Recovery After Anal Fissure Laser Treatment

Exercises/Asanas To Follow For A Better Recovery

These exercises can help in proper recovery after your fissure surgery.

• Child’s Pose (Balasana)- This pose helps improve circulation around the anus and relieve constipation while relaxing the lower back, hips, and legs. It is said to provide a massage to the internal organs. 

• Pelvic Floor Contraction- Strengthening the pelvic floor muscles can make it easy to pass stool, relax the anal sphincter, and prevent straining. 

• Legs Up-the-Wall Pose (Viparita Karani)- This asana can raise circulation around the anus while relieving discomfort and irritation.

• Wind-Relieving Pose (Pawanmuktasana)- This pose provides pressure to the abdomen, which can help enhance digestive comfort. It also helps relax the muscles in the abdomen, buttocks, and anus.

• Deep breathing- This exercise helps alleviate pelvic floor muscle tension and promote relaxation.
• Bound Angle Pose- This pose can improve flexibility in the inner thighs, groin, and knees. It can also help stimulate the abdominal organs and ease digestive discomfort.

Medications To Take During Recovery

There are several different medicines a healthcare provider may suggest to the patient for a better recovery. It includes:

Laxatives

Laxatives are a kind of medicine that helps in easy defecation. Adults are generally prescribed bulk-forming laxative tablets after their fissure surgery. These work by helping the poop retain fluid, making it softer and less likely to dry out. Children are prescribed an osmotic laxative oral solution. This kind of laxative works by increasing the fluid in the bowels, which stimulates the body to poop.

Painkillers

If you have prolonged pain after defecation, your healthcare provider may suggest taking common painkillers, like paracetamol or ibuprofen. If you decide to take these medicines after the surgery, follow the dosage instructions on the packet.

Glyceryl trinitrate

Your healthcare provider may prescribe glyceryl trinitrate (GTN), an ointment applied to the anal canal, twice a day. GTN works by expanding vessels in and around the anus, boosting the blood supply to the surgical area and helping it heal faster. You will have to use GTN ointment for at least 4 weeks after the surgery.

Topical anesthetics

Your healthcare provider may prescribe a topical anesthetic if you have severe anal pain after your fissure surgery. A topical medicine is one you rub directly into the affected area. Lidocaine is the most commonly prescribed topical anesthetic to enhance recovery after surgery. It comes in either a gel or an ointment and is only used for a short time (a few days).

Calcium channel blockers

Calcium channel blockers, like diltiazem, are a medicine used to treat high blood pressure (hypertension). However, topical calcium channel blockers applied directly to the anus have also proved helpful in boosting recovery after fissure surgery. Topical calcium channel blockers relax the sphincter muscle and increase blood supply to the affected area.These blockers are considered as effective as GTN ointment for enhancing recovery and may be recommended if other medicines have not helped.