An anal fissure is a tear or break in the skin of the anal canal that causes bright red bleeding and pain after defecation. Most anal fissures are caused by straining during bowel movements. Chronic fissures do not heal easily due to spasming of the internal anal sphincter muscle, which decreases blood flow. Homeopathy can help reduce complications of anal fissures using individualized treatments with remedies like Graphites, Nitric Acid, and Paeonia.

1. Anal Fissure
AN ANAL FISSURE OR RECTAL FISSURE IS A BREAK OR TEAR IN THE SKIN OF
THE ANAL CANAL. ANAL FISSURES MAY BE NOTICED BY BRIGHT RED ANAL
BLEEDING ON TOILET PAPER, SOMETIMES IN THE TOILET. IF ACUTE THEY MAY
CAUSE PAIN AFTER DEFECATION. BUT WITH CHRONIC FISSURES PAIN
INTENSITY IS OFTEN LESS.
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2. What are anal fissures?
 An anal fissure or rectal fissure is a break or tear in the skin of
the anal canal.
 Anal fissures may be noticed by bright red anal bleeding on
toilet paper, sometimes in the toilet. If acute they may cause
pain after defecation but with chronic fissures pain intensity is
often less.
 Anal fissures usually extend from the anal opening and are
usually located posteriorly in the midline, probably because of
the relatively unsupported nature and poor perfusion of the
anal wall in that location.
 Fissure depth may be superficial or sometimes down to the
underlying sphincter muscle.

3. Causes
 Most anal fissures are caused by stretching of the anal mucosa
beyond its capability.
 Superficial or shallow anal fissures look much like a paper cut,
and may be hard to detect upon visual inspection, they will
generally self-heal within a couple of weeks
 Some anal fissures become chronic and deep and will not heal
 The most common cause of non-healing is spasming of the
internal anal sphincter muscle which results in impaired blood
supply to the anal mucosa. The result is a non-healing ulcer,
which may become infected by fecal bacteria.

4. Causes
Other common causes of anal fissures include:
Childbirth trauma in women
Sexual Activities
Crohn's disease
ulcerative colitis
Poor toileting in young children

5. Prevention
 For adults, the following may help prevent anal fissures:
 Avoiding straining when defecating. This includes treating and preventing
constipation by eating food rich in dietary fiber, drinking enough water,
occasional use of a stool softener, and avoiding constipating agents.
 Similarly, prompt treatment of diarrhoea may reduce anal strain.
 Careful anal hygiene after defecation, including using soft toilet paper
and/or cleaning with water, plus the use of sanitary wipes.
 In cases of pre-existing or suspected fissure, use of a lubricating ointment (It
is important to note that hemorrhoid ointment is contraindicated because
it constricts small blood vessels, thus causes a decrease in blood flow,
which prevents healing.
 In infants, frequent diaper change can prevent anal fissure. To avoid
constipation give them enough fluids.

6. Homeopathy Treatment
 Homeopathy treatment is holistic & patient friendly, and are customized to
suit each patient according to his condition. Homeopathy also helps in
reducing the complications of Anal Fissure. Homeopathy is safe and
effective without causing any side effects.
 Some of the useful medicines for Anal Fissure are mentioned here for
reference.
 Graphites. [Graph] , Nitric acid. [Nit-ac] , Paeonia [Paeon], Silicea. [Sil]
We at Anubhuti Homeo Clinics prefer to take history of patients first and advise proper homeopathy
remedies. A detailed history followed by constitutional treatment by a good and qualified homeopathic doctor is necessary
to treat the complaints that appear. It is not advisable to resort to self-medication for any disease. The remedies mentioned in
this presentation are mentioned solely to create awareness of homeopathic medicines in dealing with disease conditions

7. Homeopathy Treatment
 Homeopathy treatment is holistic & patient friendly, and are customized to
suit each patient according to his condition. Homeopathy also helps in
reducing the complications of Anal Fissure. Homeopathy is safe and
effective without causing any side effects.
 Some of the useful medicines for Anal Fissure are mentioned here for
reference.
 Graphites. [Graph] , Nitric acid. [Nit-ac] , Paeonia [Paeon], Silicea. [Sil]
We at Anubhuti Homeo Clinics prefer to take history of patients first and advise proper homeopathy
remedies. A detailed history followed by constitutional treatment by a good and qualified homeopathic doctor is necessary
to treat the complaints that appear. It is not advisable to resort to self-medication for any disease. The remedies mentioned in
this presentation are mentioned solely to create awareness of homeopathic medicines in dealing with disease conditions