Fissure-in-ano is a break or tear in skin of anal canal. A person with fissure-in-ano mein often complain about bright red coloured bleeding. He or she may also complain about pain after defecation.

The causes of fissure-in-ano

Most of the fissure are caused by the stretching of anal mucosa beyond its capability. Usually the fissure looks like a paper cut and therefore is not visible easily.

In adults the fissure is caused by:-

  • Constipation
  • Passing of large and hard stools
  • Prolonged diarrhoea

In older adults, the blood flow to the anus decreases and therefore can cause fissure-in-ano.

Fissure-in-ano is associated with conditions like irritable bowel syndrome etc.

In sexually transmitted diseases like syphilis, herpes and human papillomavirus infection, the anal mucosa becomes unhealthy and may result in fissure-in-ano.

Other common causes that can cause the condition are:-

  • Child birth trauma
  • Anal sex
  • Crohn’s disease
  • Ulcerative colitis

Management of fissure- in-ano in Ayurveda

Medicines are given to smoothen the bowel. After a thorough examination the physician decides the treatment to be done.

The following treatments are effective in fissure in ano:-

  • Avagaha:- douche in medicated water
  • Local application of medicated oil, ghee
  • Basti or enema

Along with the treatments internal medicines are also given to alleviate the condition.

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