Common Specialities
Common Issues
Common Treatments

Anal Fissure Health Feed

HI, During excretion time its feels like something stopping poop coming out at the end and when I give some force then little poop with blood come out.

Dr. Karuna Chawla 94% (5121 ratings)
Homeopath, Noida
It can be piles. 1. Take a lot of green vegetables n fruit. It contains a lot of fiber which will help reduce tendency for constipation 2. Maintain active life style 3. Avoid fast foods, spicy n fried foods 4. Drink lot of water. 5.You should take sitz bath (hot water tub bath) 2-3 times a day For this homeopathic treatment is very effective For more details you can consult me.
Submit FeedbackFeedback

HI, I had an upset stomach. This has lead to anal fissures that is painful and getting worse. There is no bleeding. But I have bad pain and difficulty in doing everyday routine. I applied xylocaine and betadine ointment. Now applied Pilex ointment and took a spasmonil tablet. Pain is still bad and no relief.

Dr. S K Singh 91% (674 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
You should take sitz bath (hot water tub bath) 2-3 times a day followed by application of Sushruta Ointment and Lekhan powder in anal passage. Administer 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel movement you should take 1 tea spoon of Sushruta Churna with warm water in night. To get these medicine and for further support and appointment you may call reception at Sushruta Ano Rectal Institute.
Submit FeedbackFeedback

Sir I am diagnosed with proctitis but my anca ifG and asca igA blood test are normal and stool faecal prolactin test are normal. What can be the cause of the proctitis.

Dr. Karuna Chawla 94% (5121 ratings)
Homeopath, Noida
Proctitis is inflammation of the lining of the rectum. The rectum is a muscular tube that's connected to the end of your colon. Stool passes through the rectum on its way out of the body. Several diseases and conditions can cause inflammation of the rectal lining. They include Inflammatory bowel disease. Infections Radiation therapy for cancer Antibiotics. Diversion proctitis Food protein-induced proctitis. Eosinophilic proctitis Risk factors Risk factors for proctitis include: Unsafe sex. Practices that increase your risk of a sexually transmitted infection (STI) can increase your risk of proctitis. Your risk of contracting an STI increases if you have multiple sex partners, don't use condoms and have sex with a partner who has an STI. Inflammatory bowel diseases. Having an inflammatory bowel disease (Crohn's disease or ulcerative colitis) increases your risk of proctitis. Radiation therapy for cancer. Radiation therapy directed at or near your rectum (such as for rectal, ovarian or prostate cancer) increases your risk of proctitis. Anti-Saccharomyces cerevisiae antibodies (ASCA) are immune proteins that are frequently present in people who have inflammatory bowel disease (IBD). This test detects ASCA in the blood. The test for anti-Saccharomyces cerevisiae antibodies (ASCA) is used to help distinguish between Crohn disease (CD) and ulcerative colitis (UC), the two most common types of inflammatory bowel disease (IBD). Testing usually includes detecting two different classes of ASCA in the blood, IgG and IgA. A positive ASCA result is not diagnostic of CD, UC, or of an IBD, but it does make it more likely that a person with symptoms has an IBD. Results of ASCA testing are often interpreted in conjunction with the results of pANCA testing: If ASCA is positive and pANCA is negative, then it is likely that the person has CD. If ASCA is negative and pANCA is positive, then it is likely that the person has UC. A negative result for ASCA and pANCA does necessarily rule out IBD. A person who is negative may still have CD, UC, or another IBD. The presence of multiple antibodies (ASCA, anti-CBir1, anti-Omp C) may indicate the likelihood of a more aggressive disease, but negative results do not rule out aggressive disease.
Submit FeedbackFeedback

All About Constipation And Its Treatment!

Dr. Hiral Kumar Rakholiya 90% (1658 ratings)
Homeopath, Ahmedabad
All About Constipation And Its Treatment!

People mean many things when they say they have constipation. The infrequent passing of stools, difficulties in voiding, sense of incomplete voiding are all suggestive of constipation. The normal reference range for bowel movements is very varied. Some people have bowel movements three times a day; others, only one or two times a week.

Medically, constipation is defined as fewer than three bowel movements in a week. Constipation may be considered severe when there is less than one bowel movement in a week.


Infrequent stools with no other complaints are rarely abnormal. Women are more affected than men. The elderly and children are however most prone to constipation. Hard, difficult to pass stools which require straining or manual removal with fingers - felt more than 25% of times. Stools infrequent, less than three times a week.The sensation of incomplete voidance. Other symptoms that a person with constipation may feel are:

The abdomen may seem bloated, distended or crampy.

The bowel sounds may seem enhanced. 


Many factors contribute to the development of constipation. Different people will have a different set of causative factors.

  • Insufficient fiber intake in the diet.

  • Not chewing the food properly / eating hurriedly.

  • Reduced water intake.

  • Various medications

  • Iron supplements

  • Antidepressants, tri-cyclic anti-depressants.

  • Anti-convulsants

  • Diuretics

  • Stopping cigarette smoking.

  • Abuse of laxatives.

  • Medications containing calcium and aluminum.

  • Endocrine disorders like - underactive thyroid.

  • Any severe illness like strokeparalysis.

  • Major changes in life like pregnancy, old-age or traveling.

  • Psychosomatic causes like depression and anxiety neurosis.

  • Biochemical imbalance ' low potassium levels in the blood.

  • Lead poisoning.

Conditions that obstruct the normal passage of the stools within the intestines ' foreign bodies in intestines, strictures, adhesions, tumors, etc.

  • Abdominal surgeries.

  • Weakened pelvic floor muscles.

  • Constipation can occur sometimes as part of a condition called 'irritable bowel syndrome' where it alternates with diarrhea.


ALUMINA 30 — Alumina is an effective remedy for constipation when there is the absence of urge for stool. The person needing Alumina has no desire to pass stool for days together until a  large accumulation collects in the intestine. The intestines are highly sluggish and inactive. Stool whether hard, dry or soft needs much straining for it to find its way out. In constipation of bottle-fed babies and infants  Alumina, the best choice of medication.

NUX VOMICA 30 — Nux vomica is one of the top medicines for constipation when frequent, ineffectual urging to stool is present.   In every attempt, the stool passed is scanty and there is a feeling of incomplete evacuation. Shortly after passing the stool, the urge gets renewed. In Cases of constipation from abuse of laxatives  Nux Vomica to be extremely useful. It can also be used in cases where piles develop in association with constipation. Nux Vomica is highly suitable to persons with constipation who have sedentary habits and are not in a habit of regular exercise.

BRYONIA ALBA 30-Bryonia is very effective for constipation when stool is highly dry, large and excessively hard. Bryonia Alba is mainly indicated for all the conditions where mucous membranes are dry to the utmost degree. Along with constipation, the abdomen may appear distended and sore to touch. An increased thirst for large quantities of water with dry mouth and lips may accompany. Along with constipation gastric headache of bursting nature may also appear.

OPIUM 200- Opium is best suited for those cases of constipation where stool is passed as round, hard, black balls like sheep dung. Stool gets retained in intestines for long without having any desire for defecation. Abdomen seems hard and bloated with constipation. Opium is also highly ranked homeopathic remedy for constipation which occurs after the abuse of enemas

SILICEA 200-Silicea is another effective remedy in constipation with painful constriction of the anal sphincter. Stool is passed down the rectum with great straining efforts but due to spasmodic constriction of the anal sphincter, it recedes back. Stool slips back into the rectum after being partly expelled as anus closes upon passing stool. The rectum is also very weak and seems paralyzed. Stool remains in the rectum for a long time. Obstructed flatus is present along with constipation and the abdomen feels tight, bloated, hard and distended.  Silicea offers great help in females who suffer from constipation before and during menses.

CASCARA SAGRADA Q- It is a specific remedy for constipation. Chronic indigestion. Constipation with piles. It is an intestinal tonic and helps remove dyspepsia.

CALCAREA CARB 30- Calcarea carb is a prominent remedy for constipation in children. For it to be indicated the first part of stool is hard followed by soft stool, which too, is passed with great difficulty. Aversion to milk is often present in children needing Calcarea carb. They may also show a desire for indigestible things like chalk, lime, and pencil.

SANICULA 30- Sanicula is indicated when a child passes variable stool with a different character. Sometimes stool is large and painful, while at other times stool crumbles at the verge of the anus and at times stool recede after being partly expelled. In addition to this many a times stool is passed in small, hard balls and even needs to be mechanical removed.

CHAMOMILLA 30- Chamomilla is a much-needed remedy for constipation in children who are irritable, headstrong and obstinate to the utmost degree.

MAGNESIA MUR 30-Magnesia mur. is effective for constipation of infants during dentition. Passes only a small quantity of stool like sheep’s dung.

SEPIA 30 - Sepia is an effective remedy for constipation in pregnancy.  Sepia provides much help when stool is very hard and the need arises for it to be mechanically removed. Constant bearing down in uterus often accompanies constipation for women needing Sepia.

CAUSTICUM 30 — Causticum is another remedy for constipation with piles.  Causticum when large piles are present and they obstruct the passage of stool through the rectum.

HYDRASTIS CAN Q - Hydrastis considered a specific remedy for constipation. Stools are felt in the small intestine but do not come down to the large intestines and anus. Constipation with a sinking feeling in the stomach and dull headache. Enemas and glycerine plugs are useless and do not relieve constipation in this case.

 COLLINSONIA CAN 30 - Collinsonia is effective for constipation during pregnancy. Collinsonia can be used for obstinate constipation- hard, dry, knotty stool -with piles.

NITRIC ACID 30 - Nitric acid is indicated when anal fissure occurs with constipated bowels. It is accompanied with much burning and pain. There is bleeding from the rectum

NATRUM MURIATICUM 30 - Natrum Mur. is used when fissures are present along with constipation. Natrum Mur is used when smarting, tearing and stitching pain at anus is present in the fissure due to constipation. There is the unsatisfactory stool. The nature of the stool is like sheep dung.

PHOSPHORUS 30 - Phosphorus another effective remedy for constipation. The stool is long and dry like that of a dog. There is bright red blood passes along with stool.

PODOPHYLLUM PEL 30 - Podophyllum is very effective for constipation in children. It is prescribed when constipation alternates with diarrhea and colic is present.

PLUMBUM METALLICUM 30 - Plumbum met . is effective for traveler’s constipation who are often changing food, water, and places.

SULPHUR 200 - Sulphur is prescribed when constipation occurs on account of fear of passing the stool because stool is hard, knotty and difficulty to expel, they cause pain in the anus while passing.


5 people found this helpful

Hi doctor while in latrine due to hard scat my ass inside portion skin came out and that part pains when I touches even when sitting also pains please help me doctor to get out of this is there any problem occurs because of this.

Dr. Pahun 95% (2693 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
My Pescription for you:- abhayarishta 4 tsf with equal amounts of water after meals twice a day 2 tsf of castor oil with one cup of milk at night U will be cured within a week. Take care. U can also contact us for medicines. It would be delivered to your address via courier.
Submit FeedbackFeedback

I am having problem of anal fissure it hurts a lot what can I do to cure this any medicine or gel or cream easily available? Please help m appearing in Medicals does it is a type of piles coz this will reject me please help?

Dr. Karuna Chawla 94% (5121 ratings)
Homeopath, Noida
Take home cooked, fresh light food. Take a lot of green vegetables n fruit. It contains a lot of fiber which will help reduce tendency for constipation Maintain active life style Curd is good for u. Avoid fast foods, spicy n fried foods For details you can contact me.
Submit FeedbackFeedback

Can Ayurveda provide a permanent cure for anal fistula?

Dr. Vijay Dagar 85% (22 ratings)
BAMS, Ksharsutra
Ayurveda, Delhi
Can Ayurveda provide a permanent cure for anal fistula?

Piles, Pilonidal sinus and fissures are all ano-rectal diseases which cause tremendous pain and discomfort. Anal fissure or anal fistula is also popularly called fissure-in-ano. It is a disorder in which a tear develops in the skin which lines the anal opening.

Causes of anal fistula-

  1. Hard, dry movement of the bowels
  2. Severe constipation
  3. Chronic diarrhoea which causes excessive friction in the anal area

Symptoms of anal fistula-

  1. Pain during passage of stool
  2. Bleeding during bowel movement
  3. Discomfort during passage of stool including cramps
  4. Issues while passing urine
  5. Itchiness in the anal area

Kshar Sutra Treatment for Anal Fissures:
Anal fistula is quite painful and is often wrongly diagnosed as piles. This makes the treatment even more time consuming and less effective. Allopathic treatment involves surgery and drying of the wound. The chances of re-appearance of fissures are high in case of surgery. Ayurveda provides a less painful and more effective cure for fistula. Ayurveda has prescribed kshar sutra treatment for different ano-rectal disorders including anal fissures.

How does kshar sutra treatment work?
Kshar sutra is a para-surgical treatment in which a medicinal thread is used to not only remove the infection but also to heal the wound by promoting growth of healthy tissues. Ayurvedic Kshar sutra treatment for fistula includes the following steps-

  1. Preparation of the Kshar sutra or the medicinal thread by coating it with medicinal herbs.
  2. Physical examination of the fistula to identify its location and extent.
  3. A small cut or incision is made through which the medical thread is introduced into the problem area.
  4. The medicine on the thread heals the infection and promotes growth of healthy cells.

Ayurveda promotes an all round treatment of the disorder to prevent its reoccurrence. Fissures can be easily cured using kshar sutra. But, along with it, Ayurveda also suggests a healthy, wholesome diet to make the passage of stool easier and pain free.

How Anal Fistula Can Be Treated?

Dr. Shriniwas Deshpande 91% (942 ratings)
MS - General Surgery
General Surgeon, Pune
How Anal Fistula Can Be Treated?

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.


  1. Pain- Constant pain which gets worse when sitting down
  2. Irritation around the anus, like swelling, redness and tenderness
  3. Discharge of blood or pus
  4. Constipation or pain while evacuation
  5. Fever

A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

  1. Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
  2. Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.

Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes incontinence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

3112 people found this helpful

Dear sir/mam, I had undergone by Anal fissure surgery one month before, I was taking Pegalup for softening the stool, but even now also I am having little pain after bowling .and the stool also come with blood. And the blood are coming with attached with stool as a straight line view. After little blood drop came. Sir is it the post operations issues of Anal fissure or anything more?

Dr. Prashant K Vaidya 94% (12746 ratings)
Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
keeping the anal area dry. cleansing the anal area gently with mild soap and warm water. drinking plenty of fluids, eating fibrous foods, and exercising regularly to avoid constipation.
1 person found this helpful
Submit FeedbackFeedback

I have small muscle like on anus. But that doesn't pain. And doesn't bleed to say that is piles. So no piles symptoms but. Small muscle remaining there on anus. No difficulty while doing stool.

Dr. Karuna Chawla 94% (5121 ratings)
Homeopath, Noida
It can be blind piles. All piles don’t bleed. Take home cooked, fresh light food. Take a lot of green vegetables and fruit. It contains a lot of fiber which will help reduce tendency for constipation Maintain active life style Curd is good for you. Avoid fast foods, spicy and fried foods For details you can contact me.
1 person found this helpful
Submit FeedbackFeedback

Book appointment with top doctors for Anal Fissure treatment

View fees, clinic timings and reviews