Table of Contents
Table of Contents

Anal Fissure

An Anal fissure can be caused by trauma to the anus and anal canal. It is longitudinal tear in the lower end of anus. It is the most painful condition affecting the anal region. It commonly seen among the young & the middle aged. Due wrong food habits fissures are found in children also.

Prevention of Anal Fissures

For fissures in adults:

  • Keep the anorectal area dry
  • Wipe the area with soft materials, a moistened cloth, or cotton pad; avoid rough and scented toilet paper
  • Promptly treat all occurrences of constipation and diarrhea
  • Avoid irritating the rectum

Causes of Anal Fissures

Anal fissures can be caused by trauma to the anus and anal canal. The cause of the trauma can be one or more of the following:

  • Chronic constipation
  • Straining to have a bowel movement, especially if the stool is large, hard, and/or dry
  • Prolonged diarrhea
  • Anal stretching
  • Insertion of foreign objects into the anus

 

Other causes of anal fissures (other than trauma) include:

  • Longstanding poor bowel habits
  • Overly tight or spastic anal sphincter muscles (muscles that control the closing of the anus)
    Scarring in the anorectal area
  • Presence of an underlying medical problem: such as Crohn’s disease and ulcerative colitis; anal cancer; leukemia; infectious diseases (such as tuberculosis); and sexually transmitted diseases (such as syphilis, gonorrhea, Chlamydia, chancroid, HIV)
  • Decreased blood flow to the anorectal area

Signs and Symptoms

Signs and symptoms of Anal Fissure include:

  • Pain during, and even hours after, a bowel movement
  • Constipation
  • Blood on the outside surface of the stool
  • Blood on toilet
  • A visible crack or tear in the anus or anal canal
  • Burning and itch that may be painful
  • Discomfort when urinating, frequent urination, or inability to urinate
  • Foul-smelling discharge

Risk Factors

Factors that may increase your risk of developing an anal fissure include:

  • Infancy. Many infants experience an anal fissure during their first year of life, although experts aren’t sure of the reason.
  • Aging. Older adults may develop an anal fissure partly because of slowed circulation, resulting in decreased blood flow to the rectal area.
  • Constipation. Straining during bowel movements and passing hard stools increase the risk of tearing.
  • Childbirth. Anal fissures are more common in women after they give birth.
  • Crohn’s disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing

Ayurveda Treatment

Ayurveda advises internal medication as well as topical ointment application in the treatment of anal fissures. To avoid further irritation to the damaged tissue, medicines which soften the stools and promote healing of the tissues are utilized. Ointments which are natural anti-bacterial and anti-septic are used for topical application.

Our Approach

AyurVAID Hospitals provides Fissures Treatment through Ayurveda. Ayurveda advises internal medication as well as topical ointment application in the treatment of anal fissures. To avoid further irritation to the damaged tissue, medicines which soften the stools and promote healing of the tissues are utilized. Ointments which are natural anti-bacterial and anti-septic are used for topical application. We also conduct Agnikarma, a para surgical procedure. This is thermal cauterization. In this procedure sentinel tags are removed by thermal cauterisation and sphincterotomy also will be performed by agnikarma to reduce spasm of anal ring.

The AyurVAID protocol is based on the simple premise that the Physician must diagnose and treat only based on sufficient evidence. This evidence should be ‘patient or rogi based’ in addition to being ‘disease or roga based’ in accordance with the fundamental principles of Ayurveda.

How is this made possible?
  • A thorough and complete recording of the patient’s medical history, capturing every minute aspect of his/her lifestyle.
  • A thorough head-to-toe clinical examination, uncovering health risk factors that the patient is unaware of, directly connected or unrelated with his presenting medical complaint(s).
  • This process of detailed history recording and clinical examination- which includes the classical Srotha-Vikrti pariksha – leads to an accurate understanding of the Dosha status of the individual and lays the foundation for an accurate differential diagnosis and medical management.
  • Further, the patient is entitled to be clearly informed about the diagnosis arrived at, as also understand the medical management proposed for him. The Physician shall proceed only with the patient’s informed concurrence.

Other Related Disease

*Outcome may vary from patient to patient

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