ANAL FISSURE & HOMOEOPATHIC TREATMENT
An anal fissure is a cut or tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when pass hard or large stools during a bowel movement.
An anal fissure may be acute or chronic.
· ACUTE ANAL FISSURE
An acute anal fissure is usually small and shallow and often heals without treatment.
· CHRONIC ANAL FISSURE
A chronic fissure may last longer than a month and will usually require treatment. A chronic anal fissure comes back after treatment.
Anal fissures are very common in young infants but can affect people of any age.
Signs and symptoms of an anal fissure include:
· Pain, sometimes severe, during bowel movements
· Pain after bowel movements that can last up to several hours
· 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
· Itching around anus
Anal fissures may occur when anal muscle becomes too tight. Anal muscle forms a ring around anus and helps control bowel movements. When this muscle becomes too tight, there is decreased blood flow to anus. Patient may also have too much pressure around anus. Other possible causes may include any of the following:
Common causes of anal fissure include:
· Passing large or hard stools
· Constipation and straining during bowel movements
· Chronic diarrhea
· Anal intercourse
· Less common causes of anal fissures include:
· Crohn's disease or another inflammatory bowel disease
· Anal cancer
Factors that may increase risk of developing an anal fissure include:
Constipation. Straining during bowel movements and passing hard stools increase the risk of tearing.
Childbirth. Anal fissures are more common in women after they give birth.
Crohn's disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing.
Age. Anal fissures can occur at any age, but are more common in infants and middle-aged adults.
· Eat foods that are high in fiber. This will help keep bowel movements soft. High-fiber foods include fruits, vegetables, and whole grains.
· Liquids may help soften bowel movements. This will help prevent from straining.
· Cleansing the anorectal area more gently.
· Avoiding straining or prolonged sitting on the toilet.
· Using petroleum jelly to help lubricate the anorectal area.
· Soaking in a warm bath (also called a sitz bath), 10 to 20 minutes several times a day, to help relax the anal muscles.
HOMOEOPATHIC TREATMENT FOR FISSURE
The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach.
Homeopathy for Fissure can help this increasingly common condition without harmful side effects of traditional medicines.
Several remedies are available to treat Fissure that can be selected on the basis of Cause of Fissure, sensations, modalities etc.
Fissures caused by large fecal masses, no irritability of the part, no frequent desire for stool, no spasmodic contractions of anus, only a smarting and soreness ; especially severe at night.
Sharp splinter-like cutting pains in rectum during stool, burning after stool; painful prolapsus of bowel, and sensation of constriction of anus.
Ulcerations of mucous membrane of rectum and anus, with fissure and burning and biting some hours after the stool; the parts seem swollen, and exude an offensive moisture.
Fissure ani with crawling and itching in anus every evening, frequent urging with scanty stool, painful sensation , weakness.
Burning in anus, like fire, preceding and accompanying defecation, and lasting a long time after it, accompanied by protrusion of varices; burning in urethra while urinatin.
Fissure ani with periodical profuse bleeding from anus.
Long and painful efforts to expel the contents of the rectum, but the sphincter ani seems tightly to resist the effort, till suddenly the stool passes, sometimes with pain and nervous shuddering.
Hard dry, knotty; no desire. Rectum sore, dry, inflamed, bleeding. Itching and burning at anus. Even a soft stool is passed with difficulty. Great straining. Constipation of infants (Collins; Psor; Paraf) and old people from inactive rectum, and in women of very sedentary habit. Diarrhœa on urinating. Evacuation preceded by painful urging long before stool, and then straining at stool.
Constant bearing down in rectum; bleeding, sore, and hot; relieved by
cold water. Feeling of weakness and loss of power of sphincter ani. Sense of
insecurity in rectum, when passing flatus. Uncertain whether gas or stool will
come. Stool passes without effort, almost unnoticed. Lumpy, watery stool. Jelly-
like stools, with soreness in rectum after stool. A lot of mucus, with pain in
rectum after stool. Hæmorrhoids protrude like grapes; very sore and tender;
better cold water application. Burning in anus and rectum. Constipation, with
heavy pressure in lower part of abdomen. Diarrhœa from beer.
Anal fissure ; painfull defecation.
Hot, green, watery, fetid, slimy, with colic. Chopped white and yellow mucus like chopped eggs and spinach. Soreness of anus. Diarrhœa during dentition. Hæmorrhoids, with painful fissures.
Bleeding at stool and fullness of rectum. Constipation; large, hard stools; feeling of a ball in rectum, cannot strain; with great tenesmus and pains shooting upward. Dark-brown, round balls glued together with mucus. Soft stool, difficult. Prolapsus ani (Pod). Almost constant oozing from anus. Infantile diarrhœa, worse from boiled milk, and rapid exhaustion. Pains shoot up in rectum and vagina.