Anal FissureAN ANAL FISSURE OR RECTAL FISSURE IS A BREAK OR TEAR IN

THE SKIN OF THE ANAL CANAL. ANAL FISSURES MAY BE NOTICED BY BRIGHT RED ANAL BLEEDING ON TOILET PAPER, SOMETIMES IN THE TOILET. IF ACUTE THEY MAY CAUSE PAIN AFTER DEFECATION. BUT

WITH CHRONIC FISSURES PAIN INTENSITY IS OFTEN LESS.

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What are anal fissures? An anal fissure or rectal fissure is a break or tear in the

skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on

toilet paper, sometimes in the toilet. If acute they may cause pain after defecation but with chronic fissures pain intensity is often less.

Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location.

Fissure depth may be superficial or sometimes down to the underlying sphincter muscle.

Causes Most anal fissures are caused by stretching of the anal

mucosa beyond its capability. Superficial or shallow anal fissures look much like a paper

cut, and may be hard to detect upon visual inspection, they will generally self-heal within a couple of weeks

Some anal fissures become chronic and deep and will not heal

The most common cause of non-healing is spasming of the internal anal sphincter muscle which results in impaired blood supply to the anal mucosa. The result is a non-healing ulcer, which may become infected by fecal bacteria.

CausesOther common causes of anal fissures include:

Childbirth trauma in womenSexual ActivitiesCrohn's disease ulcerative colitisPoor toileting in young children

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.

Similarly, prompt treatment of diarrhoea may reduce anal strain. Careful anal hygiene after defecation, including using soft toilet paper

and/or cleaning with water, plus the use of sanitary wipes. In cases of pre-existing or suspected fissure, use of a lubricating

ointment (It is important to note that hemorrhoid ointment is contraindicated because it constricts small blood vessels, thus causes a decrease in blood flow, which prevents healing.

In infants, frequent diaper change can prevent anal fissure. To avoid constipation give them enough fluids.

Homeopathy Treatment Homeopathy treatment is holistic & patient friendly, and are customized

to suit each patient according to his condition. Homeopathy also helps in reducing the complications of Anal Fissure. Homeopathy is safe and effective without causing any side effects.

Some of the useful medicines for Anal Fissure are mentioned here for reference.

Graphites. [Graph] , Nitric acid. [Nit-ac] , Paeonia [Paeon], Silicea. [Sil] 

We at Anubhuti Homeo Clinics prefer to take history of patients first and advise proper homeopathy remedies. A detailed history followed by constitutional treatment by a good and qualified homeopathic doctor is necessary to treat the complaints that appear. It is not advisable to resort to self-medication for any disease. The remedies mentioned in this presentation are mentioned solely to create awareness of homeopathic medicines in dealing with disease conditions