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ANAL FISSURE

An Anal fissure can be caused by trauma to the anus and anal canal. It is longitudinal tear in the lower end of anus. It is the most painful condition affecting the anal region. It commonly seen among the young & the middle aged. Due wrong food habits fissures are found in children also.

Prevention of Anal Fissures

For fissures in adults:

  • Keep      the anorectal area dry

  • Wipe      the area with soft materials, a moistened cloth, or cotton pad; avoid      rough and scented toilet paper

  • Promptly      treat all occurrences of constipation and diarrhea

  • Avoid      irritating the rectum

Causes of Anal Fissures

Anal fissures can be caused by trauma to the anus and anal canal. The cause of the trauma can be one or more of the following:

  • Chronic      constipation

  • Straining      to have a bowel movement, especially if the stool is large, hard, and/or      dry

  • Prolonged      diarrhea

  • Anal      stretching

  • Insertion      of foreign objects into the anus

Other causes of anal fissures (other than trauma) include:

  • Longstanding      poor bowel habits

  • Overly      tight or spastic anal sphincter muscles (muscles that control the closing      of the anus)
        Scarring in the anorectal area

  • Presence      of an underlying medical problem: such as Crohn’s disease and ulcerative      colitis; anal cancer; leukemia; infectious diseases (such as      tuberculosis); and sexually transmitted diseases (such as syphilis,      gonorrhea, Chlamydia, chancroid, HIV)

  • Decreased      blood flow to the anorectal area

Signs and Symptoms

Signs and symptoms of Anal Fissure include:

  • Pain      during, and even hours after, a bowel movement

  • Constipation

  • Blood      on the outside surface of the stool

  • Blood      on toilet

  • A      visible crack or tear in the anus or anal canal

  • Burning      and itch that may be painful

  • Discomfort      when urinating, frequent urination, or inability to urinate

  • Foul-smelling      discharge

Risk Factors

Factors that may increase your risk of developing an anal fissure include:

  • Infancy.      Many infants experience an anal fissure during their first year of life,      although experts aren’t sure of the reason.

  • Aging.      Older adults may develop an anal fissure partly because of slowed      circulation, resulting in decreased blood flow to the rectal area.

  • 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

Ayurveda Treatment

Ayurveda advises internal medication as well as topical ointment application in the treatment of anal fissures. To avoid further irritation to the damaged tissue, medicines which soften the stools and promote healing of the tissues are utilized. Ointments which are natural anti-bacterial and anti-septic are used for topical application. Punarva Hospitals offers Precision Based anal fissure treatment in Hebbal and in Basavangudi. We provides one of the best ayurvedic treatment for fissure in India, which is available in both Delhi and Gurugram.

OUR APPROACH

Punarva Hospitals provides Fissures Treatment through Ayurveda. Ayurveda advises internal medication as well as topical ointment application in the treatment of anal fissures. To avoid further irritation to the damaged tissue, medicines which soften the stools and promote healing of the tissues are utilized. Ointments which are natural anti-bacterial and anti-septic are used for topical application. We also conduct Agnikarma, a para surgical procedure. This is thermal cauterization. In this procedure sentinel tags are removed by thermal cauterisation and sphincterotomy also will be performed by agnikarma to reduce spasm of anal ring. Punarva Hospitals offers Precision Based anal fissure treatment in Hebbal and in Basavangudi. We provides one of the best ayurvedic treatment for fissure in India, which is available in both Delhi and Gurugram.

The Punarva protocol is based on the simple premise that the Physician must diagnose and treat only based on sufficient evidence. This evidence should be ‘patient or rogi based’ in addition to being ‘disease or roga based’ in accordance with the fundamental principles of Ayurveda.

How is this made possible?

  • A thorough and      complete recording of the patient’s medical history, capturing every      minute aspect of his/her lifestyle.

  • A thorough      head-to-toe clinical examination, uncovering health risk factors that the      patient is unaware of, directly connected or unrelated with his presenting      medical complaint(s).

  • This process of      detailed history recording and clinical examination- which includes the      classical Srotha-Vikrti pariksha – leads to an accurate understanding of      the Dosha status of the individual and lays the foundation for an accurate      differential diagnosis and medical management.

  • Further, the      patient is entitled to be clearly informed about the diagnosis arrived at,      as also understand the medical management proposed for him. The Physician      shall proceed only with the patient’s informed concurrence.

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