Anal Fissure – Treatment

What is Anal Fissure?

Anal fissures are quite a common condition which is described as a tear in the inner lining of the anal canal or anus. This is equally common in both men and women. Anal fissures are often misdiagnosed as hemorrhoids which is different, wherein the veins in the anal canal are swollen or becomes tortuous.

Causes of Anal Fissure?The most common cause of anal fissures is constipation. Patients suffering with constipation for a long time have more chances of developing anal fissures. An anal fissure develops when the resting pressure of the internal anal sphincter becomes too high resulting in reduced blood flow which in turn results in a fissure.

Other causes that may lead to above mentioned pathology are as follows:

  • Repeated Diarrhea

  • Childbirth can cause injury to the lining of the anal canal.

  • Irritable bowel syndrome.

  • Passage of hard stools can cause cracks or fissures.

  • Anal intercourse, Foreign body insertions.

  • Digital examination of the anal canal can cause fissures if not performed correctly.

Symptoms:Pain is the hallmark symptom of a patient suffering with anal fissures. The pain is usually described as a stitching/stinging/burning pain and this may last from few minutes to many hours.

Itching is the second most common symptom and this itching sensation may occur either before or after stool.

Bleeding per rectum occurs often when hard stools are passed and it can be seen as streaks of blood on the stools passed. The patient may have severe bleeding per rectum, if the fissure breaks open even more than before while straining at stool or exercising or during a digital examination. The bleeding is usually bright red and sometimes it may be dark red which indicates that there may be some other associated conditions like irritable bowel syndrome or colonic cancer.

In some patients it can be noted that they have a painless anal fissure with severe bleeding. The pain may be absent due to prolonged use of local analgesics or painkillers.

Diagnosis:The diagnosis is usually made from the symptoms and signs. On inspecting the anal orifice we can find a skin tag (sentinel tag) which a diagnostic sign of anal fissure which may look like a hemorrhoid (a haemorrhoidal mass will have a mucosal lining and will not be covered by skin). A digital examination is rarely performed in a patient with fissure as it may be very painful for the patient. In such cases an anoscope or a proctoscope may be used to confirm the diagnosis and local anesthetic will be used.

Homeopathic Treatment:Acute fissures might heal in a few days or in 2-3 weeks without any medications but chronic cases will require medications and some dietary modifications. Warm water sitz bath for at least 2-3 times a day, taking lot of fiber in the diet and adequate intake of water will definitely help patients with anal fissures. Homeopathic treatment involves a deep case taking and identifying the underlying pathology, exciting/maintaining cause which may be emotional or physical and a suitable remedy is chosen. This treatment helps to heal the fissures and also restore regular activity of bowels. Every patient is evaluated as individual cases and treated as such. Most of the patients report improvement in about two-four weeks. Essence Homeopathic Clinics with its team of professional homeopaths offers excellent advanced treatment protocol to patients all over the world.

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