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Anal Fissure Diet Tips

Anal Fissure

Anal Fissure
  • Fissure is due to hard stool, take liquid diet more.
  • Take herbal enema and ganesh kriya.
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Anal Fissures - Different Ayurvedic Remedies That Can Help!

Bachelor of Ayurveda Medicine & Surgery (BAMS), Certificate In Ksharsutra Therapy
Ayurveda, Himatnagar
Anal Fissures - Different Ayurvedic Remedies That Can Help!

Many people dread going to the toilet, all thanks to the extreme pain, bleeding (not always though), or itchiness that one experiences during the bowel movement. These are some of the discomfort and complications associated with a condition referred to as Fissure-in-Ano (also known as Anal fissures). Age or sex has no impact in triggering anal fissures as the condition can affect all and sundry (though infants are more susceptible).

Medically, anal fissures are nothing but cuts or cracks (can be chronic or acute longitudinal tears that mainly develop in the anoderm or the epithelial lining of the anal canal) that affects the anal as well as an anal canal (terminal end of the gastrointestinal tract). Without proper treatment and medication, the condition will only deteriorate further piling on the agony and discomfort.

What triggers Anal Fissures?

  • In the majority of the cases, the anal fissures, (that mostly appears in the midline posteriorly of the anal canal), are triggered by Constipation or passing of hard stools that cause repeated wear and tear of the anal mucosa resulting in the cracks or fissures.
  • Crohn’s Disease (an Inflammatory Bowel Disease that often results in the digestive tract getting inflamed) can play a significant role in the formation of fissures.
  • Anal fissures can also result from childbirth, severe diarrhea, HIV, Tuberculosis, anal cancer, to name a few.
  • Anal sex can, at times, play a pivotal role in triggering anal fissures.

A person with anal fissures complain of

  1. Pain and discomfort while passing stool. At times, there may be rectal bleeding as well.
  2. A skin tag often appears on the skin close to the fissure.
  3. The skin around the anus appears cracked with irritation and itching.

Ayurveda and Anal Fissures
Many patients with anal fissures, even severe and chronic cases, have been completely cured and treated (ensuring there is no recurrence of the condition) with Ayurveda.

  1. With constipation being a trigger for anal fissures, Ayurvedic medicines are given to soften the stool and also to treat constipation. In this regard, Triphala deserves a special mention. It works magically to provide relief from constipation and the associated discomfort that comes tagged along.
  2. The use of Panchakarma can also work wonders to treat anal fissures. Panchakarma involves the use of various herbal oil baths and massages to cleanse the body of the harmful toxins. Anal fissures can be treated using Basti (a part of Panchakarma therapy that eliminates the toxins present in the lower colon using an Ayurvedic enema such as milk, ghee).
  3. The diet should also be taken care off. Increase the intake of dietary fibers (citrus fruits, prunes, whole grains, beans, nuts, seeds, Brussels Sprouts, peas, to name a few).
  4. Make it a habit to indulge in exercise and physical activities daily.
  5. Increase the fluid intake (water, fresh fruit juice, vegetable soup) to keep the body hydrated.

Note: For maximum results, the dosage of the medicine (Triphala or any other Ayurvedic medicines) should be as per the doctor recommended.

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

3284 people found this helpful

Anal Fissure

Homeopath, Delhi
Anal Fissure

Treat Anal Fissure Using Homeopathy

The first effortless and urgent task after you wake up is freshening up. But just imagine if passing stool becomes a painful exercise? In fact, a regular difficulty can turn into a traumatic experience. You can treat anal fissure using homeopathy. It is basically a tear or cut in the skin lining inside the anus which causes pain and/or bleeding in the patient. Anal Fissure can be caused by the passage of hard, long stool due to constipation. In case of women, it may happen after a normal delivery of a child.

Treat Anal Fissure Using Homeopathy Medication:

Allopathic treatment suggests oral pain relief medicines or stool softeners, topical ointments relieving some symptoms. But they in reality just suppress the problem for a short period and do not cure it completely. In worst case scenarios, a physician would advise a surgery as an only option for treating an anal fissure. But our answer is No. Anal fissure has an excellent treatment with homeopathy. Don't think of surgery unless you have tried homeopathic medicines for a fair period of time. These medicines are made out of natural substances and have zero side effects and could be very beneficial in providing relief in anal fissures.

But the question that might be arising in your mind is how homeopathy can avoid surgery. Actually in a surgery, some muscles surrounding the anus are cut which helps in reducing anal spasms. But according to homeopathy, this can be achieved without a surgery and using a knife.This holistic treatment works by using one's own restorative processes and is safe. Medicines are selected based upon patient's particular symptoms and many other factors using a holistic approach. The aim of this medication is not only to treat the fissure but to also cure its underlying or root cause.

Homeopathic medicines facilitate healing in the patient, improve the blood circulation in the affected areas and relieve the pain and prevent further infection. The medication also takes care of the root cause, that is, constipation or weak digestive system and cures all underlying symptoms.

So what can be expected with homeopathic treatment?

According to studies and data, this treatment has been effective in curing more than 80% of the patients of anal fissures. Most of the patients start showing improvement in about 3 to 6 weeks but some might need a longer course. There are many remedies which can provide relief but it's always wise to consult an experienced physician who can study your case, symptoms, and complete case history and provide medication.


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All About Anal Fissures

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
All About Anal Fissures

Anal fissures are the small tears formed in the anal lining. They are also known as anal ulcers. An anal fissure causes a lot of pain and bleeding during your bowel movements. Usually a fissure heals automatically in a few days time. It can be treated with simple home remedies as well.


  1. You can suffer from an anal fissure if you pass hard and large stools. 
  2. Also strained childbirth or suffering from violent spells of diarrhea might get you an anal fissure. 
  3. Chronic constipation may also be cause of a fissure. 
  4. Other rare causes may be anal cancer, HIV, tuberculosis or herpes. 

Individuals of all age groups can suffer from anal fissures. It is not a very serious problem and heals on its own in a few weeks. Although it can heal itself, there are certain treatments which can help relieve the pain you get from an anal fissure.

An anal fissure has quite a lot of symptoms for you to understand what you are suffering from:

  1. There will be a very visible tear around the anal region. You will be able to spot the tear on the skin very easily.
  2. A small lump of skin may form next to the tear.
  3. When you will be undergoing your bowel movements, you will feel a very sharp pain in the anal region.
  4. You will find spots of blood on the stool passed.
  5. You will also feel a burning or an itching sensation in the anal region.

Although most fissures do not require treatment, there are a few remedies that will help cure them faster:

  1. Stool softeners: You get certain medicines at the chemist, which are known for their stool softening functions. These stool softeners help to soften the hard stools and initiates smooth bowel movements.
  2. Eat fibrous foods: Eat foods rich in fiber like fruits, whole grain cereals, raw vegetables, etc.
  3. Take warm baths: Take a bath in warm water as it relaxes your anal muscles, helps to relieve irritation in the region, and increases blood flow in the anorectal region.
  4. Use ointment: Apply nitroglycerin ointments and topical pain relievers to promote blood flow to the anal region and to relieve discomfort from the region respectively.

Related Tip: "What Are Anal Fissures and How Can You Deal With Them?"

3753 people found this helpful

Anal Fissure - Ayurvedic Treatment Options For It!

Dr. Rajesh Upadhyay 91% (37 ratings)
Ayurveda, Agra
Anal Fissure - Ayurvedic Treatment Options For It!

Anal fissure is a condition that is caused when the skin surrounding the anus tears due to excessive strain. Generally, constipation causes the condition, as people have to put a lot of strain during bowel movements. Here is a look at some simple ways to prevent anal fissure.

Natural Ways to Prevent Anal Fissure-
Since the primary cause for anal fissure is constipation, the preventative methods involve reducing constipation.

  1. Increasing fibre content in the diet, with the help of fruits and vegetables can help against constipation.
  2. Staying hydrated and drinking plenty of fluids throughout the day, can also ease stool passage and make it softer.
  3. Avoid straining excessively during bowel movement.
  4. Avoiding spicy foods and chillies in the diet is vital, as such foods can aggravate the difficulty during defecation.
  5. Avoid eating excessive meat and non-vegetarian products.
  6. Drinking buttermilk can also provide relief from the constipation.

Ayurvedic Remedy for Anal Fissure-
Medications for the condition include both oral remedies, which deal with the underlying constipation, as well as topical medicines that can be applied at the site of the problem. Two main Ayurvedic treatment for anal fissure include-

  1. Kshar sutra ligation: In this specialized procedure, a string is attached around the affected region. However, before the string is tied, it is coated in a mixture of healing herbs and natural products. After the string is tied tightly, the benign tissue falls off after 5-10 days. The underlying tissue also gets repaired in a couple of weeks.
  2. Sitz bath: Another easy and effective Ayurvedic remedy for anal fissure is to fill warm water inside a tub. Add a splash of antiseptic liquid in the water and sit inside the tub in such a manner that the anus and buttocks remain submerged in the water. This treatment reduces the pain and discomfort associated with the diseases and keeps the anus hygienic. 

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

2975 people found this helpful

Anal Fissures - How Ayurveda Can Help In Treating The Problem?

BAMS, Ksharsutra
Ayurveda, Delhi
Anal Fissures - How Ayurveda Can Help In Treating The Problem?

Anal fissures are small tears that develop in the thin, moist mucosa inside the anus. The most common cause for such a tear is the passage of excessively hard or large stool. Fissures cause pain and bleeding. Anal fissures are common in infants, but older people may also experience the same problem.

Causes of Anal Fissures

  1. Passing large and hard stools.
  2. Chronic constipation
  3. Chronic diarrhoea
  4. Childbirth

Uncommon Causes for the Disorder Include-

  1. HIV
  2. Anal cancer
  3. Tuberculosis
  4. Herpes
  5. Syphilis

Ayurvedic Remedy for Anal Fissure
While fissures can be treated with conventional medications, the use of ayurvedic remedies is considered a much safer avenue of treatment. Here are some ways in which ayurvedic treatment can help cure your problem of fissures.

  1. Amalaki- One of the most highly regarded remedies from the school of Ayurveda, Amalaki (Indian Gooseberry) is known as a rejuvenating agent, that helps regenerate the cells. Apart from the host of benefits that amalaki provides, such as acting as an aphrodisiac, amalaki also helps clean the intestine and is used as a form of laxative by people suffering from constipation. Amalaki is also an important ingredient in both Vara churna and Triphala guggul.
  2. Haritaki- Another necessary ingredient in Triphala, Haritaki aids in digestion and also enables healthy motion every day. Similar to Amalaki, the ingredient is also used to make Vara churna.
  3. Other common ayurvedic ingredients that treat fissures include Vibhitaki, Guggul and Curcumin.

Natural Ways to Treat Fissure
A proper diet and lifestyle are extremely important and complement Ayurveda in the true sense for the treatment of fissures. Here are a few tips for you to follow for naturally curing fissures-

  1. Include whole grains in your diet, which are higher in fibre content and help soften your stool.
  2. Green leafy and fibrous vegetables, such as spinach and broccoli, must be consumed on a regular basis as they help reduce constipation.
  3. Caffeine should be avoided at all cost. This means that you should not drink coffee and sodas.
  4. Certain fruits like apples, figs and bananas also help deal with the symptoms of constipation.
  5. Lastly, drinking lots of water will help with digestion and will also regulate motion, so that constipation can be avoided.
  6. A sitz bath may also help with fissures. To take such a bath, fill the tub with warm water and add iodine, turmeric or neem into the water. Now dip your hip and waist beneath the water and sit for a few minutes.
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Anal Fissures Treatment - Self-Care, Medications, And Surgery!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal Fissures Treatment - Self-Care, Medications, And Surgery!

What do you mean by anal fissures? 
An anal fissure is a little laceration in the moist tissue that lines the opening of the anus. An anal fissure might develop as a result of a trauma. For example, a person suffering from constipation (or diarrhea) can develop fissure as a result of exerting too much pressure while defecating. 

Some of the symptoms of anal fissures include: 

  1. Bleeding during defecation 
  2. Defecation accompanied by a burning pain 
  3. A persistent discomfort around the anus even after bowel movement 
  4. Itching sensation 
  5. In chronic case a small skin tag may be seen protruding out at Anal verge. Anal fissure causes considerable physical uneasiness and can mar one’s mood for days on end if left untreated. 

For someone who has recently developed this disorder, home remedies might work. 

  1. Sitz Bath: This is a very effective self-care remedy that can ease the pain that anal fissure is characterized with. Here one needs to soak the rectal area in warm water for 10-15 minutes to help improve blood flow and relax the anal sphincter. The routine should be repeated 3 to 4 times for better result. 
  2. Fiber-rich diet: Patients suffering from constipation shall consume fiber-rich foods like wheat, whole grain, fruits, oatmeal and cereals. 
  3. Fluids: These patients must drink 8 to 9 glasses of water on a daily basis to induce smooth passage of stool. Medicines Medicines are prescribed only if self-care treatment methods do not work. 

Here is a list of the medicines that are used to treat anal fissures:

  1. Stool Softeners are advised for easy evacuation for example Haritaki Churna, Triphala Churna etc. 
  2. Soothing Ointments: Any soothing ointment like cow’s Ghrit, coconut oil or Sushruta Ointment if applied in anal region will ease out the pain. 
  3. Kshar Karma: Application of specialized Kshar Compounds under supervision of an Ayurvedic specialist at weekly sittings lead to healing of Anal Fissure.

Surgery -

Most common complication of Surgery is stool incontinence where patient is unable to hold stool due to damage to sphincter muscles. Whereas Ayurvedic Ksharsutra is a completely safe and more effective treatment. In this treatment Ksharsutra is ligated at the root of Sentinel tag. Medicine released from the thread blocks the blood supply of tag and it sheds off in 5-7 days. This combined with Kshar Karma sittings heals the fissure completely without any surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!

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Anal Fissures - What Treatment Options Should You Follow?

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, FAIS, Fellowship In Minimal Access Surgery
General Surgeon, Mumbai
Anal Fissures - What Treatment Options Should You Follow?

Anal fissures arereferred to as a small cut or a tear in the lining of the anus. The cut or crack on the skin is the main cause of the severe pain. The person might observe bright red bleeding during and after passing bowel movements. Sometimes, when the fissure goes deep it exposes the muscle tissue underneath of the anus. An anal fissure might occur due to labor, i.e. during childbirth, straining or pushing during bowel movements, constipation, diarrhea, or certain medical conditions such as inflammatory bowel disease, cancer, and infection.

Individuals of all ages can be affected by anal fissure, including infants and young children. The common cause being constipation. This condition is not a serious issue. The tear can be treated or it might get heal on its own within a month or so. However, if it persists above two months, then it is considered a chronic or long-term fissure.

The symptoms of an anal fissure include:

  • Visible tear or cut in the skin around the anus
  • A small lump of skin or skin tag present next to the cut
  • Severe pain in the area during a bowel movement
  • Streaks of blood on stools or spotting on the dry tissue paper after wiping
  • Burning sensation or itching in the anal area


Mostly an anal fissure occurs while passing very hard or large stools. This could be due to chronic constipation or frequent diarrhoeal episodes that can lead to tearing of the skin around the anus. Other causes of occurrence of an anal fissure are Crohn’s disease or inflammatory bowel disease, straining during labor, over tight or spastic anal sphincter muscles, or decreased blood flow to the anorectal area.
A fissure might also occur due to anal cancer, HIV AIDS, tuberculosis, syphilis, and herpes.

Mostly anal fissure does not require extensive treatment. Some of the home remedies can help treat anal fissure and relieve the discomfort caused. The home remedies used for treatment are:

  • You can use over-the-counter stool softeners
  • Drink more water or fluids
  • Take fiber supplements
  • Have high fiber diets by including fibrous foods, such as raw fruits and vegetables, dry fruits, cereals, etc.
  • You can even take warm sitz bath to relax and relieve the pain in the anal muscles and it will also help to increase the blood flow to the anorectal area.
  • You can apply an ointment containing nitroglycerin to the anus in order to promote blood flow, or
  • Hydrocortisone cream to help with healing the inflammation.
  • You can apply topical pain reliever, lidocaine to the anus to relieve yourself from discomfort.
  • An ointment with calcium channel blocker can be used to relax the sphincter muscles and will help to heal anal fissure.
  • Botox injections into anal sphincter can also heal anal fissure. Spasms in the anal area can be prevented through Botox injections. This injection temporarily paralyzes the muscle. Due to this, the anal fissure gets time to heal and prevent the formation of new fissures.
  • If the fissure is not treated with home remedies, the doctor might recommend anal sphincterotomy. This surgery involves making a small incision in the anal sphincter to relax the muscle, thus healing the anal fissure.

An anal fissure can be prevented by taking following preventive measures:

  • Keep anal area dry
  • Proper cleaning of the anal area with mild soap and warm water
  • Drink plenty of water and fluids to prevent constipation
  • Avoid consumption of sharp foods that are difficult to digest such as nuts, popcorn, etc.
2805 people found this helpful

Piles And Fissure

Integrated Medicine Specialist, Pune
Piles And Fissure

Piles or hemorrhoids is the disease in which blood vesselsof anal canal protrude out of body. Usually they are painless but cause painless bleeding from anus. Main cause of piles is constipation. Fissure is also caused by dry stools. It is a cut into sides of anal canal is always accompanied by pain, severe pain. Treatment for both conditions is completely different. Piles usually requires surgery. Fissure is treated with mainly medicines and rarely requires surgery.

Both conditions occur because of dehydration, lack of fibres in diet. 3-4 litres of water and 200 grams of fruits everyday prevents both the conditions.
It's always better to treat both condition with a combination of allopathy and ayurvedic drugs.

pain Treatment
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Fissure In Ano

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES), Fellowship of Association of Colon and Rectal Surgeons of India (FACRSI)
Proctologist, Mumbai
Fissure In Ano

Fissure in Ano, also known as Anal Fissure, is basically a small longitudinal cut in skin that lines the opening of the anus. Fissures cause bleeding and severe pain in the bowel movements. These are very common in the general public, but often confused with other pain. A fissure can happen at any point in your lifetime and can have equal general distribution.

Types of Fissure in Ano:

Acute Fissure: Fissure in Ano less than 6 weeks of duration is known as Acute Fissure.

● Chronic Fissure: Anal Fissure with more than 6 weeks of duration is known as Chronic Fissure.

Causes of Fissures in Ano:

● Anal fissures are basically caused by stretching of the anal muscles beyond its capability.

● In adults, it is caused by the passing of large stools, constipation or by prolonged diarrhea. ● In older adults it is caused by the less flow of blood to that area.

● It is also caused by sexually transmitted infections (syphilis, chlamydia, herpes) and it results in fissures.

● Anal sex can also be the cause of fissures.

Symptoms of Fissures in Ano:

● Tear in the skin around the anus

● Small lump of skin, or skin tag next to the tear

● Pain during bowel movement

● Stools with blood or pus

Itching and burning in the anal area

Preventions During Fissures in Ano:

● One should drink enough water.

● One should have high fibre diet so that one does not suffer from constipation.

● Be careful and hygienic after anal defecation.

● In case of suspected fissure or any kind of pain, use a lubricating ointment.

● Sit in lukewarm water

Treatment for Fissures in Ano

Surgical treatments are not recommended, but there are some other measures that can be taken and are listed as follows:

● Some prescribed medication to lower the severity of pain.

Nitroglycerin ointment may help heal the fissure.

● Having a rich fiber diet as a lifestyle change.

● Drink enough water as that helps in softening the stool.

● Sometimes Stool softeners may be required to soften the bowel movement.

When Anal Fissure does not heal with all of the above listed things, then a surgery may be required:

● Lower most part of the internal anal sphincter is divided laterally. With this acute fissure heals of its own. In chronic cases one may require to undergo fissurectomy.

● The surgery decreases the anal pain and spasm, allowing the fissure to heal.

● If a sentinel pile is present, it is removed to heal the fissure.

It is important to note that any kind of treatment requires 6-10 weeks to recover. However, the pain may disappear just after 2-4 days after the surgery. One must consult a doctor before going for any treatment. This surgery can also be performed with LASER,where there is less trauma and early recovery is posssible.

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