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Anorectal Fissure

Homeopathic Treatment of an Anorectal Fissure or Anal Fissure or Fissure in Ano or Anal Ulcer

Anal fissure or ano-rectal fissure is generally considered a medico surgical disorder according to modern medical science. However, the allopathic line of treatment is limited to a few oral pain killers, stool softeners, soothing ointments, which are all prescribed to relieve a few symptoms and that too for a very short period of time. This treatment is mainly opted for acute fissures, but in chronic ulcers, though conservative allopathic treatment can be tried, in most cases, this treatment fails and surgical management like fissurectomy, anal dilatation, excision of anal ulcers and so on are resorted to. Unfortunately, in most cases, this has been unsuccessful as well. Moreover, after surgery, you may have trouble controlling flatulence.


Fissure in ano or anorectal fissure finds an excellent treatment with homeopathy. You should think of surgery only after a fair trial with homeopathic treatment. Most cases get well and rarely need surgery if treated by homeopathy.

Now you must be thinking, "HOW CAN HOMEOPATHY HELP AVOID SURGERY ?" The surgical treatment is to cut the muscles surrounding the anus to reduce anal spasms. The same goal can be achieved with homeopathy, without the use of a knife (that can completely avoid infections like HIV also).

Homeopathic treatment is basically aimed at stimulating the healing process of the body and healing the fissures natyrally. The treatment facilitates healing, improves blood circulation to the affected parts, relieves the anal spasm, alleviates pain, prevents infection, relieves constipation and all the other symptoms related to the anal fissure / fissures in totality. This goes a long way in preventing recurrences of the condition.

Generally, fisures recur after allopathic treatment. However, with homeopathic therapy, the chances of recurrence are 'zero'. The main reason for the recurrence of this condition is the constipation tendency. While choosing homeopathic medicines, the cause of the constipation for a particular patient is also evaluated, such as dietary errors, sedentary habits, faulty feeding habits, mental stress, weakness of the digestive system muscles and so on. The homeopathic remedies administered encompass these factors and help to relieve the fissures, as well as the tendency for constipation.

The timely administration of homeopathic medicines takes care of acute and chronic fissures gently, effectively, and without producing any side effects. The homeopathic treatment is based on an individual study and evaluation of the case.


Homeopathy has proved very effective in curing more than 90% of the fissure in ano sufferers. The results are obtained reasonably fast and are long lasting. The duration of treatment varies from patient to patient, depending on the duration and extent of the fissures. Most patients show significant improvement in about 2 to 6 weeks of homeopathic treatment. However, some patients may need a longer course of medication.

There are 78 homoeopathic remedies which give great relief in anorectal fissures. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the homeopathic physician. The treatment is decided after thorough case taking of the patient. Thus, homeopathic medicines of anal fissure or ulcer are designer made, unlike allopathy, in which all patients receive the same type of drugs and surgery.

What is an Anorectal Fissure or Anal Fissure or Fissure in Ano or Anal Ulcer ?

Fissure in ano or anorectal fissure is a very common and painful condition. This condition is characterized by a longitudinal crack in the skin of the anus. If the skin lining of the lower end of the anus gets scratched, it may break up into a fissure.

Fissures most commonly occur in the midline posteriorly, the least protected part of the anal canal. In males, fissures usually occur in the midline posteriorly (90%) and much less commonly, anteriorly (10%). In females, fissures in the midline posteriorly, are commoner than anteriorly (60:40).

Causes of Anorectal fissure / fissures or Anal fissure / fissures or fissure / fissures in Ano or Anal Ulcer / ulcers
  • The most common cause of the fissure in ano is CONSTIPATION. Chronic constipation due to any reason (such as habitual, drug induced, pregnancy and so on) leads to recurring abrasion or forceful rubbing of the anal mucosa, which leads to a fissure.
  • Spasm of the internal sphincter has also been incriminated to cause anal fissure / fissures.
  • When too much skin has been removed during an operation for hemorrhoids (piles), anal stenosis may result, due to which an anal fissure or fissures may develop when a hard stool passes through such a stricture.

The other less common causes are :

  • Following bouts of diarrhea or following passage of bulky stools very quickly (especially in children).
  • Multiple pregnancies.
  • Chronic use of laxatives.
  • Rarely, a fissure may be the manifestation of an underlying disease like Crohn's disease, ulcerative colitis, sexually transmitted diseases, cancer and so on.
  • Surgery for piles (hemorrhoids) done imperfectly.
Symptoms of an Anorectal Fissure or Anal Fissure or Fissure in Ano or Anal Ulcer
  • Pain during defecation : The lower anal canal is an extremely sensitive area of the skin and can produce fairly significant signals of pain if damaged. Sharp agonizing knife-like pain starts when the individual passes stools. The pain is severe and persists for an hour or so. It ceases suddenly. After the pain stops, the sufferer remains comfortable till the next action of the bowels. The individual tends to be constipated rather than go through the painful ordeal. If a fissure becomes chronic and deep, a dull aching kind of pain develops, that starts a few minutes after the bowel movement and can persist for hours after passing stools. The chronic fissure pain is due to a spasm of the internal sphincter muscle and can be quite debilitating.
  • Severe spasm of the anal sphincter.
  • Blood streaks on the stool : The bleeding associated with a fissure in ano, is bright red and associated with some pain or tenderness in the anus. It usually occurs as streaks on the outside of the stool, or spots noted on toilet tissue/s.
  • Discharge, swelling and pruritus ani (anal itching) occur, especially with chronic fissures.

Anorectal fissures or anal fissures may present as ACUTE FISSURE of recent origin (less than 6 weeks of duration). At this stage, fissures are superficial. Some of them may deepen to reach underlying layers and present as chronic fissures of a long duration (more than 6 weeks of duration) or recurring fissures.

Diagnosis of an Anorectal Fissure or Anal Fissure or Fissure in Ano or Anal Ulcer

Clinical examination of the patient is required to diagnose this condition; no complicated procedures are required. With careful evaluation of the symptoms and a close look at the anus, a diagnosis of a fissure or fissures can be confirmed.

On examination :

  • A tightly closed puckered anus is seen which is the diagnostic point of this condition.
  • A split or cut in the posterior midline of anal mucosa.
  • Lateral fissures.
  • Acute fissures are superficial with sharply demarcated edges.
  • Chronic fissures are usually deeper and may have secondary features, including hardening of the edge of the fissure, a sentinel pile which looks like a small skin tag and hypertrophied anal papillae and so on.
Home Remedies for Anorectal fissure / fissures or Anal fissure / fissures or fissure / fissures in Ano or Anal Ulcer/ ulcers
  • Several times a day, sit in a warm sitz bath for 20 minutes. This relaxes the anal sphincter, reducing spasms and their associated pain.
  • Prevention of ano-rectal fissure / fissures involves avoiding constipation and diarrhea through diet and exercise.

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