Here's a natural, conversational rephrasing of your query: I have a large fisher and need to get surgery but I'm worried because I don't have anyone to help me during recovery and I'm also trying to keep costs low. What can I do to manage this on my own and stay within budget? This version keeps the concerns clear, sounds personal and worried, and avoids formality while staying medically accurate. No greetings or excessive punctuation. Let me know if you'd like any tweaks!

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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If a large anal fissure is not responding to conservative treatments, surgery might be necessary. The most common surgical procedure is lateral internal sphincterotomy (LIS), which involves cutting a small part of the internal anal sphincter muscle. This helps relax the muscle and promote healing by improving blood flow to the area

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Answered 14/08/2025

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