Fissure Treatment

What is Fissure ?

It is longitudinal tear in the lower end of anus. It is the most painful condition affecting the anal region. It commonly seen in young & middle age people . Due wrong food habits fissures are found in children also.

Site

The crack is usually in the midline posterior i.e. in line with the cleft of the buttocks. Occasionally it may be in the front or sides. Sometimes a little tag, swelling of the skin develops at the edge of the anus. This is called as sentinel tag or Sentinel Piles. This stays even after the fissure heals unless excised.

Symptoms

  • Severe burning - cutting pain during and after passing stool
  • Severe constipation
  • Drop of blood or streak of fresh blood during defecation
  • Sentinel piles (Tag of skin at the outer end of anus)
  • Itching
  • Hard stool

Causes

  • Extreme condition like severe constipation or dysentery
  • Surgeries (Piles surgery)
  • Sphincter hypertonia (spasm of anus)
  • Repeated child birth
  • Excessive use of ointments
  • Excessive use of laxatives

Complications of fissure

  • Anemia
  • Pain
  • Fistula
  • Infection

How to cure fissure ?

Self help -

  • Correcting Constipation :
  • This can be done by adopting a high fibre diet. Also eat as per your appetite. Avoid fast food. Drink sip by sip water during eating. Do exercise regularly.

  • Sitz Bath :
  • The best way to reduce pain is a sites bath in simple warm water or warm medicated water (Proctobath).

  • Avoid straining during defecation.

Conservative treatment

In our 18 years practice we use combination of ayurvedic & homoeopathic medicines to heal fissure in ano. In initial stage fissure is healed & patient can be cured without surgery.

  • Panchakarma ( Basti ) Treatment :
  • Enema of medicated ayurvedic oil & ghee helps to reduce pain , spasm, swelling of anal ring. It also reduces dryness of internal skin which helps to heal fissure very fast.

  • Anal Dilation :
  • This is para surgical procedure. When conservative treatment fails to cure fissure permanently due to severe spasm of anal ring, dilation of the anal canal is preferred. This is a short procedure where anal canal is manually by fingers. This can be done under local anaesthesia. This is also called Lord's anal dilation. It is the safest procedure to cure fissure.

We have treated patients from many cities in India like Pune, Nashik, Mumbai, New Mumbai, Satara, Kolhapur, Sangli, Solapur, Panvel, Khopoli, Ahmadnagar, Kankavli, Shrivardhan ( Maharashtra ), Kolkata ( West Bengal ), Delhi, Ahmedabad, Rajkot ( Gujarat ), Banglore, Udupi, Hubli, Gulbarga ( Karnataka ), Hyderabad ( Telangana ), Panaji ( Goa ), Hisar ( Haryana ), Chennai ( Tamil nadu ). Also patients from Dubai ( UAE ), Toronto, Vancouver ( Canada ), Las vegas ( Nevada ), Atlanta ( Georgia ), San Francisco, San Jose ( California ), Boston ( Massachusetts ), Seattle ( Washington ), Phoenix ( Arizona ), Michigan, New Mexico ( All from USA ), London ( England ), Perth ( Australia ), Kuwait, Bahrain, Germany, Malaysia, Saudi Arabia, Israel, Singapore, Afghanistan are cured.

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Written by Dr. Prasad Bapat