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Anal Fissure Health Feed

I am struggling from pain, due to fissure problem, what is the best solution pl kindly suggest.

Dr. S S Tanwar 96% (2697 ratings)
MD - Homeopathy, BHMS
Homeopathy Doctor, Gurgaon
Edible items to be avoided :- amchoor amchur, ajwain, elaichi cardamom, imli tamarind, laung cloves, teekha-mirch (red-green), fig, millet, cluster beans, brinjal-eggplant, sesame, peanuts, pickle, buckwheat flour, pain killer medicines, suggested edible items:- guava, orange, apricot, plums and prunes, banana, pear, mosambi (sweet orange), curd, salad >>>to continue as usual :- cumin seeds, coriander, turmeric, salt, aniseed-fennel, kashmeeri lal-hari mirch in minute quantity, and all other food items not mentioned above, unless not forbidden due to other ailments take following homeopathic medicines: (1) alpha liv syrup 2 tsf twice a day before food (2) r 13 - 15 drops 4 times a day in 15 ml of water (3) apply aesculus hip ointment thrice daily. For 15 days.
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I have been operated for fissure in another n prescribed linid for a week. I have been passing stools and feeling the urge to pass stool more than once a day. This is irritating the wounds on the anus. Can I take vibact capsules?

Dr. Manoj Yadav 85% (68 ratings)
DM - Gastroenterology, MD Medicine
Gastroenterologist, Rewari
The urge is secondary to surgical wound. This feeling will go after sometime. You can take vibact capsule.
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Perianal Abscess & Fistula!

Dr. Manish C. Dhuri 90% (89 ratings)
MS - Ayurveda, BAMS
Ayurvedic Doctor, Mumbai
Perianal Abscess & Fistula!

Perianal Abscess develops near the anus or back passage. Typically it tends to develop quite quickly and people suffer from pain in the rectum or on the anus. The pain can get accompanied by fever, chills and a feeling as if they are not well at all. There can well be an obvious painful swelling alongside the anus or back passage.

A Fistula is always a follow of a previous abscess. A fistula connects a previously infected anal gland to the skin on the buttocks outside the anus. People can come across a discharge in a persistent manner from an opening or sinus close to the anus. It may well arise at the site of the discharge of a perianal abscess. The natural methods of treatment through Ayurveda can be extremely effective in getting rid of the problems of Perianal Abscess as well as Fistula.

Symptoms of a Perianal Abscess and Fistula

An abscess is normally associated with symptoms of pain and swelling around the anus. Individuals also tend to experience fatigue, fever, chills.

Symptoms related to the fistula include:

  • Pus discharge from an opening close to the anus.
  • Feeling of pain and discomfort in the anal region.
  • Irritation of skin around the anus.
  • Passing off some blood with the discharge.

Causes behind Perianal Abscess

There are small glands located inside the anus. When the glands get clogged, they can become infected and that can lead to the development of an Abscess. An abscess usually results out of an acute infection in the anal glands, when bacteria or any foreign substance enters the tissue through the gland. There are certain conditions, like colitis or other inflammation of the intestine can lead to the occurrence of these infections.

Causes Leading to Fistula

The causes which lead to Fistula are:

Conditions that affect the intestines, like Crohn’s disease or ulcerative colitis. Almost 50% of people suffering from Crohn’s disease get an anal fistula.
People who are HIV positive, up to 30% off them go on to develop an anal fistula.

Tips to Follow

People can get themselves treated from Perianal Abscess and Fistula through Ayurveda. Ayurveda ensures to treat problems in a natural manner. The following tips need to be followed:

  • One who suffers from Fistula or Perianal Abscess can make use of ayurvedic herbs like ginger, elephant yam, turmeric, guggul, hirataki and Indian gooseberry.
  • People must ensure that they drink a lot of water on a regular basis.
  • Patients should eat a balanced diet, which is rich in dietary fibres.
  • They must avoid spicy and junk foods.
  • Sitting in warm water can be very useful for cleaning and getting relief from pain
  • Diet should contain lots of green vegetables, fruits and salads.
  • Cereals and barley can help people to have form and thus avoid the occurrence of these problems

Anal Fistula - How Can Ayurveda Help You Avoid Surgery?

Dr. Manish C. Dhuri 90% (89 ratings)
MS - Ayurveda, BAMS
Ayurvedic Doctor, Mumbai
Anal Fistula - How Can Ayurveda Help You Avoid Surgery?

Anal fistula, a challenge for modern surgery, but can be cured with grade ksharsutra in Ayurveda (Indian system of medicine).  Anal fistula is a disease for which different methods of treatment have been advocated time to time, even today when we are talking about robotic surgery, this disease has no satisfactory method of treatment in modern surgery. The latest method of video assisted anal fistula treatment (VAAFT) is not satisfactory due to high incidences of recurrence after the surgery. But at Sushruta Anorectal Institute New Delhi; with the help of Graded KsharsutraTM all these patients of complex Anal fistula are being successfully treated.

In Ayurveda about 2000 yrs ago Acharya Sushruta has indicated ksharsutra treatment to treat fistula-in-ano. Late professor P J Deshpandey at the faculty of Ayurveda Institute of Medical Sciences B H U; had done extensive research in this field and established a treatment module to cure this disease. In 1990 Indian council of medical research has clinically evaluated this Ayurvedic treatment module at four premiere institutes in our country including AIIMS Delhi & PGIChandigarh. Subsequently, it was concluded by I.C.M.R. that in the patients of fistula in ano, ksharsutra treatment is more effective& convenient as compared to modern surgery.

Ksharsutra is a thread coated with certain Ayurvedic medicines known for their antiseptic, debridement & healing properties. After u v sterilization this medicated thread (ksharsutra) is used under complete aseptic precautions in the patients. The patient is routinely investigated with special reference to any other associated disorder like hypertensiondiabetes mellitustuberculosis etc. The next step lies in the proper identification& evaluation of the fistulous tract. It is mandatory to define the fistula tract wrt its depth, direction & branching pattern. This may be achieved by careful probing under expert hands using malleable probes& if required help may be taken from other investigations like x-ray fistulogram or MRI fistulogram.

Once the tract has been clearly defined the Ksharsutra is placed in it with the help of certain instruments, under local anesthesia. This entire procedure is usually completed in ten to fifteen mins. As there is no cutting of tissues hence no bleeding, no pain & patients can go home after half an hr rest in the daycare room. The medicine-coated on the thread is gradually released in the tract. The cumulative effect of the coated drugs exerts a powerful debridement effect on the fistula tract & induces healing by the fresh & healthy granulation tissues. Thus Ksharsutra is the mechanism of drug delivery precisely at the tissues involved. 

Every seventh or tenth day the old sutra is replaced with a new Ksharsutra till there is a final cut through. It has been observed that the tract heals @ 0.5-1 cm per week. The post-operative complications like recurrence of the disease, fecal incontinence, bleeding is not seen with Ksharsutra treatment. Further, this therapy is performed as an OPD procedure. No general anesthesia & no hospitalization is required. Patient maintains his normal routine activities as usual during the treatment period.  

 At Sushruta Anorectal Institute; Rohini - New Delhi, we have been working on this disease including piles fissures & pilonidal sinus for the last 30 yrs. Here we have developed the concept of Graded KsharsutraTM which has given us a more effective & convenient way to treat anal fistula. At Sushruta Anorectai Institute we have treated on record thousands of patients of anal fistula from different states including overseas patients. We have records to prove that the patients of high anal complex fistula, those have been operated two or three times but failed to heal were successfully treated at this institute.

Sir I have an anal fissure every summer this problem coming doctor prescribed some medicines and ointments for this. After I had that medicine it will cure but again after some months again it's coming. Is there any homeopathy medicine for this problem permanently.

Dr. S K Singh 91% (1330 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal fissure can be completely treated without surgery by graded kshar karma treatment. In this treatment; graded kshar - a specialized ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Usually 3-5 graded kshar karma sittings are required for complete healing of anal fissure. No hospitalization or bed rest is required in this treatment. You can continue your normal routine activities as usual during treatment. Till then you should take sitz bath (hot water tub bath) followed by application of coconut oil. For easy evacuation of bowel you should take some stool softening medicine like haritaki powder 1 tea spoon with warm water in night. For further support; you may call reception at sushruta ano rectal institute.
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Hlo sir can we use smuth cream for fissure treatments? Ful cream name smuth (calcium dobesilate, lignocaine, hydrocortisone, acetate & zinc cream.

Dr. T Lakshmikanth 93% (22 ratings)
MS - General Surgery, MBBS, Fellowship in Laparoscopic & Advanced Laparoscopic surgical, Fellowship in Surgical Gastroenterology
Gastroenterologist, Hyderabad
Hlo sir can we use smuth cream for fissure treatments? Ful cream name smuth (calcium dobesilate, lignocaine, hydrocor...
These creams contain steroids. Good for short interval of one week. Longtime can cause infections. At your young age I encourage high fiber diet, water and avoid constipation by taking lot of fruits. You will require a proctoscopy to look for a fissure. Take care.
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I am 24 years old female having anal fissure since 30 days before nd yes I succeeded in preventing constipation but that fissure is paining when I used to initiate my stool to pass it stinging nd after that my stool passes easily. I used to take sits bath 2 times daily but I dnt think its healing. Also sometimes my anal started to feel itchy I do not knw why. So please tell me how to heal my anal fissure as soon as possible plss help me out?

Dr. S K Singh 91% (1330 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
I am 24 years old female having anal fissure since 30 days before nd yes I succeeded in preventing constipation but t...
Anal fissure can be completely treated without surgery by graded kshar karma treatment. In this treatment; graded kshar - a specialized ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Usually 3-5 graded kshar karma sittings are required for complete healing of anal fissure. No hospitalization or bed rest is required in this treatment. You can continue your normal routine activities as usual during treatment. Till then you should take sitz bath (hot water tub bath) followed by application of coconut oil. For easy evacuation of bowel you should take some stool softening medicine like haritaki powder 1 tea spoon with warm water in night. For further support; you may call reception at sushruta ano rectal institute.
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Actually I have heard that sentinel piles are caused due to fissure which lasts for longer time but in my case I had fissure pain lasting for about 3-4 days & then too I have a sentinel pile .y is it so? Do size of sentinel piles keep increasing in size due to prolonged sitting (due to office work)? Will sentinel pile grows wherever fissure happened? Can one have multiple sentinel piles?

Dr. Sreepada Kameswara Rao 97% (22535 ratings)
DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopathy Doctor, Hyderabad
Actually I have heard that sentinel piles are caused due to fissure which lasts for longer time but in my case I had ...
Untreated fissures develop a hood like skin tag (sentinel piles) which cover the fissure and cause discomfort and pain. Multiple sentinel piles may be formed out of multiple fissures. Your problem has become chronic. Very effective treatment is available in homoeopathy for your chronic problem. Homeopathic treatment is painless and safe. No side effects. You need comprehensive treatment and it takes some time. Please start taking homeopathic medicine, preliminary dose, nitric acid 200-once daily in the morning for 5 days. Consult me through “Lybrate text consult” for further more comprehensive prescription and treatment. Rs 149/
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Dear sir, thank you for your advise. I am sorry I am suffering from anal fistula. I wrongly mentioned as fissures. Please suggest a proper treatment and medicines for getting a permanent solution. Best regards sagar danait.

Dr. S K Singh 91% (1330 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal fistula can not be treated by oral medicine - homeopathic/ allopathic or ayurvedic so usually, surgery is advised to treat this problem. But surgery is not the right choice for the reason of the recurrence of fistula after surgery and other complications like stool incontinence (inability to hold stool) etc. However, this problem can be completely treated without surgery by graded ksharsutra treatment. No hospitalization or bed rest is required in this treatment. You can continue your normal routine activities as usual during this treatment. Clinical trials conducted by the indian council of medical research (icmr) at aiims - new delhi & pgi - chandigarh have confirmed that ksharsutra treatment is more convenient and more effective than surgery in patients suffering from anal fistula. In this treatment graded ksharsutra - a specialized medicated thread is placed in the fistula tract after defining the fistula tract by careful manual probing (primary ligation). Medicine released from graded ksharsutra debrides the fistula tract and induces healing. This medicine works for 5-7 days so old ksharsutra needs to be replaced by a new one at a week or 10 days intervals (weekly sitting). The number of graded ksharsutra changes required for complete healing of anal fistula depends on depth direction and branching pattern of the fistula tract. For further support please contact reception at sushruta ano rectal institute.
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Can I take cyclopam before the night of colonoscopy? Actually i'm suffering from fissure.

Dr. Vishnu Abishek Raju 89% (22 ratings)
Gastroenterologist, Chennai
No need for cyclopam before colonoscopy. You need a laxative. The doctor doing colonoscopy has to prescribe it.
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