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What is anal fissure? Anal fissure is a break or tear in the skin or lining of the anal canal characterized by bright red anal bleeding on toilet paper, sometimes in the toilet.

In acute cases it may cause pain after defecation but in chronic cases pain intensity is often less. Most anal fissures (acute) heal with home remedies (like adding up fibres to the diet) after a few days or weeks. However,  chronic fissure need medical treatment. It is a common problem. It can affect all age groups, especially young and otherwise healthy people.

CAUSE: It is  caused by injury or trauma to the anal canal. Injury occurs due to large hard stool, when you are constipated and when you try to pass a hard stool, when you have repeated diarrhea, childbirth can also cause tear in anal canal. Rectal examination, anal intercourse, or a foreign object can cause trauma or injury to anal canal. Crohn’s disease can also lead to anal fissures.

SYMPTOMS AND SIGNS: A sharp, stinging, or burning pain during bowel movements is a common symptom of anal fissures.  It may last for few minutes to several hours after a bowel movement. Itching of anal skin and bleeding while passing stool are also commonly seen in patients suffering from anal fissures. However, sometimes there may be painless non healing anal fissure.


How can you prevent anal fissures? 1.Avoiding straining when defecating.

  1. Treat and prevent constipation by eating food rich in dietary fiber , drinking enough water, occasional use of a stool softener, and avoiding constipating agents.

3.prompt treatment of diarrhea may reduce anal strain.

  1. Careful anal hygiene after defecation, including using soft toilet paper and/or cleaning with water, plus the use of sanitary wipes.

Homeopathic Medicines like aesulus, nitric acid, paeonia, phosphorus, ratanhia, sulphur  are few best suited medicines for patients those suffering from anal fissues.

Aesculus is best suited to those patients who suffer from severe pain in anus following stool passage. While ratanhia is prescribed when there is burning and pain in anus after the passage of stool. There is relief by cold application.

Nitric acid is well indicated when there is stitching, tearing, stinging or cutting pain in anus while passing stool. Patient suffers from constipation as well. There is bright red blood discharge from the anus while passing stool. While sulphur acts well when there is burning pain during the stools. There is burning and itching in anus which chiefly indicates sulphur.

Paeonia is indicated when the anus is ulcerated or torn with unbearable pain in anus during or after passing the stool. There is offensive fluid discharge from the anal fissures.

Phosphorus is given when the stool is long and hard and there is bleeding from anus.  Stools are offensive.


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