Homoeopathic treatment of Anal Fissure

An anal fissure is a small cut or tear in the lining of the anus. An anal fissure usually isn’t a serious condition. It can affect people of all ages, and it’s often seen in infants and young children since constipation is a common problem in these age groups.

Causes :

Most anal fissures are caused by stretching of the anal mucous membrane beyond its capability.

Common causes of anal fissures include:

• Childbirth trauma in women
• Anal intercourse
• Crohn's disease
• Ulcerative colitis
• Poor toileting in young children.

Symptoms :

Following are common symptoms of anal Fissure :

• Visible cut or tear in the skin around the anus.
• Visible skin tag or lump around the tear.
• Sharp pain while passing stool.
• Bleeding while passing stool.
• Itching or burning around the anus.

Diagnosis:

Physical examination of anal and rectal area confirms the diagnosis. Colonoscopy or sigmoidoscopy can be performed to know underlying cause of anal Fissure.

Treatment :

Pain relief medication along with life style modification required for treatment of anal Fissure.

Homoeopathic Treatment of Anal Fissure :

In Homoeopathy treatment is based on the individualization. We can not give medicine on the basis of diagnosis. But in clinical practice it is found that there are certain medicine which is used for particular diagnosis. This is known as therapeutic practice. Here are some medicine which are frequently used in Anal Fissure.

1. Nitric Acid :
Constipated bowel with Fissure in rectum. Great straining, but little passes, Rectum feels torn. Tearing pains during stools. Violent cutting pains after stools, lasting for hours. Haemorrhages from bowels, profuse, bright. Especially suited to thin persons of rigid fibre, dark complexions, black hair and eyes - the brunette rather than the blonde - nervous temperament.

2. Graphites :
Fissures of anus. Constipation; large, difficult, knotty stools united by mucus threads. Smarting, sore anus, itching. Lump stool, conjoined with threads of mucus. Suited to women, inclined to obesity, who suffer from habitual constipation; with a history of delayed menstruation.

3. Aesculus Hippocastanum :
Dry, aching in rectum. Feels full of small sticks. Anus raw, sore. Much pain after stool. sharp shooting pains up the back; blind and bleeding; worse during climacteric. Large, hard, dry stools. Mucous membrane seems swollen and obstructs the passage. Burning in anus with chills up and down back. For persons with hemorrhoidal tendencies, and who suffer with gastric, bilious or catarrhal troubles.

4. Ratanhia
Rectum aches as if full of broken glass. Anus aches and burns for hours after stool. Feels constricted. Dry heat at anus, with sudden knife-like stitches. Stools must be forced with great effort. Fissures of anus, with great constriction, burning like fire, as do the haemorrhoid; temporarily relieved by cold water.

5. Paeonia
Biting, itching in anus; orifice swollen. Burning in anus after stool; then internal chilliness. Fistula ani, diarrhea, with anal burning and internal chilliness. Painful ulcer, oozing offensive moisture on perineum. Haemorrhoid, fissures, ulceration of anus and perineum, purple, covered with crusts. Atrocious pains with and after each stool. Sudden, pasty diarrhea, with faintness in abdomen.