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Fissure in Ano

ANAL FISSURE

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. An anal fissure usually isn’t a serious condition. It can affect people of all ages, and it’s often seen in infants and young children since constipation is a common problem in these age groups.

Symptoms:

  • Pain, sometimes severe, during bowel movements
  • Bright red blood on the stool or toilet paper after a bowel movement
  • A visible crack in the skin around the anus
  • A small lump or skin tag on the skin near the anal fissure 
  • Pain after bowel movements that can last up to several hours

cause:

  • straining during childbirth or bowel movements
  • inflammatory bowel disease (IBD), such as Crohn’s disease
  • decreased blood flow to the anorectal area
  • overly tight or spastic anal sphincter muscles

In rare cases, an anal fissure may develop due to

  • anal cancer
  • HIV
  • tuberculosis
  • syphilis
  • herpes

Prevention

For adults, the following may help prevent anal fissures:

  • Avoiding straining when defecating. This includes treating and preventing constipation by eating food rich in dietary fiber, drinking enough water, occasional use of a stool softener, and avoiding constipating agents
  • Careful anal hygiene after defecation, including using soft toilet paper and cleaning with water, plus the use of sanitary wipes.
  • In cases of pre-existing or suspected fissure, use of a lubricating ointment .
  • In infants, frequent diaper change can prevent anal fissure

 Diagnosis

  • External anal fissures on anal verge can be diagnosed by visual inspection. 
  • Internal anal fissures on anterior side, posterior side or throughout the inner circumference of the anal sphincter muscle can be diagnosed with slit / split proctoscope, transparent plastic proctoscope or by Digital rectal examination with finger inside the anal sphincter muscle.

HOMOEOEPATHIC MANAGEMENT:

  • Graphites : It is one of the best Homeopathic medicines for anal fissures. Graphitis patient is usually obese or overweight. Constipation is another prominent symptom of this homeopathic medicine for anal fissures. The stool may be hard, large, and knotty and joined by mucous threads. There may be other skin symptoms like eczema which is characterized by oozing of thick sticky fluid.
  • Nitric Acid : There is splinter like pain in the anal or rectal region. It feels as if some splinter has lodged in the area. Another feeling is as if the rectum is torn. There is offensive discharge from the fissure. This offensiveness of discharges may even extend to the urine, stool and even perspiration. The patient is quite prone to take colds. Diarrhoea is also quite frequently present. The stool is quite soft. Despite the stool being soft, one has to strain to pass the stool.
  • Ratanhia It is one of the best Homeopathic medicines for anal fissures. There is a feeling of constriction in the rectum. The pain may be aching in character. There may also be a feeling as if the rectum is full of broken glass. The pain may be temporarily removed by cold water.
  • Paeonia : This is another best Homeopathic medicine for anal fissures. There is oozing of offensive moisture. There is a strange feeling of internal chilliness in the rectal region. The anal region seems to be covered with crusts. Diarrhoea is more likely to occur in this medicine rather than constipation.