I have chronic fissure which was bleeding. Do I need surgery?

Q. I have chronic fissure which was bleeding. Do I need surgery?

Answered by
Dr. Ishwar Chandra Rai
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 22, 2018 and last reviewed on: Jun 13, 2023

Hi doctor,

I am a 28 year old female suffering from chronic fissure from 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?



Welcome to icliniq.com.

The main cause of fissures in ano is constipation and passing hard stool. When hard stool passes through the anal canal it hurts the anal soft tissues. Sometimes, it is healed up 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.

  1. Take Panchasakara Churna (Shunthi, Saunf, Swarni Patri, Balaharitaki) 0.11 oz twice a day with warm water after meals.
  2. Arogyavardhini Vati (Shuddha Parada, Shuddha Gandhak, Loha Bhasma) one tablet plus Arshoghni Vati one tablet twice a day after meals.
  3. Abhayaristam (Haritaki, Vidanga, Madhuka Kusuma) one tablespoon twice a day with an equal amount of water after meals.
  4. If bleeding is there then you can take Styplon (Indian Gooseberry, Indian Sarsaparilla, Lodh Tree) two tablets twice a day.
  5. 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.

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