How does the Ayushman card cover surgery for anal fissure?

Dear N.Ramachandran Ji,

Anal fissure can cause severe pain, burning, bleeding, and discomfort during bowel movements. When symptoms continue for a long time or become severe, doctors may advise surgery. It is completely understandable to ask about treatment details and whether surgery may be covered under the Ayushman card.

What Is an Anal Fissure?

An anal fissure is a small tear or cut in the skin around the anus.

Common symptoms may include :

• Severe pain during passing stool
• Burning sensation
• Bleeding after bowel movement
• Constipation-related pain
• Discomfort while sitting

Proper surgical evaluation is important if symptoms continue despite medicines.

Which Doctors Usually Treat Anal Fissure?

Treatment is usually managed by :

• General surgeon
• Proctologist
• Colorectal surgeon

Doctors may recommend :

• Physical examination
• Proctoscopy
• Blood tests in selected cases

These evaluations help determine fissure severity and treatment planning.

Treatment Options for Anal Fissure

Treatment typically begins with non-surgical methods, but if these are not effective, surgical options may be considered.

• Non-Surgical Management :
  
  
  • Increasing fiber intake and drinking plenty of water to soften stools.
  • Taking warm sitz baths several times a day to relax the anal muscles and promote healing.
  • Using specific topical creams prescribed by a doctor to help relax the sphincter and reduce pain.

• Surgical Options :
  
  
  • Lateral Internal Sphincterotomy (LIS) : This is the most common surgical procedure for chronic anal fissures. It involves making a small cut in a portion of the internal anal sphincter muscle to reduce spasm and allow the fissure to heal. This is often performed as a day-care procedure.
  • Fissurectomy : In some cases, the fissure tissue itself might be removed.
  • Advancement Flap : For very complex or non-healing fissures, a flap of healthy tissue from the anal canal is used to cover the fissure.

Can Anal Fissure Surgery Be Done Under Ayushman Bharat?

Yes, if:

• The patient is eligible under Ayushman Bharat – PMJAY
• The hospital is empanelled under PMJAY
• Surgery is medically necessary
• Package approval is completed

then selected fissure surgeries may be available under cashless treatment at eligible hospitals.

Coverage may include :

• Hospital admission
• Surgery charges
• OT expenses
• Doctor consultation during admission
• Hospital stay
• Basic investigations related to treatment

Final approval depends on:

• Patient eligibility
• Hospital empanelment
• PMJAY package verification
• Surgeon assessment

How to Check PMJAY Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal
• Open the “Find Hospital” section
• Select:
  • State
  • District
  • Specialty – General Surgery
• Check nearby PMJAY empanelled hospitals

You can also directly contact hospital Ayushman help desks regarding fissure surgery package availability.

Documents Usually Required

Please keep these documents ready :

• Ayushman / PMJAY card
• Aadhaar card
• Doctor prescriptions
• Previous treatment reports if available

These documents help with eligibility verification and surgery planning.

How HexaHealth Can Assist You

HexaHealth is committed to helping you navigate your healthcare journey, especially when considering surgery under the Ayushman Bharat scheme :

• Doctor Consultation : We can connect you with experienced proctologists and general surgeons who specialize in treating anal fissures.
• Hospital Network : We have a vast network of hospitals, including many that are empanelled under Ayushman Bharat, ensuring you find a suitable facility for your surgery.
• Ayushman Card Support : Our team can assist you in verifying your Ayushman Bharat eligibility and guiding you through the process of availing cashless treatment for your anal fissure surgery.
• Seamless Experience : From initial consultation to hospital admission and post-operative follow-ups, we provide end-to-end support to make your treatment journey smooth and hassle-free.
• Advanced Surgical Benefits : For anal fissure surgeries like LIS, HexaHealth partner hospitals often offer minimally invasive techniques, leading to quicker recovery, less pain, and a faster return to daily activities.

Please feel free to reach out to HexaHealth for personalized guidance and support regarding your anal fissure treatment and Ayushman Bharat benefits. We are here to help you get the best possible care.

Wishing you relief, comfort, and speedy recovery ahead.
Warm regards,
Team HexaHealth