Fissure in ano is an oval, ulcer like, longitudinal split at the muco-cutaneous joint in rectal tunel. It usually follows with extreme rectal discomfort worsened by hard defecation with the passing of little blood.
Anal fissure is most common cause of serious rectal discomfort and blood loss per rectum in mature and children also. It impacts more than 10% of individual participating proctology medical centre and the occurrence continues to grow high day by day.
Types of Anal Fissues
1. Primary anal fissure:
Primary anal fissure can be categorized in acute and chronic situation. Acute fissure usually react to conventional treatment, if not then turn into serious fissure associated with tag, which is handled with surgical involvement.
2. Secondary anal fissure:
Secondary fissures are due to actual illnesses such as colitis, crohn’s illness, tuberculosis, past rectal operation; AIDS, syphilis etc. Secondary fissures have different clinical appearances and thus need specific line of control.
In Ayurvedic literary fissure in ano is not described as another illness. All scholars describe this problem under the title of Parikartika.
Parikartika is happen by imbalance of vata and pitta dosha. Vata causes painful like cutting feeling and pitta causes burning feeling along with swelling.
In the same way it is said that parikartika is types of injury that happens due to stress by hard faeces in rectal tunnel.
There are various kinds of ayurvedic herbal and natural remedies such as ushna avagaha sweda (hot sitz bath), jatyadi herbal oil, guggulu preparations, natural fibers like isabgol etc. to cure anal fissure permanently without medical surgeries. All these are discuss in details further down in this article.
Causes of Anal Fissure, Fistula, Sinuses, Abscess
An unhealthy lifestyle is the main reason behind various kinds of ano-rectal problems. Deficiency of sufficient exercising, junk food, harmful diet, cigarette smoking, liquor, extend seated job, inappropriate drinking habits make digestive system (GIT) upset, which result infrequent intestinal routine.
Changed intestinal routine is significant aspect to cause piles, fissure in ano, abscess, sinuses, fistula in ano and other kinds of ano-rectal problems.
Alteration of bowel routine is said to be a strong reason behind anal fissure. It is recommended that the passing of hard faeces result in immediate injury to the rear part of rectal tunnel this cause break at muco-cutaneous joint resulting in severe pain and sometimes blood loss.
Below are the patterns in the formation of ano-rectal diseases like anal fissure, anal sinuses and fistula:
Ayurvedic remedies are all efficient that may avoid the need for surgery treatment in many of sufferers of anal fissure, fistula and sinus. These natural remedies can cure many ano-rectal issues and normalize bowel up to 90% cases.
These could always be advised to the sufferers who are not willing for medical process such as heart sufferers or sufferers with diabetic issues, AIDS, liver disorder, where recovery is difficult after surgery. Jatyadi oil and guggul preparation can also be used after surgery treatment to quicker healing
Up to 70% of acute perianal diseases take care of with conventional treatment, if not they progress to form a chronic conditions. However, if Ayurvedic preparations are used in primary level of disease the chance to development in chronic forms could be reduced.
The main aim of ayurveda therapy is to ease the spasm of sphincter, cleaning and cure of fissure injure, relaxing of rectal tunnel, reduce the agony sensation.
Hot fomentation sitz shower, nutritional materials like isabgol (psyllium husk); different herbal ayurvedic oils and many guggulu ayurvedic medicine can cure serious fissures almost more than 90% of sufferers.
To avoid many undesirable effects because of medical surgeries of anal fissure below mentioned Ayurvedic remedies are quite effective:
Sitting in the warm/hot standard water tub after each time of defecation reduces discomfort and calms spasm of inner sphincter for some time. It also helps in washing of fissure injure. Sitz shower is impressive in treatments for fissure. It is done for 10 to 15 minutes. Adding triphala powder in the water helps in minimising pain and enhances the healing capacity of anal colon.
Isabgol (psyllium husk) are seeds obtain from Plantago ovate plant. These are hygroscopic, which allows them to increase and become mucilaginous. These materials are a complicated carbs, which holds with standard water in the digestive tract creating bigger, smoother faeces. Larger and smoother stool expand and rest the sphincter muscle tissue helping the blood to circulate and it also require little stress to successfully pass.
Psyllium fiber is commonly used as a fiber complement for treating intestinal problems like hard stool. Also different medical studies revealed regular use of psyllium husk significantly increases faeces moisture.
Jatyadi oil is described in ayurvedic texts as best oil to heal any type of anal rectal wounds. It is made with leaves of Jasminum officinale, leaves of Azadirachta indica, Curcuma longa or turmeric, Berberis aristata, Glycirrhiza glabra or liquorice, Picrorhiza kurroa, bee wax and other vegetation. Regional use of jatyadi oil/ghee display remarkable results in anal fissure, fistula and sinus by:
A research paper presented by Ashish Soni, emphasises the importance of jatyadi ghee. It is an ayurvedic concoction prepared with herbs like chameli patra, nimba patra, haridra patra besides many others. It is very useful as it forms a protective layer over the fissure wound, sooths the anal canal to relieve pain by relaxing the sphincter tone and cleans wound and expedites the healing process.
Triphala guggulu, kaishor guggulu, shigru guggulu, lakshadi guggulu are said very great outcomes in control over various anorectal problem. Triphala guggulu is used in harmful and enormous injure. It also expertise in bowel problems like constipation.
Kaishor guggulu will work when there is dermatitis, itchiness and extreme burning situation (increase pitta signs).
Shigru guggulu is given when there is much swelling and discomfort.
Lakshadi guggulu will work in affiliate bleeding haemorrhoids.
In secondary fissure where colitis is main problem bilwa (Eagle marmelos), kutaj (Holarrhena antidysentrica), takra (butter milk) can be the first range of therapy.
In the same research as mentioned above Ashish Soni also mentions about the effectiveness of guggulu. Guggulu in the form of Triphala guggulu, kaishor guggulu, shigru guggulu and lakshadi guggulu has been found to be useful for this disease. These herbal formulations treat symptoms like constipation, dermatitis (associated with anal fissure), itching, excessive burning condition, inflammation, bleeding and pain.
In a research article presented by Panigrahi Hemanta the usefulness of guggulu for the treatment of anal fissure has been emphasised. The study was conducted on 40 patients suffering from fissure-in-ano. 500 mg of triphala guggulu was administered to these patients for a month along with other medicines (jatyadi tail) and remedial procedure(Lord’s procedure). After a month’s time 80% of the patients showed a complete remission of the disease.
To get the best herbal ayurveda treatment for any perianal diseases like fissure, fistula, sinus, abscess reach out for Pure Herbal Ayurved Clinic based in Northcote, Melbourne.
Highly qualified and experience Ayurvedic doctors will formulate the best treatment plan according to one’s own ayurvedic body type.
Dr. Gurnam Saini
Bachelor of Ayurvedic Medicine and Surgery
MD Alternative Medicine
Panchkarma Detox Expert
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Ayurveda stads for extensive and elaborate clinical examination to understand thenature of the disease