ANAL FISSURE/FISSURE-IN-ANO – Causes, prevention and treatment as per ayurveda

Kshara sutra therapy: Frequently asked questions
Diet for Constipation, Piles/Hemorrhoids, Anal fissure and Fistula in ano (ano-rectal) patients as per Ayurveda

ANAL FISSURE/FISSURE-IN-ANO – Causes, prevention and treatment

naveendrAuthor: Dr. Naveen Chauhan, BAMS, CCYP, ROTP, CRAV (KSHARA SUTRA)

SURGEON CUM AYURVEDA PHYSICIAN

SPECIALIST IN FISTULA in ANO, PILES, FISSURE, PILONIDAL SINUS, ANO-RECTAL ABSCESSES

AROUND 10 YEARS OF CLINICAL EXPERIENCE IN AYURVEDA SURGICAL PROCEDURES

Anal fissure or Fissure-in-ano is a kind of longitudinal cut (linear ulcer) at the anal canal  outer anterior and posterior margins (skin-lined part) which is formed when a person suffering from constipation passes hard stool with strain. It is extremely painful ano-rectal condition which lead sufferer into stress and anxiety. The person is so much distressed that he/she develops fear for passing stool. This tendency however adds to his problem as it further aggravates the problem of constipation.

Anal fissure commonly occur at midline posteriorly but sometimes seen at midline anteriorly and rarely seen at anywhere in the anal circumference.
The ulcer of anal fissure doesn’t heal up easily because;
  1. The anal canal always full of microorganisms i.e. it is always lodged with infection.
  2. The passage of hard stool during the act of defaecation prevents it from healing easily.

In acute stage the fissure is extremely painful and may bleed frequently but if ignored for a long time for more than 7-8 months, it gets partially healed up and a skin growth known as sentinel tag or sentinel pile surrounds it. This sentinel tag further hinder the complete healing of the underlying fissure or cut.

Who suffer more from Anal fissure the causative factors?
  • People who have a habit of eating junk food and fast food with less dietery fibres.
  • People who drink less fluids and water.
  • People who do not exercise or walk and have sedentary lifestyle.
  • Women during pregnency generally develop constipation and thus anal fissure is seen more in women than men.
How fissure can be prevented?
The primary cause of anal fissures is constipation. So, one has to develop habits by which constipation can be prevented. A few measures can be;
  1. Taking adequate dietary fibers. Eat more vegetables, fruits and salad.
  2. Drink plenty of water and fluids but avoid much coffee and tea.
  3. Avoid straining during defaecation.
  4. Avoid excessive chillies and spices in food items.
  5. Avoid much of non-veg. food. Try to be vegetarian.
  6. Use of buttermilk (Lassi without butter) with a pinch of cumin powder and black salt keeps the digestion correct.

To download the DIET CHARTS for Fissure in Hindi and English Click here

What is the treatment?

In acute condition, medicines to relieve constipation along with Ayurvedic healing oils for local application, are prescribed. Dilation using anal dilators of appropriate diameters or using index finger is done along with ayurvedic healing oils. However if the condition becomes chronic and sentinel tag has been formed, surgical intervention is necessary.
In Ayurveda the sentinal tag is cut by using a specialized medicated alkaline thread ligation technique, known as Kshara-sutra ligation which offers a better way to treat chronic fissure-in-ano than conventional surgery. Kshara sutra method is least invasive para surgical procedure for cutting benign tissues like sentinel tag, piles masses, warts, condyloma etc. In this technique a highly specialized medicated thread is ligated tightly around the sentinel tag, which strangulate the tissue and cause necrosis thus the tag fall off in 3 to 5 days. The underlying fissure heals up in next 5-15 days. Ayurvedic medicines for constipation and Ayurvedic healing promotion oils like Jatyadi oil or panchguna oil etc.along with Finger dilation of anal canal (Ganesh Kriya) are used till the fissure gets healed completely.
Sitz bath :- In acute as well as chronic cases of fissure in ano, Sitz bath with lukewarm triphala or panchwalkal kwath is quite helpful in relieving the pain. Patient should use a plastic tub of appropriate diameter and fill it with lukewarm panchwalkal/triphala kwath or simply tap water with some some antiseptic solution and should sit in such a way that his anus and buttocks get submerged inside the warm medicated water. It greatly help in reliving the pain in ano-rectal diseases and gives a soothing effect.Sitz bath is advised in all patients suffering from fissures, piles or fistula in ano and also it is an important part of post operative treatment in ano-rectal cases.

Thanks for patiently reading this article. I hope Fistula patients will be benefitted by these tips. If however, you still have any query/doubt regarding your disease, you can e-mail me at consult@ayurvedapilescure.com

To know more about Fissure in Hindi read the following article
फिशर के बारे में हिंदी में जानने के लिए पढ़ें ये उपयोगी लेख : फिशर: कारण, लक्षण एवं आयुर्वेद चिकित्सा

To download the DIET CHARTS for Fissure in Hindi and English Click here

 

Author: Dr. Naveen Chauhan

Consultant Ayurveda Physician and Kshar sutra Surgeon

SHRI DHANWANTARI CLINIC, GHAZIABAD

Helplines: 9818069989, 7861888100

Kshara sutra therapy: Frequently asked questions
Diet for Constipation, Piles/Hemorrhoids, Anal fissure and Fistula in ano (ano-rectal) patients as per Ayurveda

38 comments

  • sir please muja bata da ki fissure ka elaz kase dik kia jaya

  • sir muja two years sa fissur ki problem hai aur mna injection bi laga tha par ma tik nahi ho paya maje fir say jalyan aur dard hota hai ma es say bhoot parac han ho sir muja is ka bara me detail say bathain

  • Dear Sir,

    mujhe august se fisar ka problem hai or my bhut sari medicine use kiya but tik nhi ho rha hai abhi my ek ISHABGOL FIEVER LETA HU OR SYP HAI CAMFFOIL LETA HU SATH ME 1 TIME SEATZ BATH KARTA HU BUT MY EK BR KARTA HU SIR FIR V JYADA ASAR NHI HAI JALDI SE FISER KISE TIK KR SAKTE HAI SIR KOI GHARELU ILAZ BATA DIJYE SIR PLZ

  • Dr. Mohammad Asim khan

    Hi, sir me ek ayurvedic doctor hu, or mjhe kshara sutra me intrest h, me ise sekhna chahta hu bt jaha me rhta hu waha ayu ka itna craze nhi h, plz mjhe advise de k me kshar sutra speslist bnne k lye kya kru

  • SIR MUJHE 2SAAL SE FISHER KA PROBLEM HAI, PLZ SIR KOI ACCHI SI MEDICINE DIJIYE

  • Sir, i have a problem fissure-in- ano… the solid skin growth around the anal and try to close that…. but i getting medicine treatment… i don’t like to get surgery treatment.. Pl tell me any other treatment by medicine without surgery ….

  • AADARNIY VAIDHYA JI,
    SADAR NAMASKAR, MAIN LAST 1.5 YR SE FISSURE SE PEEDIT HU, MIKASIN 500 INJ K SATH KUCH AUR DAWAYE BHI LENI PADTI HAI, ISKE BAAD BHI KOI LABH NAHI HAI, MAIN KSHAR SUTRA VIDHI KE BAARE ME JAANNA CHAHTA HU

    • Dear sir,
      There is lot of information already there on our website for Fissure in ano and kshar sutra. Still you have any doubt please visit the catagory Fissure. JUST CLICK HERE.
      Regards,
      Dr. Naveen Chauhan
      Consultant Ayurveda Proctologist

  • Please send medicines for sentinel pile, swelling, throbbing pain, and painful bowel movements. No constipation / straining—stool is well-formed.

    Kshar Sutra—anyone in Canada doing this?

  • Dear, Sir/madam,i am naresh suna. Mujhe ek saal se fistula(bhagandhar)hua hai. Mujhe bahut ghabrahat ho rahi hai ki kahin kuch na ho jaye..So,treatment k liye koi upchar kare to, main aapka rundar rahunga..Plz dist-balangir,odisha, india

    • Hello Naresh ji,
      Fistula is a completely curable disease by Ayurveda Kshar sutra treatment. Don’t be upset, just go to an Ayurveda Kshar sutra specialist doctor near you. You will soon get rid from your problem.
      Thanks and regards,
      Dr. Naveen Chauhan
      Director and Consultant Ayurveda Proctologist
      09818069989

  • Mai aap logon sey or Dr saab se ye information lena chahata hon k anal fissure ki waja se kya complete hip mai takleef hoti hai or ye kbhi kbhi ziyada hokr pair mai bhi mehsoof hoti hai kya Please Help me k anal fissure ki waja se kaha kahan takleef hoti hai…

  • Sir I am suffering from fissure from last two three months. It seems that its healing but starts paining again and again kindly suggest some solutions.

    • Dear Mr. Uttam,
      Take remedies and proper dietary precautions to avoid constipation. Get yourself check-up by an Ayurveda Proctologist. We recommend you to use our Ayurveda Package for Fissure in Ano
      YOU CAN ORDER IT ONLINE AND IT WILL BE DISPATCHED AT YOUR ADDRESS WITHIN 24 HOURS OF ORDER CONFIRMATION.
      Thanks and regards,
      Dr. Naveen Chauhan
      Director and Consultant Ayurveda Proctologist
      Shri Dhanwantari Clinic, Ghaziabad
      Phone: 098180699989

  • Dear Doctor,

    Thank for the info. Indeed it is very helpful.
    Is fissure completely curable problem? I have been suffering from fissure from last 1 and half year and taking allopathic remedy. I am getting satidfactory results. Please suggest any contact in Mumbai for Ayurvedic fissure treatment.

    Thank!

  • i m suffring from fissure, and how can get relief from this? which medicine works for treatment of this dieases? reply me sir,

  • dear sir ,
    please ye bataye ki fissure ka ilaj jad se hai.

  • 1 month se fissure se preshan hu jab toilet baitho to blood aa jata hai

  • Sir, ko e deshi elaaj bata eye

  • Hi Doc,

    I m suffering from fissure and pus is coming since last two days. Doc has advised small cut at fissure point which he will keep open for automatic healing. Please suggest. I am scared.

  • Ser dehradun me clinic nhi he kya aapki sir muje bi fissure he 6month se Plz help …..

  • sir I am suffering from fissure with sentinel pile in ano from 8 months. ..I am taking homeopathy medicine ..but no use…tell me better advice for this

  • sir what is the sanskrit word of fissure?

  • Suffering from fissure from last 3 years. Not getting proper treatment. Only burning after passing bowel and while sitting in one place. Pl let me know any treatment or medicine so I can take it from Mumbai

  • Sir I’m suffering from fissure with tag near anal past three months..I have consulted doctor they said for surgery. I don’t want surgery. Please help me sir, is there any treatment or medicine

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