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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