Anal Fissure – “a thorn in the Flesh “- is a crack or tear in the anal canal. The anal canal is the lower end of the digestive tract. In the upper part, the anal canal is lined by delicate moist tissue, which gets eroded on the passage of the hard stool. Anal fissure causes pain and bleeding during defecation. It is the most common anorectal disease affecting all age groups. There are 2 types of anal fissure – Acute anal fissure and Chronic anal fissure. In this, we will explore the causes, symptoms, risk factors, prevention, homeopathic treatment, and general management of anal fissure.

Common Causes

• Constipation and straining during defecation.
• Passing large, dry, or hard stool – Due to the curvature of the sacrum and rectum, hard fecal matter while passing down causes a tear in the anal canal mucosa
• Prolonged diarrhea.
• Anal intercourse.
• STD ( Sexually Transmitted Disease)
• Trauma during childbirth.
• Other causes- Haemorrhoidectomy, Crohn’s disease, Tuberculosis, Ulcerative Colitis

• Risk Factors

  • Diet – Low fibre intake, spicy food consumption, and regular coffee intake.
  • Reduce intake of water.
  • Prolonged sitting.
    • Skin diseases – Psoriasis, eczema, or any other skin conditions that affect the anal area.
    • Lack of hygiene.
    • Previous anal surgeries.
    • Weakness of anal muscles due to age.
    • Spinal cord injury.
    • Multiple sclerosis.
    • Inflammatory Bowel disease and cancer medications.

  • Symptoms
    

    • Pain during defecation.
    • Pain after defecation that persists for up to several hours.
    • Bright red blood-stained stool.
    • Visible crack in the anal skin.
    • Skin tag near the anal area.
      

      
      Homeopathic Treatment

      Conventional treatment involves topical creams, ointments, laxatives, and surgery (Internal Sphincterotomy). However, these treatments have many side effects and can only give temporary relief. Surgery may have complications like infection, bleeding, incontinence, and there are chances of recurrences. Homeopathy is always recommended for a person who wants long-lasting relief from agonizing pain. Homeopathy treats the root cause of disease and removes the tendency of recurrence. In homeopathy, we try to understand why the person got the fissure, and whether any connection with his/her lifestyle, family history, and past history. In all other treatment methods, the fissure and its symptoms are treated due to which recurrence occurs. This is the key feature of homeopathy that gives efficient relief to the disease. By understanding the cause and all other details of the patient we prescribe an accurate homeopathic remedy that heals the tear in the anal canal without any invasive procedures.

      General management

      

       

      • Adequate fluid intake (6-8 glasses of water)
      • Fibre-rich diet (seasonal fruits and vegetables, brown rice)
      • Sitz bath
        

        
        Prevention

        • Prevent constipation – you prevent fissure.
        • Add fibre to your diet.
        • Drink plenty of water.

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