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Anal Polyp & Papillae - All You Should Know!

MS - Ayurveda, BAMS
Ayurveda, Mumbai
Anal Polyp & Papillae - All You Should Know!

Anal polyps can be a life-changing medical problem which can affect anyone. These polyps develop and turn in to a tumour which can also be carcinogenic in some cases. So, here is some important information that you should keep in mind about anal polyp and papillae.

What are Anal Polyps and Papillae? - Overview

Anal Polyp and papillae are one of the most common medical disorder which thousands of people face every year but it tends to get overlooked by many even then. These are essentially skin tags which protrude out from tge dentate line which is the intersection between the skin and the epithelial lining between the anus. These polyps are found in isolation and can be detected with the help of digital examinations conducted on the
anus. Once they have been diagnosed, it will become much easier for people to differentiate between the polyps, hemorrhoids and any other abnormal growth.

One cannot understand the presence of an anal polyp or papillae unless it has grown to a significant size or has started to show symptoms. As time passes by, the polyp or papillae continues to grow in size and it transforms into a thick fibrous mass after some time. This happens because of the piling up of chronic inflammatory tissues in the proximal part of the fissure. At this point, it is also known as the fibrous polyp. If not
treated well in time, these papillae can turn into low-grade infection or create other chronic problems which can affect your overall health.


There are some important symptoms which indicates a serious situation related to any development of anal polyps and papillae.

Rectal bleeding can happen very often or at intervals without much pain.
● Stools can contain significant amount of blood present in them.
● There can be discharge of mucous with the stool or separately.
● One can see a protrusion from the anus which might look as a lump.
Abdominal pain at different times of the day which can sometimes become

So these are the serious symptoms which can indicate that an anal polyp or papillae has developed in the anal system.


Anal polyps can be diagnosed with the help of different digital examinations. These involves the use xrays and different other sonography tests which will indicate the exact position of the area where the polyp has affected. Doctors may even also look for different changes in the structure of the colonial lining which helps them to indicate any serious or unnecessary change in the colon lining caused by a polyp. Once the polyps have been located, all of them will need to be removed because it cannot be understood whether they are carcinogenic or not.

So, here are some important information which you would want to give a read related to anal polyps and papillae.

Fissures - Ayurvedic Treatments That Can Help Manage It!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), P.G.C.R.A.V. (Kshara Sutra)
Ayurveda, Ghaziabad
Fissures - Ayurvedic Treatments That Can Help Manage It!

Anal fissure or fissures refers to a painful condition wherein there is an anal tear or crack in the lining of the anal canal. At the time of fissure, a person might experience pain during and after a bowel movement, which might result in blood stained stool. The anal fissures are generally less than one centimetre across but anal being a highly sensitive part of the body, the pain that one has to bear due to this, is quite severe even if the cut is small.

There is a remedy in Ayurveda, through PF2-CURE, if followed in religious manner, can lead to the cure from this painful problem of fissures. Before going into the remedial part, let’s discuss about the symptoms and causes behind fissures.

Symptoms of Fissures
As already mentioned in the earlier segment, a tear or crack in the lining of anal canal is known as fissure, which puts people under severe pain at the time and after bowel movements. Several other symptoms are mentioned below:

  1. You might experience sharp, burning pain in or around your bottom, which can usually last for two hours after you have gone to the toilet.
  2. There might be spasms in anus, a cramped feeling wherein you need to put pressure during bowel movement, ultimately leading to the tear or crack.
  3. You might notice blood oozing out at the time of bowel movement. This happens due to tear caused by extreme pressure put on the anal.
  4. Sentinel pile, which is a tag of skin, can develop at the edge of one’s anus due to fissure.
  5. Now we look ahead to the causes behind the occurrence of fissures.

Causes behind Fissures
Though there are numerous reasons due to which people have anal fissures but usually it is caused by a hard and very painful bowel movement. This leads to the damage of the surrounding skin. Some of the other reasons are:

  1. If you have constipation, you would tend to out strain while doing bowel movement. This is one of the main reasons why fissures take place.
  2. Taking too much protein in your diet and having less of foods containing fibres like oat, wholegrain breads, barley, vegetables like carrots, broccoli can create this problem.
  3. Severe diarrhea can be another major reason behind fissures
  4. Consuming painkillers for a longer, especially those containing opate.

Treatment through Ayurvedic Remedies
Turn to Ayurveda for a permanent solution for fissure treatment. Ayurvedic medicines are aimed at intensifying the healing process of the fissures. In Ayurveda, medicines are natural herbs. They improve blood circulation to the anal, ease healing, reduce pain, abate constipation, prevent infection from spreading, alleviate the anal spasm, and treat all the symptoms related to an anal fissure in entirety. This stems out the disease from its root and prevents its recurrence. Usually, this problem recurs after allopathic treatment. However, in Ayurveda therapy the chances of recurrence are nil. The ayurvedic approach helps in normalizing the varicose veins inflammation in ano-rectal region. Thus less friction takes place between stools and anal canal, thereby giving instant relief from tremendous pain and burning sensation of anal fissures.

Quick tips to keep your digestive system intact-

  1. Have plenty of fibre intake
  2. Regular exercise
  3. Stay hydrated
  4. Practice healthy bowel habits

Fistula-in-Ano Or Anal Fistula - How Can It Be Treated?

Maven Medical Center 87% (58 ratings)
General Surgeon, Hyderabad
Fistula-in-Ano Or Anal Fistula - How Can It 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 anesthesiaA 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 fistulaMost patients are treated by simply laying open the fistula tract to flush out puscalled 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 in continence. 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.

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Anal Fistula - Why Is Graded Ksharsutra Therapy Better Than Surgery/VAAFT?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal Fistula - Why Is Graded Ksharsutra Therapy Better Than Surgery/VAAFT?

Anal fistula presents itself as a nodular swelling in perianal region. Off and on pus discharge is also seen from this swelling. When pus gets accumulated it gives rise to pain which subsides once the pus discharges out. Usually surgery (Fistulectomy/ VAAFT/ MAFT/ Laser etc.) is advised to manage Anal Fistula. But it is not a good choice as the chances of recurrence of Fistula are very high after these procedures. Whereas Anal Fistula can be completely treated by Graded KsharsutraTM Treatment.

Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS - New Delhi and PGI - Chandigarh; have confirmed that Ksharsutra treatment is more convenient and more effective than surgery in patients suffering from Anal Fistula.

What is Graded KsharsutraTM Therapy? How does it Works?

The Ksharsutra therapy is a specialized procedure of Ayurvedic surgery. Ayurvedic surgeon has to first evaluate the anal fistula by clinical examination and if required MRI Fistulogram may be done. Graded KsharsutraTM treatment involves the use of a specialized medicated thread which is placed in Fistula tract. Before placing the Graded KsharsutraTM; it is mandatory to define the fistulous tract properly by careful probing and MRI Fistulogram.

Medicine released from Graded KsharsutraTM 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 interval till fistula heals completely.

Why Graded KsharsutraTM Therapy Better Than Surgery/VAAFT?

• In appox. 20% cases fistula recurs after surgery however chances of recurrence of Fistula after Graded KsharsutraTM Therapy are predictably NIL.

• Fistula surgery is done under spinal or general anesthesia. So, anesthesia related complications like headache, backache, effect on brain, urinary retention etc. are usually seen while Graded KsharsutraTM is done under local anesthesia which is comparatively safe and there is no complication in it.

• Complications like stool incontinence (inability to hold stool) etc. are seen in surgery. Such complications are not seen in Graded KsharsutraTM Therapy.

• Other complications like pain, bleeding, infection etc. are also seen after surgery. There is no fresh tissue injury in Graded KsharsutraTM so such complications are not seen.

• Hospitalization is necessary in surgery for Anal Fistula. However, Graded KsharsutraTM Therapy is an OPD procedure and hospitalization is not necessary.

• Surgery is followed by bed rest. Bed rest is not required in Graded KsharsutraTM Therapy and patient can continue his normal daily routine activities as usual during this treatment.

• Graded KsharsutraTM Treatment is also more economical and convenient than Surgery.

Therefore, patients suffering from Anal Fistula are advised to SAY NO TO SURGERY and opt for a better treatment i.e. Graded KsharsutraTM.

5572 people found this helpful

Fistula-in-Ano - How Can Ayurveda Treat It?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Proctologist, Pune
Fistula-in-Ano - How Can Ayurveda Treat It?

Ayurveda takes a holistic approach to treat any disease. It aims to treat fistula-in-ano with a combination of herbs, good lifestyle, healthy diet etc. Ayurveda suggests that fistula occurs due to the disparity of the 3 doshas. The treatment aims at balancing the doshas and healing the condition from within without any side effects.

What is anal fistula?
Anal fistula is an opening other than the normal opening of the anus. Most people face oozing of stool and pus from the other opening. The surrounding area of the anus becomes painful and tender. If the opening closes for a few days, the pus gets trapped leading to fever and abscess. It is, therefore, important to get rid of the mucus and the pus completely and heal the fistula. In case of multiple openings, modern medicine suggests surgery to get rid of the situation. Ayurveda on the other hand, uses oils, herbs, and other such non-inflammatory means to cure the condition.

Digestive fire from the Ayurvedic viewpoint:
Digestion only happens smoothly when the Jatharagni/Agni is strong. With natural food and supplements and herbs it is entirely possible to balance the digestive fire. Raw fruits, vegetables, and nuts are the ideal diet to heal this condition. Some foods to avoid to ensure that the aggravation of fistula doesn’t take place include aerated drinks, processed foods, milk and milk related products. The herbs that are prescribed by the Ayurvedic practitioner should be continued for at least 3-6 months.

Ayurvedic treatment for fistula-inano:

Ayurveda has a very precise dosage of herbs mentioned in the ancient books. It is suggested that two tablespoons of Triphala Guggul and 1 tablespoon of Vara Churna should be consumed daily, twice a day, Nirgundi oil should be applied locally every day and 2 tablespoons of curcumin should be consumed daily.

  1. Triphala Guggul: This formulation consists of two very important herbs- Guggul and Triphala. Both these herbs helps the body’s defence mechanism. This formulation is anti-inflammatory and anti-bacterial in nature. Both the herbs help in toning the gastrointestinal tract, streamline the flow of bile and aids the intestine to effectively eradicate bodily waste.
  2. Vara Churna: Vara Churna is a formulation that contains several herbs such as amalaki, bibhitaka, haritaki etc. This formulation helps clean the colon and strengthen the GIT. This formulation is effective for vata, kapha, and pitta. Vara Churna is extremely effective for rectifying constipation, aiding blood circulation improving liver function and balancing the blood pressure.
  3. Nirgundi Oil: This oil is made up from the herb Nigundo. This herb is pungent, bitter and astringent in flavour. It is a natural antibiotic and is an anti-inflammatory. This oil can relax the muscles, reduce congestion and pain.
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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.

4302 people found this helpful

Common Anorectal Conditions - Symptoms And Ayurvedic Treatment Options!

Dr. Rajesh Upadhyay 91% (37 ratings)
Ayurveda, Agra
Common Anorectal Conditions - Symptoms And Ayurvedic Treatment Options!

Anorectal conditions can affect people at any point of their life. Piles and anal fissure are two of the most common ano diseases. If you suffer from either of these disorders, the following are the known symptoms that you may be experiencing.

Symptoms of Piles

  • Formation of a hard and painful lump near the anus. Some of these piles may have coagulated blood as well.
  • Feeling full even after bowel movement
  • Extreme pain during bowel movement
  • Blood during stool
  • Red and itchy anal region
  • Faecal incontinence
  • Infection

How does Ayurveda treat Piles
Ayurveda does not follow a generalized treatment procedure. Instead, the treatment varies according to the dosha of the person affected. There are three doshas, namely, Pitta, Kapha and Vata. Ayurveda believes that the symptoms of a disease differ based on the different doshas that people belong to.

  • Bhaishajya chikitsa- An Ayurvedic practitioner will prescribe specific natural remedies and medications based on your doshas to treat piles.
  • Kshara- Herbal remedies may be directly applied at the lump. These herbs cauterize the lump and promote regeneration.
  • Sastra chikitsa- A procedure known as kshar sutra may be recommended. In it a thread laced with herbal paste is tied to the piles. This thread is replaced after each week, till the condition subsides.
  • Agnikarma- Piles that form on the external skin may be cauterized using heat.

Symptoms of Anal fissure

  1. A tear around the anus
  2. A small skin tissue next to the tear formation
  3. Sharp pain during bowel movement
  4. Blood in stools.
  5. Burning and itching

How Ayurveda treats anal fissure

  1. Ayurvedic medication to ease constipation may be prescribed, so that stools are softened.
  2. Panchakarma treatment is also effective in most cases. Herbal oils and baths are used to cleanse the body of the toxins and reduce the fissure.
  3. Increasing the natural fibre derived from foods, will also help reduce constipation and manage anal fissure.

For any Ayurvedic remedy to work as advertised, you need to follow the practitioners advise and recommendations.

Fissure In Ano - Causes, Symptoms & Treatment Of It!

MS - Ayurveda, BAMS
Ayurveda, Mumbai
Fissure In Ano - Causes, Symptoms & Treatment Of It!

Our anal system is an important part of our whole body. Any kind of problem in and around it can affect the overall health of our body. A fissure in the ano is a common problem which affects many people but there are some important information you should know about it.

What is Fissure In Ano?

An anal fissure or fissure in ano is a small physical tear or scut around the lining of the anus. This tear in the skin around this area causes significant pain and bleeding which becomes unbearable in most cases. At times the tear can be deep enough to expose the muscle below. Due to this physical tear and muscle exposure, the pain is severe which can be treated none the less.

Even though a fissure in the ano is not a very serious situation and can be treated easily but it can be responsible for some sleepless nights because of severe pain. This can be seen in individuals of almost all ages especially in children or infants. The tear which is received tends to heal on it's own within 4-5 weeks and if it does not then, surgery might be an option for sealing the tear. There are different immediate relief solutions to this problem which helps to manage the situation at the beginning till the time it heals.


The symptoms of anal fissures are easily identifiable and therefore have a look at them.

● There can be a visible tear in the skin around the anus which can smeared in mild blood as well.
● Presence of a skin tag, or small lump of skin, next to the tear is also possible.
● There will be sharp pain in the anal area during bowel movements especially when the stool is hard.
● There can be frequent streaks of blood on stools or on toilet paper because of the tear.
● Individuals can feel burning or itching in the anal area because of physical tear.

So here are the important symptoms of fissure in ano which you should be looking for.


A fissure in the ano can be casued due to lot of different reasons and each one of them are more likely than the other. Here are some important causes of this -

● Due to the passage of frequent large and hard stools which can tear the thin flesh around the area.
● Long term constipation and diarrhea can lead to a fissure in the ano very often.
● These can be seen in women when they are have given a child birth.
● Chronic diseases like the crohn’s disease which is an inflammatory bowel disease.
● In many cases people suffering from HIV or Syphilis can also develop these fissures.

So here are some important information that you should be knowing about fissures in the anal. Make sure you visit a doctor if the fissure has not healed on it's own within 6-7 weeks or at the most 8 weeks.

What Is Fistula In Ano?

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
What Is Fistula In Ano?


What is Fistula in Ano?

A fistula-in-ano is an abnormal tract with an external opening in the perianal area that is communicating with the rectum or anal canal by an identifiable internal opening. Most fistulas are thought to arise as a result of cryptoglandular infection with resultantperirectal abscess.

Treatment of anal fistulas depends on their location and complexity. When considering surgery, the ultimate goal is to protect the sphincter muscle and prevent recurrence of an anal fistula

LIFT (ligation of internal fistula tract) technique is yet another approach in treating a fistula-in-ano.

The Technique

LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach. The LIFT technique is often performed for complex or deep fistulas. The procedure allows surgeon to access the fistula between the sphincter muscles and avoid cutting them.

  1. Minimally invasive procedure for fistula in ano
  2. Very liitle risk of incontinence
  3. Very little risk of recurrence
  4. Safe and effective method of treatment
  5. No need of repeated dressing
  6. No scarring of tissue
  7. Early return to work
  8. Minimal pain

Common Anorectal Diseases - Know Their Symptoms And Treatment Options!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Common Anorectal Diseases - Know Their Symptoms And Treatment Options!

Anorectal diseases, affect the rectum or the muscles surrounding the analregion. Some of these conditions can be difficult to live with, as the symptoms interfere with everyday life. Here is a look at two of the most common anorectal diseases, their symptoms, and their treatment.

Anal fistula
Anal fistula is an unnatural tunnel formation between the anus and a portion of the surrounding skin. It is usually caused due to an infection or blockage in the anal cavity. Here are some common symptoms associated with anal fistulas-

If you have anal fistula, you need to seek immediate treatment. Here are some forms of treatment used to manage the condition-

  1. No medication is able to treat the condition and surgery is the only available option.
  2. If the fistula is not too close to the anus, doctors will simply cut open the tunnel formed inside and let the body heal on its own.
  3. A plug may be inserted to close off the tunnel
  4. In some cases, a tube like instrument is inserted into the fistula tunnel to drain out the waste material prior to the surgical procedure.

Anal fissure
A small tear or cut in the lining of the anus is known as an anal fissure. Often, such a tear causes discomfort and bleeding during bowel movement. Its symptoms include-

  1. A tear near the anus, which is visible to the naked eye
  2. Sharp pain during bowel movement
  3. Burning or itching sensation in the anal region
  4. Bright red stools.

Here is a look at the treatment options open to you, if you suffer from anal fissure-

  1. Laxatives and stool softeners
  2. Changing the diet to include more fibrous foods
  3. Submerge your anus and affected region in warm water. This is known as a sitz bath.
  4. Nitroglycerin ointment is applied to the tear to increase blood flow to the area.

Consult a surgeon immediately if you notice signs of either of these disorders near your anal region. The doctor will advise you regarding the treatment.

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