Is surgery necessary for chronic fissures with bleeding?

Question

Hi doctor,

I am a 28-year-old female who has been suffering from chronic fissures for the past six months. It was bleeding two months back, but not now. I am only feeling pain when I have non-vegetarian items. Do I need surgery? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

The main causes of fissures in anus are constipation and passing hard stool. When hard stool passes through the anal canal, it hurts the anal soft tissues. Sometimes, it is healed by medicines, and sometimes surgery is needed. First, you should take Ayurvedic medicines and follow some precautions. Hope it will be cured. Otherwise, it needs anal sphincter dilatation and surgery. I suggest the following.

Take Panchasakara Churna (Shunthi, Saunf, Swarni Patri, Balaharitaki) 0.11 oz twice a day with warm water after meals.
Arogyavardhini Vati (Shuddha Parada, Shuddha Gandhak, Loha Bhasma) one tablet plus Arshoghni Vati one tablet twice a day after meals.
Abhayaristam (Haritaki, Vidanga, Madhuka Kusuma) one tablespoon twice a day with an equal amount of water after meals.
If bleeding is present, then you can take Styplon (Indian Gooseberry, Indian Sarsaparilla, Lodh Tree) two tablets twice a day.
Take a sitz bath for two to three minutes only after defecation. It helps to reduce your pain and burning.

Try to avoid non-vegetarian foods and spicy and fried junk foods. Drink plenty of water. Avoid cold drinks, soft drinks, ice cream, etc. Eat fibrous foods and fruits, as well as leafy green vegetables. Do regular Yogasana like Suryanamaskara, Kapalbhati, Mandukasana and Ardhamatsyendrasana.

I hope this helps.

Please revert so I can assist you further.

Thank you.