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Anal stenosis; Causes, prevention and treatment
Anal stenosis; Causes, prevention and treatment
Author: Dr. Naveen Chauhan, Senior Ayurveda Consultant Proctologist
Anal stenosis is the most common type of outflow obstruction and is usually mistaken for constipation. It is the second most frequently missed anal diagnosis. This is unfortunate because it can be treated very easily under local anesthetic. The symptoms are difficulty pushing a firm stool through a narrowed Anal canal. It comes on slowly so the patient is not fully aware of the narrowing and attributes it to “constipation”. The problem is that the anal canal has been narrowed by a ring of scar tissue located just under the skin of the anal margin which, just like a bone, will not give or allow the anal canal to stretch to accommodate a large diameter stool. This condition most often affects the internal (involuntary) sphincter instead of the external sphincter, which a person can control.
Anal stenosis; Causes
Anal stenosis can result of one or more of the following causes:
- Complications from a surgical procedure, such as a hemorrhoidectomy (overzealous hemorrhoidectomy is most common cause)
- Irritation from constant diarrhea
- Rectal infection
- Constipation or straining during bowel movements
- Anal or rectal tears
Anal stenosis; Symptoms:
The symptoms of anal stenosis might at first seem minor but can worsen with time. They include constipation, pain during bowel movements, stools that are narrow and break apart like pellets, and bright red blood in the toilet after a bowel movement. Crohn’s disease, an inflammatory bowel disease, can also produce symptoms that mimic those of anal stenosis.
Anal stenosis; Ayurvedic treatment :
In the OPD or OT, under local anesthesia, the ring of scar tissue is incised on both sides through the anal skin which immediately allows the canal to expand to its normal stretchable diameter. Anal dilator is to be used afterwards to allow the canal to heal in the stretched position. Besides Ayurvedic Healing promoting medicine like Jatyadi oil is used for local application and instilled per rectally with the help of a syringe and simple rubber catheter.
About Dr. Naveen Chauhan
Note:
**Author is a qualified Ayurveda Doctor (Surgeon) and is practicing Ayurveda & Kshara sutra treatments since past 14 years. The above article is for patient education and not a substitute for a medical advice. Kindly consult your Ayurveda doctor or Family physician before starting any treatment for the health problem. Dr. Chauhan can be contacted through email nchauhan.dr@gmail.com or by phone +91-9818069989
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Comments
19 responses to “Anal stenosis; Causes, prevention and treatment”
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is there any treatment of anal stenosis other than cutting scar tissue
just saw an treatment on listentoyourgut.com
advice… -
is there any treatment for anal stenosis other than cutting the scar tissue?
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Dear sir,
There may be some help by dilations sittings. Anything can be told only after proper check-up.
Regards,
Dr. Naveen chauhan
Director and Consultant Ayurveda Proctologist
Shri Dhanwantari Clinic, Ghaziabad-
Dear sir,
Just 2 months ago i was undergone stricturotomy and my doctor suggest me for self dilation but it is vary painful. Is there any another method to.keep.anal.opening ok
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Hello Sir , my father’s age is 76 years. He is suffering from severe stenosis in Anal Canal . This condition was revealed when colonoscope couldn’t went beyond . Sir , I would like to know that is there any treatment in Ayurved in your hospital ?
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Yes treatment is there. Kindly visit our center after having an appointment at 9818069989.
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One pt is suffering from anal canal very small opening difficult to pass stool. What treatment may be given.
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the patient needs to be examined… if possible , you can refer the patient…contact number 9818069989
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Sir I have done nagar shutra for piles and after 1 month having problem to pass stool.. I feel like there is a ring type obstruction. Check by Dr and said it is scar after surgery
Please tell me what is this and how it can be treated now..I an worried..
Regards Mannu-
Anything can be told, only after checking the condition personally… But one thing is that, as the procedure was done only one back, you need not worry, the uncomfortability will settle down gradually… Thanks
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I feel sharp pain in the left part of my bumbom when Pasing stool.)
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Might be Fissure… Visit anorectal specialist
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Sir I am gone through kshar sutra treatment for piles last year. Now I have a problem of shortening of anal opening. I think it is anal stenosis. There is any centre in delhi. Please reply.
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Visit your doctor, or contact us at 9818069989.
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Sir,I have to push very hard while defecating…perhaps my anal canal has become narrow…I’ve hemorrhoid too…please suggest what to do…
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Do visit our clinic… Contact us at 9818069989
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i had fistula treatment via ksharsutra 3 month back ,but when i pass stool i feel a bit pain when anus stretched which go in 10-15 mins can anal stinture be occurred after ksharsutra too ,dnt get fully empty after one bowel movement hv to go upto 3 then feel completely evacuated ,poop look bit changed like flattened too ,will it is because of ksharsutra treatment or some stinture is there
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In general there is no such complication of stricture formation after kshar sutra treatment. It can be simply due to improper digestion which often leads to constipation. You may plan a visit at our centre for a check up to find out the real cause and to plan proper treatment of the problem. Call at 9818069989 to have an appointment.
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Sir, I’m a resident of Hyderabad & I got operated five times for various reasons like piles, hemorrhoids, fistula
etc, later on it was diagnosed as Anal stenosis, now I’m unable to defecate my bowl properly with lot of gasses accumulating & forming like a ball in my stomach, every day it takes 3 to 4 hours to relieve myself, can ths problem b treated in Ayurveda
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