Fissures are often confused with Piles or Hemorrhoids, in fact initially, any kind of anal problems are misunderstood as Hemorrhoids. But there are many anal diseases like anal itching, anal fissures, anorectic abscess, anorectal fistula, levator syndrome, pilonidal disease, proctitis and rectal prolapse that are completely different from each other. Here in this post, we are going to talk about anal fissures: it’s symptoms, causes, home remedies and types of anal fissures treatment.
Any tear or wear, or scratch in the anal lining is the anal fissure. Initially, there are very acute tearing, which consequently under repeated pressure and force becomes a big wound and hurts badly. It hurts every time a person passes stool. And is stool is hard, then it’s horrible. It is quite common that people consider it as piles and treats it like piles, and consequently, they don’t get desired results. Anal diseases are such that very few people dare to talk about it, which sometimes make the situation even worse.
- 1 How To Cure Fissures Permanently
- 1.1 Four Stage Fissures Treatment To Cure Fissures Permanently
- 1.1.1 Fissures Treatment For Immediate Relief
- 1.1.2 Fissure Treatment By Alleviating Pressure On Anus
- 1.1.3 Fissures Treatment By Curing Root Causes
- 1.1.4 Fissure Treatment By Changing Lifestyle
- 1.1 Four Stage Fissures Treatment To Cure Fissures Permanently
Symptoms Of Anal Fissures & Fissures Diagnosis
Most common symptoms of anal fissures are a pain while passing stool, anal swelling, tear roughness in the anal opening, discomfort while sitting or riding, itching, irritation, thorn-like feeling and bleeding (sometimes). Painful bleeding occurs in the last stage of anal fissures, But pain, itching, and discomfort are very common.
Another common symptom would be constipation with hard stool that comes out in pieces. One needs to diagnose it very carefully so that treatment does not go in the wrong direction. Swelling in the anal openings can be hemorrhoids as well, so in this case, you need to seen by a good anal surgeon or Colorectal Surgeon or Proctologist. Physical examination of the affected area will make it clear, whether it is piles or fissure. The most common technique to diagnose fissure is to see if there are horizontal or vertical sharp lines are there, just like river shaped sharp lines. If sharp lines are there then chances are high that it is anal fissure and you must start anal treatment now.
At the initial stage, the anal area will be little swollen and pinkish reddish in color. This stage is called acute fissure.
At final stage. the linings become denser and the anal opening reduces in size due to which patient feel immense pain while passing stools out. Pain at this stage remains throughout the day, and this pain doesn’t even let you sleep comfortably. This form of the fissure is called chronic fissures.
Continuous itching could be quite irritating sometimes because itching at such a place where you can’t take your hands anytime anywhere.
What Causes Anal Fissures Or Fissures In Ano
Anal fissures are mainly caused due to chronic constipation of hard stool, diarrhea, child delivery, trauma or accident, too much stretching anal pressure. Yea, it sounds similar to the causes of piles, but fissures are something that occurs on the external part of rectum below dentate line, but piles is a disorder of varicose veins that occur both internally and externally. The root cause of anal fissures is the intense pressure of hard stools.
Let us discuss the causes of anal fissures in detail:-
Constipation is believed to be the evil cause for almost all types of anal diseases. The hard stool imposes high pressure on rectum that becomes anal fissure later. In 90% of the cases, constipation is the culprit. So treating constipation means treating fissures. Keep your stomach cool and rich in fiber and then see the magic. Almost all acute fissure will get cured within a week or two.
Diarrhea is another condition that causes wear and tear of the anal lining. The continuous bowel movement of stool strains anal lining and more stretch and strain destroys the bond of the anal lining. So proper medication should be adopted for diarrhea first. Generally, fissures caused by diarrhea lasts for a shorter period.
3. Pregnancy/Child Delivery
During pregnancy or childbirth, there is an enormous amount of pressure on the anal region. And this pressure is directly experienced by veins and sphincter muscles. So some women might suffer from fissures after or even before delivering a baby, and this fissure can later also become piles. Moreover, this type of fissures is short lived.
4. Anal Sex
Yes, anal sex is another root cause of anal fissures, that happens to those having a weaker rectal area. Here the wear and tear of rectal opening occur due to continuous rapid insertion of another organ. So people should avoid having anal sex at any cost because the extra pressure will make the condition even worse. That is why we say precaution is better than cure always.
So we have talked much about fissures symptoms, diagnosis and fissures causes, now let us come to the point we need i.e. how to cure fissures permanently.
How To Cure Fissures Permanently
When we talk about curing fissures permanently, we also mean curing all associated evil symptoms and causes. If you really want to get rid of fissures forever then you need to follow a very strategic and disciplined approach for its treatment. Yeah, sounds a bit technical but believe me this is the way out for fissures free life. It was important for us to elaborate on the root cause and symptoms of fissures before actual coming to its treatment part.
Let us delve deep into the strategic process of fissures treatment, for that we need to understand some basics first.
Below is the pictorial representation of on how fissures in ano occur, which clearly shows that unhealthy lifestyle causes this problem. The unhealthy lifestyle here refers to both kind of lifestyle i.e. having a too much sedentary lifestyle with very low physical work, a life without exercises and yoga. And also a lifestyle of intense physical workouts.
Moreover, having an unhealthy diet like junk foods, spicy foods, and more processed foods, means a serious threat to the stomach’s digestive power. So unhealthy habits and unhealthy foods together cause various digestive disorders like excess secretion of pancreatic juice, low secretion of bile juice, less digestive enzymes, water retention etc. As a result anorectal region of the digestive canal suffers. Either anorectal had to pass too hard stools or soft liquidated stools. Moreover, the immunity of the digestive system also weakens. As a result, you star having anorectal diseases like fissures.
So the process of fissures starts in such a way:-
Unhealthy Lifestyle ( Habits+Diet) –> Digestive Problems —> Anal Disorders ( Fissures )
And here is the answer to How To Cure Fissures Permanently:-
Get Immediate Medication (For Fast Relief From Pain) –> Treat Constipation ( To ease the pressure on sphincter muscles) —> Change Lifestyle ( Change Habits And Follow Healthy Diet)
So our strategy is quite simple, first take care of the pain and discomfort you are going through, then adopt certain measures that then remove the root cause of fissures. This boils down to the fact that we need a four-step treatment process to get a fissures free life.
Four Stage Fissures Treatment To Cure Fissures Permanently
The first treatment is getting rid of the fissures pain first, second is to cure evil symptoms of constipation, hard stool or diarrhea, third curing acidity, water retention or other gastric disorders and last but not the least changing the lifestyle. This is the general process to get rid of fissures and almost all kinds of anal diseases.
In case you are suffering from the chronic fissure, then you may need to undergo through surgical operation first, then follow the next four stage of fissures treatment accordingly.
Fissures Treatment For Immediate Relief
1. Relief From Fissure Pain
Immediate relief means relieving burning pain, irritation and itching. For this, there are many medicines for fissures available in the market. You can use painkillers paracetamol or ibuprofen. You must consult your doctor about its dosage and usage procedures. In extreme cases, he might recommend you any painkiller injections for fast relief.
2. Relief From Itchy Anus
To get rid of the itchy anus, generally, certain ointments are prescribed. Most popular ointment for fissures is Glyceryl Trinitrate (GTN), which has to be taken twice a day. GTN is the ideal solution for both burning pain and itching. Glyceryl Trinitrate ointment expands rectal blood vessels which increases blood supply to fissures and thus helps in fast recovery.
GTN ointment is recommended for a duration of one and a half months, but you must consult your GP about its usage in your case. Based on the severity, GP might advise it for a prolonged use. Almost all kinds of acute fissures are cured using this GTN therapy. Please note that there are certain side effects of using GTN, like headaches, nausea, dizziness etc, so initially, you will have to adjust yourself accordingly.
Since it has side effects like headaches, it not recommended to children, and also pea-sized amount is sufficient for daily use.
Apart from it, you can also use Aloe Vera Gel, one of the easily available ointments for fissures in India. This is what we recommend as the most effective Patanjali medicine for fissures. Aloe Vera Gel has amazing healing power and soothing capabilities Aloe Vera can alleviate bleeding, inflammation and swelling of fissures in ano. Further, it’s a great herbal antiseptic and its antifungal properties keep you away from infections.
3. Fissures Treatment In Extreme Cases
You may opt for medical or surgical treatment for the chronic fissure. Medical treatment is required when you feel immense burning pain and itching throughout the day that doesn’t even let you sit sleep or walk.
Fissures Treatment By Injection
This is a completely new type of treatment for chronic fissures in which an injection of botulinum toxin is used to partially paralyzes anal sphincter muscles which further avoids the muscle from spasming, which in-turn alleviates burning pain and improves healing. Botulinum Toxin injection is effective for two and a half months, which provides enough time to cure fissures permanently. Botulinum Toxin is popular in the name of Botox injection too.
Fissures Treatment By Surgery
Fissures Surgery may be another ultimate solution for chronic fissures. More than 85% of fissures victims undergo a fissures treatment and they do see some long-term results. However, there have been cases of re-occurrence too. Lateral Sphincterotomy, one of the most popular surgical technique for fissures. In this, surgery, a small cut is made in sphincter muscles ring surrounding the anal canal. This reduces the pressure in the anal canal. Once the pressure reduced, fissures start healing by itself. Lateral Sphincterotomy starts with a general anesthesia process. Some side effects might include disturbance in bowel control and little pain afterward but remains for a short duration.
Fissures Treatment By Advancement Anal Flaps
Advancement anal flaps is again a completely different type of surgery that very rarely applied in fissures treatment. In this operation, a part of the healthy tissue is taken from another part of the body and used it to repair the affected anal area. Since the blood supply is increased in the rectum, fissures start healing. This type of fissures treatment is recommended to cure fissures caused by pregnancy or trauma.
Fissure Treatment By Alleviating Pressure On Anus
After having an immediate relief you should focus on reducing the pressure on sphincter muscles and anus. This can be done by first diagnosing the root causes like passing of hard stools, too much sitting, anal sex or diarrhea. Following are some practices you can adopt to alleviate pressure on anus:
1. Use Stool Softeners
You can use stool softeners to break down hard stools into granules for easy pooping. Hard stools are a result of indigestion and acidity. Hard stools also occurs as a result of a condition when your intestine looses capacity to hold water, or when excess water retention in the body takes place.
The permanent solution to this is Yoga, particularly the Kapal Bhatti Pranayama which will bring your intestine back into track. The breathing exercise will make intestine stronger enough to hold water and relieve constipation.
Stool Softeners which are in form of allopathic medicines can be harmful in long run, similarly, some processed stool softeners or ayurvedic churnas are aslo not advised to be taken for a long run.
Here are some stool softeners for to soften hard stool use:
- Stool Softener Syrup– Ceraffimin Syrup
- Herbal Stool Softener– Aloe Vera Juice
- Ayurvedic Stool Sotener For Daily Use– Isabgol Husk
- Stool Softener For Daily Use– Hot Milk
- Stool Softners For Adults– Gooseberry Juice, Triphala Churna, Softovac
- Stool Softener For Kids– Hot Milk, Curd
So these are some great stool softeners, take it according to your category. Moreover, High-Fibre foods are believed to be natural stool softeners.
2. Treat Diarrhea Or Loose Motion
As stated already, diarrhea or repeated loose motion can make anal lining harsh and may increase wear and tear of the anal canal. diarrhea is like a soft pressure that must be cured in order to avoid fissures. For this, you should take proper medications and food items that binds stool instead of softening them.
Antidiarrhoeal medicines like Loperamide should be take under proper consultation with Doctor as it also has few side effects. This medicine slows down the muscles movement in the gut. Loperamide will make stools firm and solid so that it can pass less frequently.
Alternatively, you can take racecadotril, which equally works well.
3. Avoid Anal Sex
As already stated above, anal sex means instant pressure on the anal opening, which increases fissures. So, stop having anal pleasures. Further, you need to stop practising over masturbation, as it weakens anal veins and is not recommended have too much of it. Reduce the frequency to once or twice a week.
4. Too Much Sitting, Biking Or Riding
Prolonged sitting, biking or riding can be painful, because the entire weight of the body rests upon the anal area. This causes fissures to expand. This also one of the leading causes of piles and fistula. So try to make movements in every 15 to 20 minutes to relieve that pressure and allow the regular blood flow. You can make use of Dognut pillows to sit comfortably.
Fissures Treatment By Curing Root Causes
The root cause of all anal diseases, be it fissures or piles is either indigestion or malfunctioning of the digestive system. And indigestion usually occurs when we eat certain unhealthy foods and snacks that imposes extra load on the stomach.
Consequently the stomach and intestine can not handle the daily dose of acidic and junk foods, as a result, you get acidity problems, diarrhea, loose motion, constipation etc. Here our main focus is on acidity, that can be cured using antacids. Antacids contain ingredients such as magnesium, aluminum, or calcium, which works like bases to neutralize the effect of acids.
Antacid will control the acidity of your stomach, and will not let it cause diarrhea or constipation. This way by having a prolonged use of antacids, you can cure fissures permanently.
Some popular anatacids are Milk of Magnesia, Alka-Seltzer, Alternagel, Amphojel, Tums, Glaviscon and Mylanta.
Fissure Treatment By Changing Lifestyle
This is the ultimate treatment for fissures in ano. Since your unhealthy lifestyle has brought this problem, now only healthy lifestyle can cure fissures permanently. All you need to follow is some dos and don’ts and your problem will be solved in long run. So here are some points for You:
Dos In Fissure In Ano
- Practice Yoga daily for at least 45 minutes, especially Kapalbhatti Prayanama and Shoulder Stand.
- Consume high fiber foods, fresh fruits and increase quantity of salad in your diet.
- Drink a glass of hot milk before going to bed.
- Drink 7-8 liters of water daily.
- Take a brisk walk for 20 minutes whenever you feel uncomfortable.
- Apply ointments like GNT or Aloe Vera Gel, specially at night.
Don’ts In Fissure In Ano
- Don’t strain too much while defecating.
- Don’t keep sitting or riding for too long.
- Don’t indulge in anal pleasures.
- Don’t eat too spicy foods.
- Don’t eat red meat, chicken and eggs.
- don’t eat junk foods.
- don’t itch or scratch your anus.
So follow these steps and you will see that your fissures is gone. And it will be cured permanently only if you maintain a healthy lifestyle, a life free from constipation, junk foods, laziness and indigestion. We have tried to focus every area to help you getting rid of fissures, because we too believe that fissures is a curse to humans and must be abolished. Help us creating a healthier society by sharing this article to maximum people in your network.
A Professional Naturopath, Yoga Teacher & Therapist at Arogya Yogshala Dhanbad. I have studied in Uttrakhand Sanskrit University and have been teaching Yoga and Naturopathy for the last 6 years. I believe nature has a cure for everything and Yoga means addition – the addition of energy, strength, and beauty to body, mind and soul. I love to share health facts, natural home remedies and best yoga asanas that can make your life easier and happier.