Anal fissure is a laceration, crack or tear in the vertical axis of the anal canal due to repeated trauma by hard stool.
Causes of anal fissure
The exact cause is unknown. Symptoms usually occur after the stretching of the anus from a large, hard stool.
Risk factors involved
- Prolonged diarrhea
- Multiple pregnancies
- Crohn’s disease
- Insertion of rectoscope, endoscope
- Anal cancer
- Immune system disorders
Sign and symptoms of anal fissure
Onset of acute anal fissure is characterized by tearing, cutting, or burning pain during or immediately after bowel movement. A few drops of blood may streak toilet paper or underclothes. Painful anal sphincter spasms result from ulceration of “sential pile” (swelling at the lower end of the fissure). A fissure may heal spontaneously and completely or it may partially heal and break open again. Chronic fissure produces scar tissue that hampers normal bowel evacuation.
Diagnosis of Anal fissure
Anoscopy showing a longitudinal tear and typical clinical feature help establish the diagnosis. Digital examination that elicits pain and bleeding supports the diagnosis. Gentle traction on perianal skin can create sufficient eversion to visualize the fistula directly.
Homeopathic treatment for Anal fissure
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat anal fissure but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat anal fissure that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of anal fissure:
Aesculus hip – anus, dry, aching; rawness and soreness is marked; burning sensation; itching and fullness; pain like a knife sawing backward; pain in anus about an hour after stool; burning in anus with chills up and down back.
Causticum – anal fissure which tend to dry up, have a dark-brown or purple edges; bleeding from anus after walking.
Berberis – violent burning pain in anus during stool; as if surrounding parts were sore, constant and frequent desire for stool.
Graphites – anal fissures which have recently occurred; caused by large fecal masses; irritability; frequent desire for passing stool is not often associated with anal fissures; soreness and smarting in the anus; aggravation of complaints from sitting and night; severe constipation with smarting of parts and fissure of the anus; the anus is very sore associated with knotty stool covered with mucus.
Lachesis – anal fissure with sensation as if little hammers pecking away in fissured parts; tormenting urging, but not to stool; itching at anus, worse after stool.
Paenoia officinalis – there is fissures with much oozing. Burning, biting and itching in the anus lasting several hours after stool; the anus is offensively moist and sore, smarts all the time. has fissures with much oozing. The anus if offensively moist and sore, smarts all the time. Burning and biting, lasting several hours after stool, may also be present; must walk the floor all night.
Sulphur – helps when the anus itches and burns; but is relieved by cool compresses; the area around the anus is extremely red, usually from painless diarrhea; the person wants to have a bowel movement immediately after waking up early in the morning.
Hydrastis – anal fissure with burning and smarting pain in the anus and rectum after each stool; this pains lasts for hours after stool, hot sensation in bowels, pain in abdomen and giddiness is also associated with; nodulated, dry, hard stool.
Ratanhia – sensation as if broken pieces of glass were in the anus; anus burns after hours of stool; fetid, thin diarrhea; hemorrhoids burn; fissures in the anus, with great constriction; burning like fire; temporarily relieved by cold water.
Sedum acre – anal fissures associated with hemorrhoids.
Platinum met – anal fissures with crawling and itching in the anus.
Petroleum – anal fissures with diarrhea; herpes and small boils around at the verge of the anus.
Ignatia – prolapse of rectum with fissures and hemorrhoids; pains shooting upward after stool, even after a loose stool; pain in the rectum at the same hour each day, aggravation from walking or standing.
Nitric acid – From its affinity to the outlets of the body this remedy becomes an important one in fissure where there is a sensation as if splinters or sticks were in the anus. There is much tenesmus and constriction, and a constant oozing of the foetid matter from the parts, with burning, rawness and smarting. Ratanhia has much constriction about the anus, which aches and burns for hours after stool, there are cutting and lancinating pains in the rectum, and dryness of the anus with sudden stitches in it. The temper is irritable. It is also a useful remedy for thread worms. Sanguinaria nitrate has an irritable itching and burning in the rectum.
Silicea – anal fissures caused due to constipation; stool is very hard, has to remove mechanically; sphincter ani seem tightly to resist the effort till suddenly stool passes. Here the irritable sphincter comes to mind and the slipping back of the partially expelled stool. It also has great pain, coming on half an hour after stool and lasting several hours. Platina has fissure of the anus, with crawling and itching every evening.