Anal Fissure(Parikartika); Symptoms, Causes, Investigations, Home Remedies, Medicines

A very painful condition for almost all age groups. People from every corner of the globe used to suffer from it. In maximum points of time, we are responsible for the manifestation of anal fissure. Just imagine we often used to pass more than ten minutes in the toilet whereas for evacuation of stool only few seconds required. As we are not going to pass ten kilograms of stool at a time so there is no need to sit for a longer time and giving pressure to lower end. Such habits are called bad habits, or habits causing lifestyle disorders.

Symptoms

  • Sharp pain during a bowel movement
  • Fresh thread like bloodstain mix with stool or fresh drops of blood my come out while passing stool.
  • Weakness
  • Seven to mild pain last for longer period
  • Difficulty in sitting.
  • Burning sensation
  • Feeling or irritation inside the anal canal 
  • Some foul smelling with yellowish discharge may come out in cases of long lasting untreated cases
  • Patients mainly in young children suffer from fear while going to toilet.
  • Fear for toilet further triggers constipation.

Causes

  • Repeated diarrhoea for a long period
  • Sever constipation
  • Habitual constipation
  • Less water intake leading to constipation
  • Less fibber diet intake leading to constipation
  • Anal intercourse
  • Ano rectal injury by any instrument or during proctoscopy
  • During pregnancy few women suffers from anal fissure due to constipation as there is always a tendency due to iron and calcium supplements intake.
  • During delivery some women can develop anal fissure
  • Any foreign body trauma (any ingested foreign body during passing out or any foreign body anal insertion )
  • Intake of dry and spicy food.
  • Healthiamensis or Worm Infestation.

Investigations

  • Digital rectal examination
·     Proctosocpy with a   Proctoscope (We should remember this instrument can also worsen the case by injury to that part, how far digital rectal examination is the best.)
  • Verbal description and symptoms based clinical diagnosis
Laboratory Examination (May needed)
  • Stool Routine Examination
  • Urine Routine Examination
  • X-ray Plain Abdomen
  • Barium Meal X-ray

Home Remedies

  • Eating freshly cooked food is helpful. Spices like cumin seeds, coriander, turmeric powder, fennel and asafoetida is good as it makes the food easily digestible.
  • Proper chewing of food is very important.
  • Take plenty of leafy vegetables and salads.
  • Drinking a glass of warm milk at the time of going to bed helps in evacuation, the next morning. In case of severe constipation mixing two teaspoon full of castor oil in the milk is very helpful.
  • Taking lemon juice mixed with warm water two or three times a day also cleans the bowels.
  • Glass lukewarm milk with 10 grams ghee at bedtime will also help.
  • Take fruits, fruit juices, leafy and green vegetables.
  • Whole grain bread can be taken.
  • Unpolished rice can be taken moderately.
·   Fried foods and beans should be avoided. Vegetables like cabbage, cauliflower, and broccoli are not good. Nuts and dry fruits should also be avoided.
·   It is very much necessary to form a habit of evacuating early morning. Regular physical exercise is also important for having clear bowels. One should try to relax mind, free from anxiety, stress etc.

Medicines

Oral Drugs
  • Tab Kaishore Guggulu (Classical Preparation)
  • Tab Triphala Guggulu (Classical Preparation)
  • Panchasakar Churna (Classical Preparation){Not for patients suffering from Repeated diarrhoea}
  • Lavan Bhaskar Churna (Classical Preparation) {Not Indicated Patients Suffering From Hypertension} {Not for patients suffering from Repeated diarrhoea}
  • Triphala Churna (Classical Preparation) {Not for patients suffering from Repeated diarrhoea}
  • Narayan Churna (Classical Preparation) {Not for patients suffering from Repeated diarrhoea}
  • Avipattikar Churna (Classical Preparation) {Not for patients suffering from Repeated diarrhoea}
· Syp. Abhyarista (Classical Preparation) {Not Indicated Patients Suffering From Diabetes}
· Syp Kumariasav. (Classical Preparation) {Not Indicated Patients Suffering From Diabetes}
· Syp. Drakshasav (Classical Preparation) {Not Indicated Patients Suffering From Diabetes} {Not for patients suffering from Repeated diarrhoea}
  • Syp. Aswagandharista (Classical Preparation) {Not Indicated Patients Suffering From Diabetes} {Not for patients suffering from Repeated diarrhoea}
  • Haritaki Avaleha (Classical Preparation) {Not for patients suffering from Repeated diarrhoea}
  • Eranda Tail (Classical Preparation) {Not for patients suffering from Repeated diarrhoea}
  • Kayam Churna {Not for patients suffering from Repeated diarrhoea}
  • Kabja Hara {Not for patients suffering from Repeated diarrhoea}
  • Nature Care {Not for patients suffering from Repeated diarrhoea}
  • Softavac Granules {Not for patients suffering from Repeated diarrhoea}
  • Consticare Granules {Not for patients suffering from Repeated diarrhoea}
  • Cap. Herbolax (Himalaya) {Not for patients suffering from Repeated diarrhoea}
  • Cap. Picrolax (Himalaya) {Not for patients suffering from Repeated diarrhoea}
  • Sup. Picrolax (Himalaya) {Not for patients suffering from Repeated diarrhoea}
  • Isaphagol Powder {Not for patients suffering from Repeated diarrhoea}
  • Swadist Virechan {Not for patients suffering from Repeated diarrhoea}
  • Tab Pilex (Himalaya) {Not for patients suffering from Repeated diarrhoea}
  • Tab Arsha Hita (SDL) {Not for patients suffering from Repeated diarrhoea}
  • Tab Arsex (Arya Aushadhi) {Not for patients suffering from Repeated diarrhoea}
  • Tab Arshen (Ajmers) {Not for patients suffering from Repeated diarrhoea}
Local Applications
  • Kasisshdi Oil (Classical Preparation)
  • Oint Pilex (Himalaya)
  • Oint Anaproct
  • Oint Pilon
  • Jatayadhi Taila (Classical Preparation)
  • Pylapy Oinment
  • Pilogaurd Gel
  • Pylz gel
  • D Pile Oint
  • Pilochek Oint

Things To Remember

·    Hipbath is very useful. Simply in a tub of warm water give some Povidine Iodine lotion, mix it, and sit on that tub 4/5 times a day.
·      Take plenty amount of fluid orally.
·      Sever spend more than two minutes in toilet.
·      Let you stool to come spontaneously never give pressure.
·      Make regular habit and time schedule for entering to the toilet.
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Druva Patel
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July 29, 2016 at 3:40 PM ×

Nice Post...Thanks for sharing this post we got to know in detail about anal fissures.we can through this post facts and myths.To decrease the risks of anal fissures we can help with our services.fissure treatment in hyderabad

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