PATIENT GUIDE · LAHORE
Pain with bowel movements deserves a clear diagnosis.
A fissure is a small tear at the anal opening. Many improve with stool-softening measures and prescribed treatment; a persistent fissure may need further intervention.
Consultations with Prof. Dr. Zahid Mahmood, MBBS, FCPS
General, Laparoscopic & Laser Surgeon
مقعد میں شگاف: پاخانے کے دوران درد اور خون کی وجہ کا معائنہ کروائیں۔ ابتدائی علاج میں قبض کا کنٹرول اور تجویز کردہ ادویات اہم ہیں۔
اپائنٹمنٹ کے لیے فون یا WhatsApp پر رابطہ کریں؛ کلینک آپ کے وقت کی تصدیق کرے گا۔
Symptoms · Treatment options · Recovery & follow-up · Common questions · Clinic & appointments
When to seek urgent medical care
Fever, a painful expanding swelling or pus may indicate an abscess rather than a simple fissure. Heavy bleeding or severe illness needs emergency assessment.
If severely unwell, go to the nearest emergency department. Do not wait for a routine appointment or a WhatsApp reply.
Watch: Anal Fissure Treatment Without Surgery? | Laser Surgeon Lahore | Prof. Dr. Zahid Mahmood
Symptoms & reasons to seek assessment
An anal fissure can cause sharp pain during a bowel movement and lingering discomfort afterwards. It is different from piles or a fistula.
- Sharp pain when passing stool.
- Burning discomfort that can continue afterwards.
- Small amounts of bright-red blood.
What happens at your consultation?
Assessment usually starts with symptoms and a gentle examination. Persistent, recurrent or atypical tears may need investigation for another cause.
Bring relevant reports and scans, previous treatment details, and a list of medicines and allergies. Examination and tests are selected for your situation; not every patient needs every test.
Understanding the treatment options
Keep stools comfortable
Fluids, fibre and prescribed stool-softening treatment can reduce repeated trauma.
Prescribed treatment
Topical sphincter-relaxing medicines may help healing; treatment usually needs a full course.
Persistent fissures
Botulinum toxin or selected surgery may be considered after assessment. The effect on bowel control must be discussed.
Recovery, risks & follow-up
Healing takes time and symptoms can recur if constipation or diarrhoea persists. Follow-up checks both comfort and healing. Do not repeatedly use creams without a diagnosis.
Your consulting surgeon
Prof. Dr. Zahid Mahmood
MBBS, FCPS (Surgery)
General, Laparoscopic & Laser Surgeon
Consultations at Hameed Latif Hospital and Ghurki Trust Teaching Hospital, Lahore. Discuss your findings, treatment choices and the need for any further specialist referral.
Common patient questions
Is a fissure the same as a fistula?
No. A fissure is a tear; a fistula is an abnormal tunnel.
Is an operation always needed?
No. Many fissures settle with bowel-habit measures and medical treatment.
How much will assessment or treatment cost?
Costs depend on the required tests, procedure, hospital and expected stay. Ask for an itemised estimate after assessment. A fixed price cannot be confirmed without reviewing your case.
Is my appointment confirmed when I send a message?
No. A call or message requests an appointment. The clinic will confirm the location, date and time.
Request a consultation
Call 0300 4130159 or send an appointment request on WhatsApp. State your name, preferred clinic and suitable day.
Ghurki Trust Teaching Hospital, Lahore
Tuesday & Thursday
9:00 AM–1:00 PM
Please confirm availability before travelling. An appointment is confirmed only after the clinic responds. These contact routes are for routine appointments, not emergency care.
Further information
Laser Proctology Surgery Lahore — further information
Medical information sources: NHS: anal fissure; CUH: anal fissures.
Updated 9 November 2026. This information is for general education. Diagnosis and treatment require an individual clinical assessment.