What is Anal Fissure ?

Anal fissure is a linear or oval shaped tear in the anal canal starting just below the dentate line extending to the anal verge.   Anal Fissure cause pain as well as bleeding with bowel movements.                         

Causes of Anal Fissure ?

 ❖   Excessive straining while passing stool

 ❖   Chronic constipation or recurrent diarrhoea

 ❖   Inflammatory conditions like IBS, Crohn’s disease, Ulcerative colitis, Anal cancer, Leukaemia, infectious disease such as Tuberculosis, sexually transmitted infections like Syphilis, gonorrhoea, chlamydia, HIV, Cancroid etc.

 ❖   Reduced or decreased blood supply to anal region

 ❖   Anal intercourse

 ❖   Anal stretching

 ❖ Insertion of foreign objects into the anus

 ❖ Injury during child birth

 ❖ Longstanding poor bowel habits

 ❖ Tight, constructed, spastic anal sphincter muscles

 ❖ Decreased blood flow to the anorectal area.

What are the symptoms of Anal Fissure?

❖  Small tear or visible ulcer around anal region

❖  Throbbing pain around anal region which worsen during bowel movements

❖  Streaks of blood while passing stools which are bright red

❖  Skin tag near to the tear

❖  Burning or itching in the anal area

❖  Constipation

❖  Discomfort while urinating

When should you see your doctor?

If your pain is worsening with difficulty in passing stools, recurrent bleeding, excessive discomfort and difficulty to sit or walk.

Risk factor :

Anal fissure can be seen in all age group. The chances having an anal fissure decreases as the age advances.

❖ History of haemorrhoid

❖ Lifting heavyweight

❖ Chronic Constipation or recurrent diarrhoea

❖ Injuries during childbirth

❖ People who have had fissures in the past

Complication : 

❖ Thrombosis

❖ Profuse bleeding

❖ Prolapse of anal canal

❖ Ulceration

❖ Pus formation

❖ Anaemia

Ayurveda Treatment for Anal Fissure : 

❖ Sits bath

❖ Drink plenty of fluid

❖ High fibre content food product

❖ Lord’s procedure

❖ Taking laxatives