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Fissure in ano is a small tear or crack in the lining of the anal canal, often caused by trauma during bowel movements. Acute fissures may heal on their own, but chronic fissures may require medical or surgical intervention
Symptoms
- Sharp Pain During and After Bowel Movements Severe, burning pain that lasts for hours.
- Bright Red Blood in Stool or on Toilet Paper Due to tearing of the anal lining.
- Visible Crack or Tear Near the AnusOften accompanied by redness and swelling.
- Itching and Irritation – Due to inflammation around the fissure
- Spasms in the Anal Sphincter Tightening of the muscles, causing more pain and difficulty in healing.
- Sentinel Pile (Skin Tag Formation) Small skin growth near chronic fissures.
- Discomfort While Sitting Persistent pain, especially after passing stool
Treatment of Fissure in Ano
Dietary Modifications
High-fiber diet like fruits, vegetables, whole grains to soften stools
Increase water intake.
Avoid spicy and processed foods that can irritate the anus.
Medications
Stool Softeners (Laxatives) – e.g., Lactulose, Isabgol husk to prevent straining.
Sitz Baths Soaking in warm water 2–3 times a day for relief
Painkillers Reduce pain and inflammation
Lateral Internal Sphincterotomy (LIS)
Most effective surgery for chronic fissures.
A small cut is made in the internal anal sphincter to reduce spasm and improve healing.
Why Ayurveda is the Best for Anal Fissure Treatment?
- 1. Natural Healing Without Surgery Ayurveda promotes non-surgical treatments like Kshar Karma, Sitz baths, and herbal medications, making it an ideal option for those who want to avoid surgery.It ensures complete healing of the fissure without cutting or removing any tissue.
- 2. Pain Relief & Faster Healing Ayurvedic herbs like Jatyadi Taila, Triphala, and Guggulu help in reducing inflammation, pain, and infection while promoting natural healing. Sitz bath (warm water bath with Triphala or Panchavalkala decoction) softens the anal sphincter, reduces pain, and speeds up recovery.
- 3. Treats the Root Cause (Not Just Symptoms) Ayurveda focuses on treating chronic constipation, poor digestion, and imbalanced doshas (Pitta and Vata), which are the main causes of fissures. Herbal laxatives like Triphala, Isabgol, and Castor Oil ensure soft stools, preventing further tearing.
- 4. Kshar Karma – A Unique Ayurvedic Approach Kshar Karma is a minimally invasive procedure where a specialized herbal alkaline paste (Kshar) is applied to the fissure to remove unhealthy tissue and promote healing. It is an excellent alternative to surgery with minimal pain and faster recovery.
- 5. No Side Effects unlike Allopathic Medicines Unlike painkillers and steroids used in modern medicine, Ayurvedic treatments are free from harmful side effects and promote long-term digestive health.
- 6. Prevents Recurrence & Strengthens the Digestive System Ayurveda recommends a high-fiber diet, proper hydration, and lifestyle changes to prevent recurrence. Herbal formulations like Avipattikar Churna, Pippali, and Aloe Vera juice help improve digestion and prevent acidity, which contributes to fissures.
- 7. Strengthens the Anal Muscles & Prevents Stricture Formation Ayurvedic treatments help in relaxing the sphincter muscles naturally, reducing spasm and pain while preventing complications like anal stricture (narrowing of the anal opening).
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