Dr. Manisha Singh Patel

If you observe a small tear/crack or ulcer in the thin, moist tissue that lines the anus in yourself or your child, then it might be an anal fissure. Fissures are characterized by needle pricking sensation, burning sensation and sometimes extreme pain during defecation. An anal fissure is a medico-surgical disorder prevalent among teenagers which can also affect people of any age. But there is no need for concern as the same can be treated using Ayurveda. 

Symptoms: Patients suffering from anal fissure may experience a sharp itching or burning sensation in the anorectal region after passing stool. This may be accompanied with visible cracks in the skin around the rectal area, spasms and a sentinel pile. Sentinel pile is a tag of skin that develops if the problem of Anal Fissure persists for longer duration of time. In few cases, patients may notice some amount of bleeding. 

Causes: There are several factors that can cause anal fissure. However, constipation is the most common medical condition that may lead to the development of anal fissure. Constipation results in hardening and formation of large stools, which strain the rectal muscle. Other causes include persistent diarrhea, Crohn’s disease, anal sex, and childbirth. In rare cases, anal fissures can also be caused due to anal cancer, HIV, tuberculosis, syphilis, and herpes. 

Ayurveda in the Treatment of Anal Fissure: 
Ayurveda is a well known ancient Indian medical system which also deals with the different surgical disorders including Anal fissure using specialized surgical and para surgical treatment modalities. Surgical specialist of Ayurveda focuses on debridement of the fissures by Kshar Karma and using medicines to improve blood circulation in the affected areas, alleviate pain, prevent infection, treats constipation and relieve anal spasm. In the acute condition, ayurvedic treatment involves Kshar Karma – application of specialized medicines in affected area; applying herbal ayurvedic oil in the rectal area and herbal medicines to relieve constipation. Sitz bath with lukewarm Triphala kwath is also advised. This is a simple procedure which involves filling up a plastic tub of appropriate diameter with lukewarm Triphala kwath. The patient should sit in such a way that his/her anal region and buttocks remain submerged in the warm medicated water. 

In case the condition becomes chronic and sentinel tag forms, surgical intervention is necessary. This Ayurvedic surgical procedure is called Ksharsutra ligation. It involves ligation of sentinel tag with Ksharsutra. The specialized medicated thread is tied at the root of sentinel tag, which obstructs the blood supply to sentinel piles and causes necrosis resulting in falling of the tag within 5-10 days. Ksharsutra is also least invasive compared to conventional surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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While sex is something which is supposed to be a lot of fun and pleasurable to engage in can sometimes it can also turn out to be quite the opposite. One of the reasons for this can be a problem called vaginismus. And, a condition like this can threaten to break a marriage, it will be helpful to know a little bit about it.

Understanding the problem
Vaginismus is a problem which occurs when the muscles of the pelvic floor of a woman’s body contract when there is an attempt to insert something into the vagina. This contraction is not voluntary in nature. In a significant number of cases, vaginismus is the natural reaction of the body when something untoward has happened with the woman before. In many cases, if the woman has been the subject of any form of sexual abuse, she is likely to suffer from vaginismus more than other woman who have not been through this unfortunate experience.

The degree of severity of the case of vaginismus can really vary from one woman to another. The pain which is caused by vaginismus only occurs when there is an attempt to insert something into the vagina, be it a tampon or a penis, and does not exist at all otherwise. Your doctor can only correctly diagnose the issue. 

Vaginismus happens to be a rather common problem and many women are known to suffer from it at some point of their lives. What does differ, however, is the degree of intensity of the pain. That being said, it is not too hard to cure vaginismus, but it is easier to do so for women who have not been experiencing pain for a long period of time.