How to treat fissures?
Patient: Hi Doctor,In 2004 i had constipation once and approached a gastro enterologist.He inserted his finger to examine and i remember stool comming out.He suggested fibrogel and usage of fibre rich food.Till 2007 July i didn't have any problem. That year i had bleeding at the time of defecation. I approached a gastro enterologist and he confirmed that i have fissure. He suggested to heal with medicine. If it repeats he suggested to have surgery. Again in April 2008 August i had problem.In all the above mentioned periods, the pain went off soon and i was normal.But in 2010 on New Year eve i had the problem again with bleeding. I still have the problem on and off. The doctor suggested surgery. I have only one fissure. He suggested to have surgery before the count increases.But i am not inclined to have surgery.Do you suggest Homeopathy or Sidha in this case. Doctor: Hi Welcome to HCMI have gone thru your query regarding your fissure problem.Constipation is a boon of faulty lifestyle and wrong dietary pattern. Causes like unbalanced food habits, irregular sleeping pattern, low physical exercise are few of them. In elderly population, about 70% people are affecting or complaining about constipation .Constipation is mother of all illnesses . Fissure, piles are part of it .If you are severely constipated, the hard stools and strain during bowel movements will cause further harm to your condition by tearing - You may even bleed as the tear gets rubbed by the hard stools. You may feel an urge to itch the affected area.  first thing you should  keep in mind  ,Prevention is better than cure so try to eat a high-fiber & a low-carbohydrate diet . Eat food rich in natural fibres to avoid this condition. Whole grains, beans, green leafy vegetables, carrots, figs, raisins and dates, prunes, papaya etc are some of the best foods you can include in your daily diet. Fibre helps to increase volume and soften the stools, thus preventing constipation. Soft stools will put less pressure .- Avoid  sour spicy  foods ,  refined flours foods , as fried , fast foods cakes, pastries, white bread and biscuits. White rice and sugary food items tea ,coffee alcohol corn, tortilla chips, and peanuts  should also be avoided as they can cause constipation . Milk and milk products can cause diarhhea in some people,  can also aggravate the pain in the anal fissures.A gentle instillation of olive oil into the rectum is an effective home remedy to treat anal fissures. You need to use around 50 ml of olive oil at a time. Repeat it daily whenever required,help to soften the hard stools.This prevent aggravation  injury and helps heal the fissure quickly.Use of fresh aloe vera jelly compress on the anus will provide comfort from the painful symptoms and help heal the injury fast .Keep the affected area clean and dry with soft plain tissue .Sitz bath in warm water with little olive oil  or aoe juice , can give  soothing effect.Take aloe vera juice 20 ml twice before mealsPsyllium husks can help to heal problems within the bowels by moving waste more easily through the intestinal tract. 1 teaspoon taken in warm water or juice everyday will greatly assist digestion and excretion .Turmeric a T spoon  with a cup of hot milk  at bed time ,garlic 3-4 coves in the morning with water , lemon juice twice with water,  before meals are great antioxidants ,help in early recovery  by killing becteria on mass basis Lot of water  every 2 hours should be part of your daily regimen .Regular exercise /walk /yoga /pranayam  with above regimen will detoxify your system strengthening your immune system and paving way for happy ,healthy ,disease free life ahead .This is a preventive as well as curative regimTake Homepathic  Acid Nit  / a Dose weakly/ 3 doses Hope this helps you to solve tyour query ,if any doubt Mail at drsuchda.gmail.com Dont hesitate to get back if have further query .