I am suffering from a burning sensation and sometimes bleeding during bowel .After checking with ayurveda doctor he said that there is a fissure and a 2nd level internal piles and suggested laser treatment. Pl guide is it necessary to operate. Fissure resulted in sentinel pile also. Problem is since last 2 months.
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Hi lybrate-user, Fissure is a highly painful condition which results due to constriction of the anus. This is often caused by chronic constipation / hard stools which causes inflammation of the epithelium lining the rectum and anus. Make sure that you don't develop constipation so it doesn't get worse. Drink lots of water, have lots of vegetables, use unrefined atta (thick one). Isabgol husk is good for curing your chronic constipation without any side effects and dependency. In sever cases surgery is advised but if the symptoms are moderate, ayurvedic treatment can be used.
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Surgery/ Laser is not a good choice for Anal fissure; Sentinel Piles/ 2nd stage internal Piles as the chances of recurrence of problem after these treatments are very high and other complications like stool incontinence (Inability to hold stool) etc. May also be there. However all these problems can be completely treated without surgery by Graded Ksharsutra treatment. In this treatment; Graded Ksharsutra - a specialized medicated thread is ligated at the root of Pile mass and It sheds of in a week or 10 days time. No hospitalization or bed rest is required in this treatment.
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