Fissure In Ano

What Is Fissure In Ano?

Anal fissure or fissure in ano is one of the most common causes of anal pain and bleeding from the anus. Precisely, fissure in ano is a small cut or tear in the mucosa (lining) of the anus due to friction, scratch, or trauma.

 

In most of the patients, pain is intolerable and may be disproportionate to the severity of the lesion (fissure). Some patients describe the pain as if passing pieces of broken glass while passing stools and a burning pain, which remains for several hours after passing stools. A few patients often report that the pain is so severe that they avoid defecation due to the fear of severe pain. This further leads to the hardening of the stools, which further tear the lining of the anus during the next defecation, setting a vicious cycle. Fissure in ano can significantly affect the quality of life of the patient.

 

Chronic conditions, such as long-standing constipation, diarrhea, Irritable Bowel Syndrome, frequent use of laxatives, and post-pregnancy, are some of the most common causes of fissure-in-ano.

 

The presentation of a fissure in ano could be acute or superficial (symptoms lasting for less than 6 weeks), chronic fissure (symptoms affecting more than 6 weeks), or recurrent.

 

Homeopathic Treatment For Fissure In Ano:

As per our experience at Life Force, Homeopathy is highly effective and recommended in treating all forms of the fissure in ano. It is possible to avoid surgery in many cases of the fissure in ano if homeopathic treatment is administered at the proper time. As per our experience in treating different cases of the fissure in ano, in over 80% cases, homeopathic treatment has proved effective.

 

How homeopathy can help in a fissure in ano?

  • Homeopathic treatment is based on an individualized case study and detailed evaluation of the case. During the homeopathic case study, presenting symptoms, causation of the anal fissure, past medical history of the patient, the family history, patient’s lifestyle, mental state of the patient, and present and past treatment is taken into consideration. Hence, homeopathic medicines selected after this corrects the root cause of the disease and heals the disease at a deep level.
  • Homeopathic medicines facilitate healing and improve the blood circulation to the anal mucosa. It also relieves you of the anal spasm and gives relief in the pain.
  • Homeopathic medicines correct the underlying disturbed digestive system, such as the tendency for chronic constipation.
  • The results obtained with homeopathic treatment are long-lasting.
  • It is possible to avoid surgery in many cases of the fissure in ano if homeopathic treatment administered at the proper time.
  • If needed, initially, homeopathic treatment can be taken in association with symptomatic conventional medication.
  • Homeopathic treatment is completely safe, harmless, highly effective, and non-toxic.
  • Homeopathic medicines are non-habit-forming.

 

Duration of homeopathic treatment:

Most patients show a significant improvement in about 4-6 weeks. The total duration of the homeopathic treatment varies from patient to patient. Duration of the treatment depends on the following factors:

  • The duration of suffering: since when the patient is suffering from a fissure in ano
  • Type of fissure in ano: Acute, chronic, or recurrent
  • Cause of fissure in ano
  • The lifestyle of the patient
  • Underlying disease condition (chronic constipation, IBS, Ulcerative colitis, or Crohn’s disease, etc.)
  • The general health of the patient
  • Dependency on laxatives or other conventional treatment

 

What are the chances of recovery from a fissure in ano with homeopathy?

  • Excellent result: Excellent results can be seen in early and mild cases of the fissure in ano.
  • Good Result: One can expect a good result in 2-3 years old cases of the fissure in ano to a moderate extent.
  • Not so good result: Very severe cases with large fissure persisting since a long time may not show a good result or may not respond at all.

 

Commonly prescribed homeopathic medicines in a fissure in ano:

Some of the commonly prescribed homeopathic medicines for fissure in ano are Graphites, Ratanhia, Nitric acid, Paeonia, Sulphur, Silicia, Natrum Muriaticum, etc.

 

What Happens In Fissure In Ano? (Pathogenesis)

An anal fissure is a small cut or a tear in the mucosa (lining) of the anus due to friction, scratch, or trauma.

 

Chronic conditions, such as long-standing constipation, diarrhea, Irritable Bowel Syndrome, frequent use of laxatives, and post-pregnancy, are some of the most common causes of fissure-in-ano.

 

The cut or tear in the anal mucosa causes severe pain leading to anal sphincter spasm and increases the anal sphincter muscle pressure. This results in a decrease in blood flow to the site of the injury. Decreased blood flow affects or interrupts wound healing.  Due to this, further bowel movements or passing stools result in more pain and anal spasm. This again leads to diminished blood flow to the area and the vicious cycle continues.

 

Fissure in ano may be acute (recent onset and short-lasting) or chronic (lasting more than 6 weeks). Acute cases of the fissure in ano appear as a simple tear in the anal mucosa.  Chronic fissures may present with swelling and scar tissues along with the tear. It may also present an external lump called a sentinel pile or skin tag. A few cases of the chronic fissure in ano may show an extra tissue inside the anal canal called as hypertrophied papilla.

 

Prevalence Of Fissure In Ano :

Fissure in ano can occur at any age. It affects both the males and females equally.

 

Causes Of Fissure In Ano:

Factors which may lead to trauma or tear in anal mucosa are listed below.

  1. Constipation: Constipation is one of the common causes of fissure-in-ano. Chronic constipation, such as habitual constipation, drug-induced constipation, or constipation due to pregnancy, leads to abrasion or forceful rubbing of the anal mucosa leading to a fissure.

Factors such as sedentary lifestyles, defective dietary habits, faulty eating habits, stress, etc. may also lead to constipation.

  1. Diarrhea: The bout of forceful diarrhea leading to passing bulky stools very quickly, particularly in children, can cause injury to anal mucosa, resulting in a fissure.
  2. Multiple pregnancies: During pregnancy or childbirth women may develop anal fissures due to recurrent straining.
  3. Chronic use of laxatives: Laxatives or purgatives are habit-forming. Using laxatives for a long time and then stopping their use may cause more constipation. Constipation may further lead to fissure.
  4. Underlying other diseases: Fissure may be a manifestation of an underlying disease, such as Crohn's disease, ulcerative colitis, irritable bowel syndrome, sexually transmitted disease, tuberculosis, cancer, etc.

 

Symptoms Of Fissure In Ano:

Commonly presenting symptoms of a fissure in ano:

  1. Severe pain while passing stools
    • The patient may experience pain as if passing pieces of broken glass or severe knife-like pain while passing the stools.
    • Some may experience severe burning pain, which remains for several hours after passing the stools.
    • A few patients often report that the pain is so severe that they prefer to avoid defecation to avoid pain.
    • Sometimes, there is persistent dull pain before and for hours after passing the stools.
  2. Severe spasm of the anal sphincter
  3. Streaks of blood with stools or on the toilet paper
  4. Itching at the anal region
  5. Swelling at the anal region
  6. Discharge from the anus
  7. A small lump or a skin tag near the anal fissure

 

Diagnosis Of Fissure In Ano:

The diagnosis of a fissure in ano is done by the evaluation of medical history and clinical examination. The doctor may perform an examination of the anal canal and rectum to confirm the diagnosis. The doctor may use anoscope for the local examination. An acute anal fissure may look like a superficial fresh tear. A chronic fissure may be a deeper tear and may have internal or external fleshy growth.

 

The doctor may advise sigmoidoscopy or colonoscopy in some cases to rule out other disease conditions affecting the rectum and anal canal.

 

Supportive Treatment (Diet, Lifestyle, and Exercises) For Fissure In Ano:

Along with proper medication, some supportive measures help in overall recovery from the fissure in ano. They are listed below

  • Eat a healthy diet: In most of the cases of the fissure in ano, constipation is the underlying cause. To avoid constipation, eat more fruits, green vegetables, cereals, whole grains, etc. Avoid deep-fried, oily, bakery products, alcohol, coffee, etc. from the diet. Drink at least 8 glasses (12 cups) of water a day.
  • Avoid using aluminum vessels for cooking any food. Long-term use of aluminum may lead to poisoning, leading to constipation.
  • Laxatives or purgatives are habit-forming. When you use a laxative for a long time and once you stop using them, it may lead to more severe constipation.
  • Use warm baths or Sitz baths, which may help to relieve the pain and promotes healing.  (Use 8 inches of warm water in the bathtub 2 or 3 times a day for 5-10 minutes.) Do not use very hot water.
  • Exercise regularly:   Regular exercise helps to avoid constipation.
  • Do not suppress the desire of passing stools, as this may result in hard and large stools and cause injury to the anal mucosa.  Avoid straining at stools.
  • Keep the anal area clean and dry to avoid infection.

 

Conventional Treatment For Fissure In Ano:

  1. Creams or ointments containing painkillers, such as NSAIDs (non-steroidal anti-inflammatory drugs) or corticosteroids, are used to relieve the pain.
  2.  Ointments, such as Glyceryl trinitrate ointment and Calcium channel blocker ointment, may relax the anal sphincter muscles and promote the healing.
  3. Medicine to relieve constipation: Medicines like bran, Ispagol husk, Sterculia, etc. are used to soften the stool. The patients usually get used to or habitual to these medicines.  
  4.  In some cases, antibiotic creams are used to control the local infection.

 

Our Experience In Treating Fissure In Ano At Life Force:

As per our experience at Life Force, laxatives and painkillers cannot cure fissures. Fissure-in-ano finds an excellent and long-lasting treatment with homeopathy. It is possible to avoid surgery in many cases of the fissure in ano if homeopathic treatment administered at the proper time. At Life Force, we have treated and documented different cases of the fissure in ano and, in over 80% cases, homeopathic treatment has proved quite effective. More importantly, homeopathic medicines help to reduce the habitual tendency for constipation and this prevents the recurrence of the fissure in ano. Homeopathic medicines are completely safe and free from side-effects when administered by a qualified and expert homeopath.

 

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*Please note that results and duration of treatment may vary depending on the constitution of your body.