What is Anal Fissure?
The anal fissure is defines as a tiny crack/ tear / break or ulcer in your skin in ano-rectal region which is seen as an agonic pain, sharp cutting sensation and bleeding during defecation. Anal fissure might involve in any age group, but it’s most frequent in adult person.
Improper eating habits (intake of junk and
non-vegetarian foods ) and sedentary routine and practices with less physical activity.
Less usage of normal water and fibre in diet.
Long term use of laxatives or purgatives (stool
softener).
Pregnancy or multiple pregnancies.
Anal stretches and insertion of foreign objects
in to the anus.
Excessive tight and / or spastic rectal sphincter
muscles.
Increased smoking and intake of alcoholic
beverages / liquor.
Certain diseases like colitis, ulcerative
colitis, Crohn’s disease, diarrhoea, anal malignancy, tuberculosis, obesity / weight problem, and sexually transmitted diseases like syphilis,
gonorrhea, chlamydia, chancroid, HIV etc.
Resisting
the natural urge of bowel movement and urination.
Decreased blood circulation to the ano-rectal region.
Over straining during bowel motion / movement.
Certain medications for a long time like Analgesic / pain killer, cortico-steroids etc.
Trauma - during anal sex and childbirth.
Signs and Symptoms of Anal Fissure
Severe - Sharp agonizing rectal pain, tenderness, swelling, spasms in anus.
Blood streaked feces.
Pruritus ani (rectal -
itching).
Foul-smelling discharge from ulcer.
Difficulty in passing stools.
Increased frequency of urine and difficulty in
passing urine.
Self-help, safety measures, diet &
lifestyle modifications in Anal Fissure
Consume well balanced and fibre rich diet -
Unpolished rice, flour with husk (wheat bran), warm milk, ladies-finger, vegetables with skin, fruits, fruit juice, leafy vegetables, soup, bael, ripe guava, apricot / khoobani, monakka/ raisins, ripe figs /anjeer, raddish leaf juice or curry are
essential to get benefit in anal
fissure.
Avoid spicy, oily, fat rich heavy food, fast
food, red meat, fisheries, cheese, white flour / maida and white rice.
Avoid cycling or bike riding because these aggravate the rectal fissure.
Wipe the area with very soft materials (moistened
towel, cloth or cotton).
Avoid over
straining during defecation.
Ensure food has high roughage and intake natural
laxative like isabgol / psyllium husk.
Avoid heavy lifting weights, and hard physical
works.
Drink enough liquids, water is the best one.
Avoid floor - sitting down.
Losing weight for overweight / obese persons.
Regular light exercises like
morning walk, some light housework etc., yoga, specific asanas, pranayama, mudras etc. also performs a substantial role and really helps to increase blood circulation, which
may assist in anal fissure curing.
Apply petrolium jelly over teared ulcer of anus
for better lubrication.
Warm Sitz Bath -
In Ayurveda sitz bathe has been reffered to as Kati-Snaana (hip bath), which assists in easing pain, discomfort and swelling. Sitz bathe help promote good anal cleanliness, decreases rectal sphincter spasm and boosts blood circulation to your anus. Sitz bathe twice a day for 10 - 20 minutes can facilitate to alleviate the pain from rectal fissure.
In Ayurveda sitz bathe has been reffered to as Kati-Snaana (hip bath), which assists in easing pain, discomfort and swelling. Sitz bathe help promote good anal cleanliness, decreases rectal sphincter spasm and boosts blood circulation to your anus. Sitz bathe twice a day for 10 - 20 minutes can facilitate to alleviate the pain from rectal fissure.
Use local anaesthetics to get rid off anal spasm and pain as well.
It
really is performed under local anaesthesia to placing Kshar-sutra at the
right place in the anus and outcomes of Kshar-sutra treatment in anal
fissure is well with great success rate.
Ayurvedic treatment of Anal-fissure/Anorectal-fissure/ Fissure-in-Ano/Rectal-fissure or Anal-ulcer
Haritaki - Myrobalan -
Terminalia chebula.
Amalaki- Indian gooseberry-Phyllanthus emblica.
Bibhitaki - Belliric Myrobalan - Terminalia bellirica.
Guggul - Commiphora mukul.
Haridra - Turmeric - Curcuma longa.
Olive Oil - Olea europaea.
Wheat Germ Oil - Triticum vulgare.
Comfrey - Symphytum officinale.
Apple Cider Vinegar.
Alsi - Flaxseed - Linum usitatissimum.
Goldenseal root - Hydrastis canadensis.
Palash - Bastard teak - Butea Monosperma.
Common peony - Garden peony - Paeonia officinalis.
Kachnar - Camel's foot tree - Bauhinia variegata.
Sagrada / Chittam - Rhamnus Purshiana.
Parawal - Pointed gourd - Trichosanthes dioica.
Slippery elm - Indian elm - Ulmus rubra.
Marigold - Calendula officinalis.
Pokeweed - Phytolacca decandra.
Nariyal - Coconut - Cocos nucifera.
Wheatgrass - Thinopyrum intermedium.
Rhatany - Krameria/Crameria Root.
Virola sebifera - Myristica sebifera.
Horse chestnut - Aesculus hippocastanum.
Stone root - Collisonia Canadensis.
Bistort - Snakeweed - Persicaria bistorta.
Indian Senna - Cassia angustifolia.
Chaparral leaf - Larrea tridentata .
Purple coneflower - Echinacea purpurea.
Nimbu - Lemon - Citrus limon.
Lavender - Lavandula Officinalis / Lavandula angustifolia.
Witch hazel - Hamamelis virginiana.
St. John's wort - Hypericum perforatum.
Plantain - Plantago lanceolata.
Masur - Lentils - Lens esculentum.
Common Yarrow - Achillea millefolium.
Stinging nettle - Urtica dioica.
Chamomile - Water of Youth - Matricaria chamomilla.
Marshmallow - Althaea officinalis.
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WRITTEN BY RAJESH KUMAR
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