussed with you before any procedure is agreed.

Because the anal canal below the dentate line is richly supplied with pain fibers, and the tear sets off spasm in the sphincter. The spasm is what prolongs the pain.

It can, if the constipation and straining that caused it are not addressed. Keeping the stool soft is the single most useful thing you can do.

Dr. Muhibullah Dawar

Dr. Muhibullah Dawar

General, Laparoscopic, Thoracic and Laser Proctologist

FCPSGeneral Surgery
FellowshipLaparoscopic Surgery, CMH Rawalpindi
FCPS-IIThoracic Surgery, CMH Rawalpindi
Advance Surgery ClinicDabgari Garden, Peshawar
Medical references
NHS — Anal fissure
Related procedures
Piles Anal Fistula Pilonidal Sinus All Laser Proctology
Medical disclaimer

This page describes a procedure in general terms so patients know what to expect. It is not medical advice and cannot replace an examination. Whether a procedure suits you, and what your recovery looks like, depends on your diagnosis, imaging, general health and how you respond to treatment — which is why every plan is made in consultation.

If you have severe abdominal pain, heavy rectal bleeding, a hernia that has become hard and painful, or sudden difficulty breathing, seek urgent care rather than waiting for an appointment.

Get a fissure assessed properly

Book a consultation with Dr. Muhibullah Dawar for assessment, diagnosis and a treatment plan explained in plain language.

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