Anal Fissure Treatment in Los Angeles
Fast, gentle anal fissure relief with Dr. Moshe Barnajian, board-certified colorectal surgeon in Los Angeles.
Stopping the Pain of an Anal Fissure
An anal fissure is a small tear in the lining of the anal canal, but the pain it causes is anything but small. A fissure can bring sharp, burning discomfort during and after bowel movements, often with a little bright-red bleeding.
The good news is that most anal fissures heal with the right care. Dr. Barnajian offers everything from simple, proven measures to advanced options for stubborn cases, always aiming for fast relief and lasting healing.
As a Cedars-Sinai-trained colorectal surgeon, Dr. Barnajian treats fissures and other anal fissure-related concerns every day for patients across Los Angeles.
Acute and Chronic Fissures
Whether a fissure is new or long-standing shapes the best treatment plan.
Acute
A recent tear that often heals quickly with fiber, sitz baths, and topical treatments.
Chronic
A fissure present for several weeks may need medical or minor surgical treatment to break the cycle of muscle spasm.
Recurrent
Fissures that keep returning benefit from a specialist who can address the underlying muscle tension.
Symptoms and Causes
The hallmark is sharp, tearing pain during bowel movements that can linger for hours, often with a small amount of bright-red blood and spasm of the anal muscle.
An anal fissure is usually caused by passing hard or large stools, chronic constipation or diarrhea, or increased muscle tension. Because spasm reduces blood flow and slows healing, treatments that relax the muscle are often the key.
Anal Fissure Treatment Options
Dr. Barnajian starts with the most conservative effective treatment and reserves procedures for fissures that do not respond.
Fiber & Hydration
Softer, regular stools take pressure off the tear and allow many fissures to heal.
Topical Medication
Prescription creams relax the muscle and improve blood flow to speed healing.
Sitz Baths
Warm-water baths ease spasm and support healing.
Botox Injection
A quick in-office injection relaxes the muscle for stubborn fissures, avoiding surgery.
Sphincterotomy
For chronic cases, a brief, highly effective procedure relieves muscle tension for lasting relief.
What Your Visit Looks Like
Your visit is private and focused on getting you comfortable quickly. Dr. Barnajian performs a gentle evaluation and explains a clear plan.
Before your appointment
Note your symptoms and bowel patterns and continue your usual medications unless told otherwise.
During your visit
Most evaluations are quick and comfortable, and many treatments can begin the same day.
After your care
You will receive a simple, effective home-care plan and know exactly what to expect as you heal.
Same-week appointments available
Why Patients Choose Dr. Barnajian
Dr. Moshe Barnajian is a board-certified colorectal surgeon (FASCRS), Cedars-Sinai trained, who treats anorectal conditions every day, offering both fast relief and durable healing.
His office provides prompt, discreet appointments, accepts most PPO insurance with benefits verified in advance, and treats every patient with compassion. Call (424) 622-9028 to schedule.
Anal Fissure Care Across Los Angeles
Dr. Barnajian treats patients from Beverly Hills, Santa Monica, West Hollywood, and throughout Los Angeles, with prompt, discreet appointments and most PPO insurance accepted.
For trusted information on anal fissure and colorectal health, visit the American Society of Colon & Rectal Surgeons, or explore all of Dr. Barnajian's colorectal services.
Anal Fissure FAQs
Why is an anal fissure so painful?
The anal canal is very sensitive, and a fissure triggers muscle spasm that both increases pain and slows healing. Relaxing that muscle is often the key to relief, which is why expert care helps so much.
Do fissures require surgery?
Usually not. Most heal with conservative care or a simple in-office treatment. Surgery is reserved for chronic fissures and is quick and highly effective.
When should I see a specialist about anal fissure?
You should be evaluated if symptoms persist, worsen, or affect daily life. Early evaluation of the fissure usually means simpler, more effective treatment. Call (424) 622-9028 to be seen this week.
How is anal fissure treated?
Treatment is individualized, from conservative care to minimally invasive surgery. Dr. Barnajian explains every option and recommends the least invasive approach that will resolve your symptoms.
Do you accept insurance?
Yes. Most PPO plans are accepted and our team verifies your benefits before your visit. Call (424) 622-9028 to confirm coverage.
Get Anal Fissure Relief in Los Angeles
Fast, gentle, lasting treatment from an experienced colorectal surgeon. Same-week appointments available.