An Anal Fissure also called Fissure-in-ano is a tear in the opening of the anus that can cause pain, itching, and bleeding. The anus is the last part of your digestive tract. It’s at the end of your rectum. It has a ring of muscle (sphincter) that opens during a bowel movement to allow stool (feces) to pass through. A fissure is caused by the anal tissue stretching too much. This can happen during a hard bowel movement. It causes pain and bleeding.
 
Anal fissures are not the same as hemorrhoids. But the symptoms can be similar. Hemorrhoids are inflamed blood vessels in or just outside the anus. Anal fissure is one of the most common noncancer (benign) conditions of the anus and rectum.

Causes of Anal Fissure :-

Anal fissures are typically caused by trauma to the lining of the anus, such as a large, hard bowel movement or receptive anal penetration. Additionally, constipation, chronic diarrhea, childbirth, straining during bowel movements, chronic inflammation of the anorectal area, and anal infections can all lead to anal fissures. Less common causes include anal cancer, HIV, tuberculosis, herpes, and syphilis.












Risk Factors :-

There are a number of health factors that may increase a patient’s risk of developing an anal fissure. Passing hard stools, childbirth, and Crohn’s disease (inflammatory bowel disease) make the lining of the anus increasingly vulnerable to tearing. Additionally, reduced blood flow and circulation to the rectal area during old age may increase the risk of an anal fissure.












Symptoms of Anal Fissure :-










* A sharp, stinging, or burning pain during bowel movements. Pain from a fissure may be quite severe. It can be brief or last for several hours after a bowel movement.
* Itching.
* Bleeding. You may see a small spot of bright red blood on toilet tissue or a few drops in the toilet bowl. The blood from a fissure is separate from the stool. (Very dark, tarry stools or dark red blood mixed with stool may be a sign of a more serious problem.) Tell your doctor if you have any bleeding with a bowel movement.

Sometimes an anal fissure may be a painless wound that won't heal. It may bleed from time to time but cause no other symptoms.











Diagnosis of Anal Fissure/ Fissure-in-ano :-

Anal fissures can usually be diagnosed based on the symptoms described above and a physical examination. The physical examination involves gently separating the buttocks, allowing for visual inspection of the region around the anus. A fissure most commonly appears in the 12 or 6 o'clock position. Fissures located in other locations are more likely to be associated with an underlying disorder (eg, Crohn disease).

A rectal examination (insertion of a gloved finger into the anus) or anoscopy (insertion of a small instrument to view the anal canal) can often be avoided in the initial diagnosis of a fissure. These examinations can cause increased pain and are often unnecessary to establish a provisional diagnosis based on history and visual examination. Further evaluation may be required if there is concern that another medical condition may have contributed to the development of the fissure.

If the diagnosis is unclear, a sigmoidoscopy or colonoscopy is usually recommended, especially if there has been rectal bleeding. A colonoscopy is preferred in patients 50 years and older and can also be used to screen for colorectal cancer. In younger patients with no risk factors for colorectal cancer or intestinal diseases, a sigmoidoscopy may suffice.

Ayurveda and Anal Fissures :-










Many patients with anal fissures have been managed with Ayurveda.

With constipation being a trigger for anal fissures, Ayurvedic medicines are given to soften the stool.It provide relief from constipation and the associated discomfort that comes tagged along.

The use of Panchakarma can also treat anal fissures. Panchakarma involves the use of various herbal oil baths and massages to cleanse the body.

Make it a habit to do exercise and physical activities daily.
Increase the fluid intake (water, fresh fruit juice, vegetable soup) to keep the body hydrated.

Why Ayurvedic Treatment is Better :-

Along with the treatment procedures several lifestyle modifications are also advised to prevent any future complications. This includes planning a customized diet chart as per patient condition and incorporating any physical activity routine for overall improvement and rejuvenation of patient health and well being. According to Ayurveda, most disorders occur from what we consume and how body reacts to the matter that enters the system. We take particular care to understand and prevent any disorder from developing in the system through customized treatment plan.

At Life Line Ayurvedic Herbal Clinic, we offer effective ayurvedic treatment methods to patients suffering from anal fissures and also ensure the prevention of re-occurrence of fissure in anus. Our expert panel of ayurvedic specialist’s provides a unique inclusive experience for the patients to relieve pain and discomfort caused by any severe medical condition. The treatment plan pacifies all the vitiated doshas in the body and rejuvenates the system at cellular level for total well being of the person. To know more about ayurvedic treatment options for fissure in anus and treatment cost, book an appointment now. CONTACT