Certain factors are identified and determined to be contributing factors in causing fissures. Here are the primary factors:

• Constipation- Hard stools
• Diarrhea- Irritation and anal tissue damage
• Anal trauma- Anal area injuries due to anal intercourse
• Crohn’s disease- affects the digestive system including the anus
• Inflammatory bowel disease- Crohn’s disease and ulcerative colitis
• Pregnancy and childbirth- Due to rectum and anus pressure
• Anal infections lead to Inflammation
• Decreased anal area blood flow
• Anal sphincter muscles spasms

Certain conditions are also identified that cause fissures. Here are these conditions:

• Tuberculosis
• Diaper rashes
• Sexually transmitted diseases or infections
• Inflammatory bowel disease
• Anal cancer
• Previous surgery

Certain steps are followed to confirm the fissure diagnosis. Here is how the condition is diagnosed:

• Physical Examination: This is involved in identifying the signs of a fissure, such as redness, swelling, or a small tear.
• Medical History: Symptoms and medical history evaluation assist in determining probable causes or contributing factors.
• Digital Rectal Examination (DRE): During a DRE, the doctor can look for anomalies by inserting a gloved, lubricated finger into the rectum like fissure or other rectal issues.
• Anoscopy or Proctoscopy: These procedures helps in giving a closer look at the rectum and anal canal by inserting a small, lighted tube.
• Diagnostic Tests: In certain cases, additional tests such as a stool sample analysis or colonoscopy are required to rule out other conditions.

If you are looking for anal fissure treatment in Kolkata, then you must consult and book your appointment with the healthcare experts at The CMRI. According to the health professionals, the majority of anal fissures don't require intensive care because some natural remedies can aid in healing and ease painful symptoms. The following are a few fissure treatment options:

• Using over-the-counter stool softeners.
• Consuming lots of fluids to stay hydrated and enhance digestion.
• Asitz bath can help to improve blood flow to the anorectal area, relax the muscles, and soothe irritation.
• Taking fiber supplements and eating foods high in fiber.
• Application of nitroglycerin ointment to promote blood flow to areas such as Cortina topical painkiller to get relief from discomfort.

The recovery after anal fissure treatment looks like below:

• After anal fissure treatment procedures, patients experience soreness or swelling in the area; this often goes away in a few days.
• Doctors often prescribe antibiotics and painkillers to treat any discomfort and stop infection.
• Patients may need to refrain from intense activities for a brief period to allow for proper healing.
• Scheduling routine follow-up visits with the healthcare provider helps to ensure appropriate healing and keeps an eye out for any potential problems.

Conducting an in-depth study and considering a few factors when looking for the best Fissure treatment in Kolkata is crucial. You can take the following steps to find the most reliable and excellent fissure hospital:

• Start by researching fissure treatment options and respectable hospitals in Kolkata. 
• You can get referrals from friends, family, doctors, or relatives.
• Check to see if the hospital is accredited and has a standing for offering excellent care.
• Enumerate the available treatment options at the center. 
• Think about picking a hospital that treats fissure patients using a multidisciplinary approach.
• Make sure to evaluate the center's equipment, infrastructure, and technology.
• Look for internet testimonials and reviews about the best fissure treatment in Kolkata for a better understanding of the medical services offered.