Back to RegistryChief Complaint Severe pain during defecation with streak of blood Duration of Symptoms 9 months Diagnosis Chronic Posterior Anal Fissure
Planned Treatment Botox Injection
AM
Aishwarya Mehta
Under Follow-upPT-10254MRD/2026/975359 yrs · Female+91 99446 26046Trivandrum
Blood Group
O-
BMI
20.8
Surgeon
Dr. Sameer Khanna
Surgery Date
15 Apr 2026
Patient Information
- Full Name
- Aishwarya Mehta
- Age / Gender
- 59 yrs · Female
- Contact
- +91 99446 26046
- MRD Number
- MRD/2026/9753
- Blood Group
- O-
- City
- Trivandrum
- Admission Date
- 13 Apr 2026
- Anaesthesia
- Spinal
- BMI
- 20.8
Clinical Findings
Symptoms
Painful defecationConstipationSphincter spasm
Past Medical History
Chronic constipationHypothyroidismIschemic heart disease
Investigations
| Test | Result | Status |
|---|---|---|
| Complete Blood Count | Hb 13.4 g/dL | Normal |
| MRI Pelvis / Fistulogram | No abnormal tract | Normal |
| Proctoscopy | Grade III piles | Abnormal |
| Histopathology | Benign, no malignancy | Normal |
Surgery Details
- Procedure
- Botox Injection
- Surgeon
- Dr. Sameer Khanna
- Anaesthesia
- Spinal
- Duration
- 82 min
- Blood Loss
- 102 ml
- Date
- 15 Apr 2026
Operative Note
Fissurectomy with chemical sphincterotomy.Post Operative Notes
Uneventful post-operative course. Ambulated same day. Pain controlled with oral analgesics.
Follow Up History
No follow-up visits recorded yet.
Diagnosis & Treatment
Primary Diagnosis
Chronic Posterior Anal Fissure
Anal Fissure
Next visit: 12 Aug 2026
Complications
No complications recorded — uneventful recovery.
Attached Images
Pre-op Photo
MRI Scan
Histopath
Post-op Photo
Sample attachments · demo placeholders