Introduction

A fissure is a tear of the skin at the edge of the anus. It can cause pain, bleeding and/or itching.

Causes

1. An anal fissure is usually caused by a hard and dry bowel movement, alongwith a tight anal musculature, which tears the anal lining.
2. Other causes include diarrhoea and inflammation of the anorectal area.
3. Trauma also can cause Fissure. During childbirth, 11% of women develop anal Fissure. Fissure can also be caused by digital insertion, foreign body insertion, or anal intercourse.
4. A low-fibre diet may play a role in the development of Fissure. Anal Fissure affect people of all ages, particularly young and otherwise healthy people. They are equally common in men and women.

Types

Fissure can be acute (new) or chronic (persistent).

1. An acute fissure has an 80% chances of healing.
2. When a fissure lasts over 6 weeks or is repetitive in nature, it is considered Chronic and has less than 50% chances of healing.

Sometimes an anal Fissure and a hemorrhoid develop at the same time.

Symptoms

1. An anal fissure causes a sharp, stinging, or burning pain during a bowel movement. The pain, which can be severe, may last for a few hours.
2. Fissure may itch.
3. They often bleed lightly or occasionally cause a yellowish discharge.

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Diagnosis

Most health professionals can diagnose an anal Fissure by listening to the symptoms and by looking at the anus. Usually, the health professional can see the Fissure by gently separating the buttocks.

A health professional may use a gloved finger (digital rectal examination) or a lighted instrument (anoscope) to examine the Fissure. However, if the Fissure is extremely painful, the health professional will usually wait until it has begun to heal before performing a rectal exam or using an anoscope (anoscopy) to rule out other problems. A topical anaesthetic may be used if an immediate examination is necessary.

Treatment

If it's a first or second episode of Fissure, at least 90 % of Fissure heal by special Ayurvedic formulation of Dr. Arvind Tiwari.These drugs are highly effective ,result oriented which completely heal fissure within 4 to 6 weeks.

For those Fissure that are appearing again and again , Kshar Sutra Therapy is recommended.

Introduction

Haemorrhoides - commonly known as Piles - are swollen blood vessels (veins) which develop inside and/or outside the anus. They are felt as lumps around and inside the anus . The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. If they become infected, they can cause bleeding, pain and discomfort and require medical attention.