Does eating pan mixed with tobacco and gutka, worse anal fissure? I am suffering from acute fissure in ano from long time. It's healing gradually, I am taking unani ayurvedic medicine on daily basis from last 2 months. right now no pain in rectum, not such itching neither blood in stool. Everything is fine now. I am habitually eating tobacco pan from last 20 yrs, I wonder may be it's the reason of fissure or might be it worse the situation after when it heals?

Dr. N AgrawalAyurvedic Doctor21yrs exp

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may be due to it causes constipation and indigestion that lead to pressure on defaecation. 

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Dr. R. N. BiswasAyurvedic Doctor8yrs exp

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Eat only fiber food & do not take any kind of intoxication, first of all use indian style toilet, if you are using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, western toilet increases constipation. Since constipation is a bigger factor behind piles & fissure. If you are feeling itching & burning, your anal muscles become unusually tight, this is symptoms of anal fissure, sometimes anal fissure not cured by only taking medication also don't go for any anal surgery fissurectomy or laser, your anus grip can be loose after surgery & it takes too much time to heal the anus wound, by that time you will also suffer pain and trouble, you should get some ayurvedic therapies like ayurvedic matra basti, ayurvedic kshar karma & anal dilatation. If your fissure wound is big & chronic then lis treatment is must, after that you will never have a fissure again. You'll be fine in just 10 days. 

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