A fissure refers to a small tear or crack in the lining of the anus. These tears often lead to intense pain during bowel movements and are typically accompanied by bleeding. Fissures can be acute or chronic, with chronic fissures being more persistent and problematic.
CAUSES
Fissures are often the result of trauma to the delicate lining of the anal canal. Common causes include:
- Straining during Bowel Movements: Excessive pressure during a bowel movement can damage the anal lining, leading to fissures.
- Constipation: Hard, dry stools can be difficult to pass, causing strain on the anus and potentially leading to fissures.
- Diarrhea: Frequent bowel movements and loose stools can irritate the anal lining, making it more susceptible to tearing.
- Anal Intercourse: This can lead to minor injuries in the anal area, which might result in fissures.
SYMPTOMS
Fissures present several distinctive symptoms:
- Pain During Bowel Movements: This is the most common symptom, with a sharp, stabbing pain often experienced during and after passing stool.
- Bleeding: Bright red blood may be observed on toilet paper or in the toilet bowl after a bowel movement.
- Itching and Discomfort: The anal area can become itchy and uncomfortable.
- Spasms: Some individuals experience involuntary contractions of the anal muscles, known as anal sphincter spasms, which can intensify pain.
RISK FACTORS
Certain factors increase the risk of developing fissures:
- Age: Fissures are more common in young adults and the elderly.
- Chronic Constipation: Frequent straining due to constipation can increase the likelihood of fissures.
- Crohn's Disease: Individuals with inflammatory bowel diseases like Crohn's disease are at a higher risk.
- Childbirth: Women who have had a difficult vaginal delivery are more prone to fissures.
- Anal Intercourse: As previously mentioned, this can cause trauma to the anal area.
PREVENTIVE MEASURES
Preventing fissures involves addressing the underlying causes and adopting a few preventive measures:
- Fiber-Rich Diet: A diet high in fiber can prevent constipation by promoting regular, soft bowel movements.
- Adequate Hydration: Drinking plenty of water helps maintain stool softness and ease bowel movements.
- Avoid Straining: Avoid excessive straining during bowel movements, which can lead to anal trauma.
- Good Anal Hygiene: Keeping the anal area clean can prevent irritation and reduce the risk of fissures.
- Regular Exercise: Staying active helps maintain overall digestive health.
AYURVEDIC MANAGEMENT
In Ayurvedic terms, it is termed as ‘Parikartika’ and is characterized by Kartanavat and Chednavat shoola in Guda. The condition mainly caused due to aggravation of Pitta and Vata Dosha. Parikartika is treated with internal medications and local application formulated by using Madhura, Sheeta and Snigdh dravyas. Ayurveda helps in healing the crack and provides lubrication and nourishment to the affected part.
Ayurvedic management of fissures primarily focuses on maintaining digestive health and soothing the anal area. Here are some key Ayurvedic approaches:
- Dietary Modifications: Ayurveda suggests incorporating foods that are cooling and easy to digest, such as rice, yogurt, and ghee, while avoiding spicy and hot foods.
- Herbal Remedies: Herbs like Aloe Vera, Triphala, and Haritaki are known for their potential in alleviating constipation and promoting regular bowel movements.
- Lifestyle Adjustments: Maintaining a regular daily routine and practicing stress-reduction techniques, like yoga and meditation, can support overall well-being.
- Sitz Baths: Warm water sitz baths can help relax the anal muscles and reduce pain and discomfort.
- Ayurvedic Medicines: Ayurvedic practitioners may recommend specific herbal formulations to address fissures, based on an individual's constitution and symptoms.
ANAL FISSURE CARE KIT
All Products Description In Detail –
- Detox Premium Powder –
The powder is very beneficial to cure anal fissure as it removes excess toxins from the body and balances the aggravated pitta and vata dosha. It consists of several herbs and bhasmas such as shukta pishti, giloy satv, parwal pishti, kamdudha rasa, moti pishti, gandhak rasayan, akik pishti, etc. The ingredients help in reducing swelling, redness, shrinkage of tear lining in the anus, burning sensation, etc.
Recommended Dosage – Take 1 sachet twice daily with normal water.
- Arsh Care Tablet –
Arsh care tablet are pure Ayurvedic formulation. These tablets contains pure extract of Reetha Chhilka (Sapindus mukorossi) purified in Cow’s milk. The herb used for formulation of these tablets show antioxidant, anti-inflammatory, laxative properties. It makes your stool soft and help prevent constipation. It is effective against bleeding piles and reduce the pain, burning sensation,irritation while defaecation, treat Fissures, Fistula.
Recommended Dosage – Take 2 tablets twice daily.
- Piles Soft Tablet –
The symptoms of anal fissure became more severe when a patient passes a hard stool. Thus to provide relief from such condition piles soft tablets are widely used. The tablet is made up of Reetha chhilka (Sapindus mukorossi) that further purified in Cow’s milk. It acts as a laxative, anti-inflammatory, anti-oxidants, etc.
Recommended Dosage – Take 2-3 tablets twice daily with normal water.
- Triphala Syrup –
Triphala syrup is very effective as it helps in maintaining the digestive fire and prevents the formation of ama. The syrup balances the Tridosha and provides relief from itchiness, burning sensation, excessive pain, discomfort, bleeding, etc. The syrup is composed of Haritaki, Bibhitaki, and Amalaki, which further enhances the immunity of a patient.
Recommended Dosage – Take 2 teaspoonfuls twice daily.
- Panchasakar Churna –
As the name suggested the churna is made up of five ingredients – Shunti, Haritaki, Pippali, Trivrit, and Sauvarchala lavana. The ingredients act as a Vata-Anuloman and prevent the formation of ama. It helps in eliminating excess toxins from the body and regulates all the secretions normally.
Recommended Dosage – Take 1 teaspoonful daily with lukewarm water at bed time.
- Satadhauta Ghrutham –
Satadhauta ghrutham is an ayurvedic cream used for local application in wounds, burns, chickenpox, scars, herpes and other skin ailments. It is made up of Nyagrodh, Plaksha, Udumbara, Aswatha, etc. The ghrutham is prepared by washing 100 times purified ghee with water. As it provides instant relief in inflammation, skin irritation, burning sensation, helps in healing fissure, etc.
Method of Application – Gently apply over the affected area.
- Stop Bleeding tablets –
Stop Bleeding tablet is a pure herbal formulation that works as an anticoagulant. It helps to stop or reduce heavy bleeding and thus reduce the excessive unwanted bleeding. These tablets have anti-inflammatory, Analgesic, anticoagulant properties. It also pacifies pitta doshas and helps in detoxification of rakta dhatu (blood tissue). The Ingredients present in these tablets are Nagkesar, Laksha , Moch ras, Swarn gairic, Kehrwa pisthri. These tablets Helps to stop bleeding from nose and mouth, used in thrombocytopenic purpura, Bleeding disorder, Heavy menstrual bleeding, Ulcerative colitis, Peptic ulcers, Wounds& cuts.
Recommended Dosage – Take 1 tablet twice daily.
