Back to RegistryChief Complaint Severe pain during defecation with streak of blood Duration of Symptoms 8 months Diagnosis Chronic Posterior Anal Fissure
Planned Treatment Botox Injection
PK
Priya Krishnan
Under Follow-upPT-10346MRD/2025/327727 yrs · Female+91 82380 24348Kottayam
Blood Group
AB+
BMI
21.0
Surgeon
Dr. Rajiv Kapoor
Surgery Date
05 Jul 2026
Patient Information
- Full Name
- Priya Krishnan
- Age / Gender
- 27 yrs · Female
- Contact
- +91 82380 24348
- MRD Number
- MRD/2025/3277
- Blood Group
- AB+
- City
- Kottayam
- Admission Date
- 05 Jul 2026
- Anaesthesia
- Local
- BMI
- 21.0
Clinical Findings
Symptoms
Painful defecationConstipationSphincter spasm
Past Medical History
Hypertension
Investigations
| Test | Result | Status |
|---|---|---|
| Complete Blood Count | Hb 13.4 g/dL | Normal |
| MRI Pelvis / Fistulogram | No abnormal tract | Normal |
| Proctoscopy | Sinus opening seen | Abnormal |
| Histopathology | Granulation tissue | Pending |
Surgery Details
- Procedure
- Botox Injection
- Surgeon
- Dr. Rajiv Kapoor
- Anaesthesia
- Local
- Duration
- 35 min
- Blood Loss
- 34 ml
- Date
- 05 Jul 2026
Operative Note
Fissurectomy with chemical sphincterotomy.Post Operative Notes
Patient tolerated procedure well. Vitals stable. Shifted to ward in satisfactory condition.
Follow Up History
- 13 Jul 2026Pain score: 6/10Recovery: SlowMedication: Diosmin + Hesperidin
Advised high-fiber diet
- 13 Jul 2026Pain score: 7/10Recovery: SlowMedication: Diosmin + Hesperidin
Fully healed, discharged from care
Diagnosis & Treatment
Primary Diagnosis
Chronic Posterior Anal Fissure
Anal Fissure
Next visit: 01 Aug 2026
Complications
No complications recorded — uneventful recovery.
Attached Images
Pre-op Photo
MRI Scan
Histopath
Post-op Photo
Sample attachments · demo placeholders