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voidance of constipation: It is important because, the repeated anal trauma, while passing hard faecal matter, iti is to be avoided

d for rapid healing of the fissure without any other treatment. This can be achieved by the use of mild aperients and laxatives. In case the fissure heals up completely then care should be taken for the regular bowel habits, till the patient feels that he can manage the smooth bowels without a laxative. Care should be taken that the stools are not made watery. Diet plan & regime: Follow the Ayurvedic life style (For details, look forward on home page of this site).

Warm sits bath: Patient should be advised to have warm sits bath preferably by adding some antiseptics, anti-inflammatory e.g. panchvalkal kwath (decoction made of five specific Ayurvedic herbs) Local medication: Instillation of Ayurvedic healing oil (e.g. jatyadi oil) at frequent intervals and after passing stools; For healing of anal fissure , frequently apply of Ayurvedic healing oil/ astringent ointment over the wound; Application of Matra bastiAyurvedic medicated enema made of Ayurvedic herbal oils Oral medication: Patient has to be treated with Ayurvedic herbal drugs which are having Vtanuloman & Agnidipan effects as per given by the Ayurvedic classical texts such as, Haritaki Powder (Latin name:Terminalia Chebula) with Jaggery (2-3 times a day)- orally Haritaki Powder (Latin name:Terminalia Chebula) with Dry zinger power, in equal portions followed with luke warm water (2-3 times a day)- orally Abhayarishta orally Takrarishta- orally Agatsya Haritaki avleha- orally Application of Jatyadi oil- Local application Ancare ointment- Local application Proper anal hygiene and the use of anaesthetics: Careful cleaning of the anal outlet after passing stool is very essential. Similarly to lessen the pain of the anal fissure and relieve anal spasm, application of an ointment containing 5% xylocaine in water soluble lubricant is introduced in the anal canal, with the help of a fine nozzle. It is further advised that such an ointment must be introduced just before the urge of defecation and also again after the motion has been passed and the part is cleansed properly. Frequent used of xylocaine ointment impair the local bold supply and delays healing. Therefore Ayurvedic antiseptic ointments are quite useful for fissure healing such as,

Jatyadi grita, Ancare ointment, Sunarin ointment, Cutfar ointment,

Nimbaadi Kalk (Nimb(Azadirecta indica Linn.)leaves+ Honey+ Ghee(Clarrified butter)+ Til(Sesame) oil- each drug in equal proportion , mix well and make a paste) Use of anal dilators: (In chronic fissure): In case of chronic fissure or long standing fissure, after application of the ointment, an attempt should be made to introduce an anal dilator of small size. Such a practise should be continued for a month, by which time the fissure is usually healed. This must not be tried in acute fissures. Only in chronic and less painful conditions, it is advised.
Do your best to eat a high-fiber diet. Increasing your fiber intake will help your body to form softer, easier to pass stools. 2. Try an over-the-counter stool softener. 3. Clean the area gently with a cotton ball soaked in warm saline solution after each bowel movement and before bed. 4. Take regular sitz baths. Placing your anal area in warm water will help increase blood flow to the area and promote healing. You may find that taking a sitz bath right after a bowel movement is especially soothing. 5. Try an over-the-counter topical hydrocortisone cream or ointment. Follow package directions and gently dab the medication onto the affected area. 6. Avoid using topical pain-relieving creams as they may slow the healing process. 7. Avoid eating spicy foods, which, according to some evidence, will exacerbate pain and itching. 8. See your doctor again if your symptoms do not clear up within a few weeks Handy tips for Anal Fissures ? Apply Wheat Germ Oil at the affected area to help in the healing process. ? Apply Aloe compresses on the anus as the healing properties helps in alleviating the pain. ? A warm bath can provide relief to those painful fissures. ? The best bet for avoiding anal fissures is to have a healthy and well balanced diet. This diet contains fruits, vegetables, whole grain and drinking eight to ten glasses of water. ? Using lubrication is another method of treating the problem. To avoid any injury to your anal, apply petroleum jelly into your rectum. ? A key factor to avoid anal fissures is to keep the area dry. With every shower or bowel movement try to dab the area with baby powder. ? See to it that you are not affected by diarrhea because the watery stools are as harmful as hard stools. These soften the tissues around the rectum causing it to become a sore. ? Like many things we should not do, the urge for scratching should also be avoided when suffering from this problem. Having razor sharp fingernails would just add to your woes as it may tear through the anal tissue.

? Lose that extra pound which you have been flaunting around because when you are overweight you tend to sweat, between the buttocks too, making the healing process very slow. ? Apply creams which contain vitamin A and D. Consult your doctor before you buy any such cream. ? Sitting can be a painful task for all those suffering from this problem. To alleviate the pain while you are sitting, use a pillow. There are many different kinds of pillow in the market such as liquid-filled pillow, doughnut-shaped pillow and other kinds too. ? Avoid rough toilet paper as it may cause more problems. Be gentle while wiping the sores as it may open up the sores due to constant rubbing. Avoid scented and colored toilet paper. These may cause irritation. If possible use facial tissues to wipe your bottom. ? You can clean the area clean by using chamomile and witch hazel infusion. Their properties of healing and helping the blood vessels shrink become very useful. ? You can also apply calendula balm to relieve any kind of itching and pain. St. John's wort oil, aloe vera gel or plantain infusion also helps in healing. Apply this three times a day or as per your needs. ? An enema in this state may be painful, but you can have a slippery elm enema to negate acidity and ward off causes of irritation. ? Try to drink nettle juice for an easy bowel movement as well as to be free from the soreness caused by the fissures. Drink one teaspoon three times a day. Warning: The reader of this article should exercise all precautionary measures while following instructions on the home remedies from this article. Avoid using any of these products if you are allergic to it. The responsibility lies with the reader and not with the site or the writer.