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Top Homeopathic Remedies for Anal Fissures

Passing stool or poop is meant to be the most effortless function of the body but when this becomes a difficult and painful exercise, the result can be nothing short of a trauma for the bearer. One common reason behind such anal pain while passing stool is anal fissure. Anus is an opening at the lower end of our gastrointestinal tract through which stool leaves the body. Anal fissure refers to a cut, tear or crack in the anus.

Homeopathic Treatment For Anal Fissures

Homeopathic medicines are of great help in soothing anal pain and burning sensation, controlling anal bleeding in cases of anal fissures along with the healing of cracks. Homeopathic medicines also aim at treating constipation which will make healing of cuts easy and also prevent future recurrences of anal tears due to dry, hard stool. Made of natural substances with zero side effects, it can be beneficial and of great help in providing relief and working as a remedy for the treatment of anal fissures. It works by using body’s own restorative processes and is considered very safe. It can only help, never harm.

Best Homeopathic Remedies For Anal Fissures

Among several homeopathic medicines for anal fissures the most important ones include Ratanhia, Nitric Acid, Graphites, Paeonia, Thuja, Sedum Acre and Petroleum. For treating constipation with dry, hard, large stool, the best medicine is Bryonia.

1. Ratanhia – Top-Grade Medicine

Ratanhia ranks as the number one medicine when it comes to treating anal fissures. It is most effective to relieve pain and burning sensation in anus while passing stool and may remain for several hours thereafter. A very peculiar feature is anal pain as from pieces of broken glass or a knife piercing the anus. In cases needing Ratanhia, constipation is also present and stool is passed with much straining.

When and How to use Ratanhia?

This medicine is the most frequently prescribed remedy for anal fissures. It can be used in any case where pain and burning in anus are marked during or after stool. Straining to pass stool is also there. This medicine can be used in both low and high potencies. It is most commonly used is 30C potency which can be taken twice or thrice a day. In some cases, higher potency 200C is recommended, the dose of which is restricted to just once a day.

2. Nitric Acid – For Managing Anal Bleeding And Pain

Nitric Acid is the best choice of medicine when anal bleeding and pain are the main concerns. The bleeding is bright red with stool. The nature of pain can be cutting, sharp splinter-like, stitching, tearing or stinging type. Persons needing it are also constipated. They pass stool with great straining that causes cuts in anus even if stool is soft.

When and How to use Nitric Acid?

Its use is highly recommended for persons who have bleeding and pain from anal fissures. This medicine will help to control bleeding, soothe pain and heal the cracks on the anus. It is a strong remedy mostly used in 30C potency, once a day only.

3. Graphites – Anal Fissure With Sharp Cutting Anal Pain

Graphites is of great value in managing anal fissures when severe, sharp, cutting anal pain during stool is felt in anus. Besides, anus is very sore to touch. Wiping anal area causes intense pain. Bleeding too occurs with stool. Stool in most cases is large and passed with difficulty.

When and How to use Graphites?

Its use can be done in cases where a person feels sharp cutting anal pain while passing stool and anus is sore (painful on touching). If we talk about the potency of Graphites, it varies from as low as 3X, 30 C to high like 200C. When used in 3X potency, it can be taken twice a day but in 30C potency, it should be used just once a day or twice a week as per intensity of the symptoms. For using higher potencies, kindly consult a homeopathic physician.

4. Paeonia – For Foul Smelling Discharge From Anal Cuts

Paeonia is a natural medicine sourced from the root of plant ‘peony’. The most characteristic feature to use it is foul-smelling discharge from the anus due to cracks in it. Persons needing it also have intense pain in the anus while passing stool with pain stretching for long hours after passing stool. Other than this, they have itching and burning at the anus.

When and How to use Paeonia?

This medicine can be prescribed in cases where main complaint is oozing of foul discharge from cuts at anus. From its various available potencies, it is advisable to begin with 30C potency twice a day.

5. Thuja – For Anal Fissure Sensitive and Painful To Touch

Thuja is a natural medicine prepared from fresh green twigs of plant Arbor Vitae. It is a very helpful medicine when anal fissure is very sensitive and painful to touch. Along with this, burning sensation and itching at anus may be present. A pressing type of pain can also accompany.

When and How to use Thuja?

If you have anal pain which is sensitive to touch, you may find this medicine highly effective. Initially Thuja 30C can be taken once a day. Once relief sets in, gradually reduce the dose to twice followed by once a week.

6. Sedum Acre – For Anal Pain That Remains For Several Hours After Stool

Sedum Acre, though a lesser-known medicine, proves very effective in reducing anal pain. The key indication for its use is anal pain felt even for several hours after passing stool.  The nature of pain is constricting type.

When and How to use Sedum Acre?

Use of this medicine is suggested for persons who experience anal pain for several hours after passing stool. It usually works well in 30C potency that can be used twice a day. Its higher potencies are also available that can also be considered under advice of a homeopathic doctor.

7. Bryonia – To Treat Constipation With Dry, Hard, Large StoolSulphur

Constipation with dry, hard, large stool is the main reason behind anal fissure. So if constipation is treated, fissure formation will be prevented. If constipation is treated and stool is softened with this medicine in cases where fissure is already present, then healing of fissure won’t be interfered with. Its symptoms won’t worsen because hard stool which was acting as an obstacle is being treated simultaneously. Bryonia can be used in cases of constipation with very hard, dry and large stool (which is the root cause in majority of anal fissure cases). Bryonia will regularize bowel movement and help in softening the stool.

When and How to use Bryonia?

It is the best medicine to treat constipation with dry, hard, large stool. Bryonia 30C can be taken two to three times a day for good results.

8. Petroleum – For Anal Fissure With Anal Itching

This medicine is well indicated to manage anal itching in cases of anal fissure. In cases needing it, stool is passed in the form of hard lumps. Burning at anus can also be felt.

When and How to use Petroleum?

If anal itching is the most troubling symptom, then this medicine is for you. Take it once or twice in 30C potency to soothe the itching.

Cause Behind Anal Fissure

A.  Trauma to the anal area or its overstretching is the main cause behind anal fissure. This can happen from one of the following reasons:

1. Constipation: It is the most common cause behind anal fissure. Passage of large, hard, dry stool that overstretches and tears the lining of anal canal may commonly result in anal fissure. Anal fissure may also occur when stool is passed with much straining efforts.

2. Long term diarrhea (loose stool): It causes dryness and irritation in the skin of anal area followed by cracks that can be very painful as skin in the anal area is very sensitive.

3. Trauma caused by vaginal childbirth

4. Anal sex or putting any object in anus

B. Having excessively tight anal sphincter muscles that control anal closure, reduced blood supply to anus, scar in the anal area.

C. Some medical conditions like Crohn’s disease (an autoimmune disease that can cause inflammation in any part of the gastrointestinal tract), tuberculosis, anal cancer and some sexually transmitted diseases like HIV, syphilis, gonorrhoea, chlamydia

Signs And Symptoms Of Anal Fissures

1. Pain in the anal region: It is the main symptom of anal fissure that can be very severe. It is felt during passing stool but sometimes the pain may continue for several hours after passing stool.

2. Bleeding: It may pass as streak of blood while passing stool, or blood can be seen on outer surface of stool or toilet paper after wiping anal area

3. Burning sensation at anus or itching at anal area

4. A visible crack in anal area

5. Hard stool if constipated

6. Foul smelling discharge from cut

7. A skin tag or small lump near the anal fissure in long standing cases

Managing Anal Fissures

Dietary guidelines to manage anal fissure

1. Eat a high-fiber diet: In general, food items that are low in fiber cause constipation. Adding up fiber from a variety of fruits and vegetables in the patient’s diet can make a big difference.

2. Drink more fluids: Keeping yourself hydrated is an easy and natural way of preventing dry and hard stool.

3. Foods to avoid: Foods that cause constipation and aggravate fissures should be avoided. These include high fat and low fiber snacks, like chips, sugary doughnuts, cheesy pizza, burger, etc. Refined flour is a heavily processed flour that has no bran or no fiber content, so should be avoided.

Some Tips To Manage Anal Fissure

1. Take a warm sitz bath: It may help relax the spasm; it may also improve the blood flow to the anus.

2. Never ignore urge to pass stool because it will make stool dry, hard

3. Avoid excess straining at stool

4. Apply organic coconut oil to the anal sphincter – it is an excellent lubricant that makes it easier for hard stool to pass. The medicinal properties of coconut oil help treat wounds, sores and other skin lesions.

5. Wipe anal area gently

Write To Dr . Sharma

Write to Dr. Sharma and get a reply on how homeopathy can help you in treating your disease condition .



  1. Hello sir, my name is harish i am writing u from usa. My wife has chronic fisucure from last 2 years. Will you be able to help us. First by a online consulting and later bu sending medications as needed ?

  2. Dr.shailendra singhal says:

    Hello sir, I m Dr.shailendra singhal…I want to talk about my wife about anal fissure which is suffering from since 1 to 2 year but recently last 2 to 3 month there is big problem.i m trying many medicines but no relief this time..this time main problem is pain during and after daefaction which is lasting many hour after daefaction along with swelling around anal region also with plz suggest me sir

  3. Sir,

    Last 4dsys am having problem in fissure related symptoms, burning sensation and strain during motion

  4. PRATEEK SAHU says:

    Sir when i pass my stool there is burning sensation and this burning sensation occur full day . And there is bleeding some time
    I have gastric and constipation problem plz help me . Is it piles or fissure problem

  5. Sunil shrivastav says:

    Can you tell me medicine for anal fissures
    I am 52 years old male

  6. for hamengoima on lip

  7. Phosporus-200 and Nitric acid-30

  8. Ruhul Amin says:

    Hi. i am ruhul amin. i am suffering mordant when come out of the closet. i am using homeopathy medicine from 3 years but i don’t get better result. at last i use ratanhia Q & calcaria flour 12X but don’t improve. so now i can improve from my present situation?? please please suggest me how i can rescued by sickness?


  9. K Ramadevi says:

    Good evening doctor
    Please tell me dosage of tablet mentioned

  10. Aoa I need homeopathy treatment

  11. i’m dealing with anal fissure for half of a year naw.

    i tried a lot of things but it seams to help me just a little bit.

    it happend one time wehen i had a stressful time and hard constipation.

    – i’m using mg 500 daly, and it’s wokr for constipation very well.

    – manuka umf 15+ and mixure of oliv oil, marjoram and citronela oil; after one month of use it heald my fissure a little, also inflamaion went away.

    – i also start to take probiotics now.

    the problem is that the fissure still hurt, like a lot. before and after bowel movement and when i seat. (pain is sharp like a glass or knife – specialy when i try to streach or when the muscles streach (when stand up, lay down etc.)), sometimes for ours (gnawing and beating).

    the fissure is more like on southeast side of rectum, also saw some mucus from time to time.

    i’m 24 old woman, dark blond hair,have also problem with (forhead and face) and anxiety sometimes even depresion/ emotional imbalance/self love.

    i’m taking nux vomic C30, siliceaC10 and calc flour C10 for 4 weeks, also add graphites 30 now (2days).
    I see yust a bit of improvement but noth much, would you prescribe something else?

  12. I had Anal Fisher ( cronic condition ) since from 40 years. Now I am 66 years old. Always hard stool sometime causes tears in rectum and burning. But no pain and blood. I bought Ratanhia 50 M , and Bryonia 200 CH. Can you Pl. tell me how I can take those medicines. Tell me the doses and frequincies.

  13. Sir, I have high sugar (diabetes), liver problem, adenomyosis in uterus, anal fissure, can I take these medicines ? Plz answer

    • Sir, I have high sugar (diabetes), liver problem, adenomyosis in uterus, anal fissure, can I take these medicines ? Plz answer


    I am suffering from fissure for last 2 yearsIt is not a regular case, but some times I face acute pain at the time of passing stool. And this remains for an hour.Moreover some time some (looks like) lumps at the outer side of the rectum is seen and then I feel acute pain.
    This is not a regular case but it happens once in a month or two.
    Kindly suggest me some medicine so that I can get relief.
    With regards.

    • Avi nash verma says:

      Hello dr
      I have suffering from anal fissure last 2 to 3 year’s
      I have little pain near my anal a small ganth near it
      When I stool paas my stomach not clear properly
      I have little pain when iam sitting on chair plz provide best medicine plzplz help

  15. Jayanta says:

    Sir I am suffering from fissures having pain , itching and burning for around 9 months. I am on homeopathy treatment for 7 months but no results. Presently I am taking one medicine mixed of many ingredients in powder form, then ratania, paeonia, asce…nra, lus in liquid. But still having cutting pain and burning. Do I have colitis
    Please help.

  16. Uzzwal Mondal says:

    I am suffering from anal fissure and having pain and bleeding during passing stool. After passing stool burning sensetion is still following hours. In an addition I have hard stool problem. First portion stool is very hard and it is so hard that it could no be break with finger. I am now taking alopathic medicine. I sufferd from it six month before and then properly cured but it now begins again.

  17. B. Jash says:

    I am suffering from anal fissure and having pain during passing stool. After operation, still now post stool passing burning sensation, and bleeding problem.
    The stool is hard and passes with difficulty, causing cracks and bleeding from the anus. Please
    suggest me medicine.

  18. Sanjeev says:

    I am suffering last two year from anal fissure. In middle of the year i start homeopathy treatment and feel better than allopathic. After feel relax i leave it. And now these days i feel pain once again. After passing stool, no blood comes but feel pain whole day. I can’t sit. After taking sitz bath i feel relaxed. And feel no more pain. A massa is hanging outward as i feel when i touched for cleaning anal. Please suggest me medicine which i follow. Thank you Doctor

Please click the link to understand Scientific basis on homeopathy . Click This link To Understand the Side Effects of the above mentioned Homeopathic Medicines.

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