Linear ulceration in anterior or posterior aspect ulcers of Anal canal is called as Fissure in Ano.

Linear ulceration in anterior or posterior aspect ulcers of Anal canal is called as Fissure in Ano.   Most of the times seen in posterior aspect because this part is backed by bony hard part.   The main cause for this condition is chronic constipation with hard stools, where this hard stool by constant erosion produces linear  ulcer most of the times over post aspect ulcers of Anal canal (6 o’ clock position). The other common causes are chronic Amoebiasis, IBS, Inflammatory bowel disease like Crohn’s disease, Ulcerative colitis etc. Main symptoms are Painful defecation Pain usually ulcers persists for 30 min to 2 hours after defecation and abruptly disappears. If bleeding ulcers occurs, seen as a red line on stool. If not treated for long time a flap of skin will cover the fissure which is called as sentinile ulcers pile which looks like piles but really not, just a flap of skin to protect the fissure. Many people due to the fear of pain avoid passing stool regularly, they hold it and passes stool whenever they feel relaxed, usually during weekends. This indicates how painful and irritable this condition is. Treatment. 1. Conservative 2. Surgery Conservative Management: Specific indication for Conservative management 1.The fissure should be of recent onset 2.There shouldn’t be development of hard granulation tissues over the fissure which prevents normal healing. Aim of treatment. Difficulty in treatment is because, Every time when patient passes stool formation of new abrasion every time is likely which prevents healing Acute spasm of anal sphincter due to which there will be poor blood supply to the fissure area, and because of poor blood supply there will be poor healing. There shouldn’t be formed hard indurated granulation tissue where normal healing is not possible, only by removing indurated portion we can expect healing. So here aim is 1.Laxatives (anulomana treatment) 2.Herbs which will make the tissues heal fast 3.Antispasmodics and Vedana hara drugs to reduce the sphincteric spasm. We prefer Abhayarista ulcers 20 ml bid, T Kankayana vati 400mg 1 bid, T Triphala guggulu 600mg, 1 tid, Avipattikara churna 1 tsp bid continuously for 3-6 months. Sitz bath with Triphala kwatha or just hot water. We have many success ulcers cases with these Rxs, strict diet has to be advised. Rich fiber food, should avoid all spicy and deep fried food. 2. Surgery ulcers Just Anal dilatation ulcers and removal of indurated tissue gives fast cure that is within 1 week. Really surgery gives complete recovery very fast. Ideal treatment in chronic case is definitely surgery, and recovery is comparatively very fast in surgery for all Fissure in cases. ulcers But most of the patients afraid to go for surgery, hence those eligible for conservative management can be treated successfully with medicines.
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यह ब्लोग समर्पित है उनके लिये जो आयुर्वेद मे और भारत ulcers की प्राचीन परम्परा मे विश्वास करते हैं ।जो परमात्मा की सत्ता को स्वीकार करते हैं, क्योकि आयुर्वेद आत्मा और परमात्मा को मानता है । अत: आयुर्वेद जीवन दर्शन केवल उनके लिये है जो आत्मा और परमात्मा मे विश्वास करते हैं।
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अर्श रोग एक बड़ा ही भयानक रोग होता ह&