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Anal fissure refers to a cut, tear or crack in the lining of the anus. Anus is an opening at the lower end of our gastrointestinal tract through which stool leaves the body. Constipation remains the major cause behind anal fissure.
Homeopathy offers the best natural treatment for cases of anal fissures. It ensures complete recovery with the use of safe and gentle homeopathic medicines and prevents the need for surgical intervention. It helps to provide symptomatic relief in the cases of anal fissure. Homeopathic medicines are of great help in soothing anal pain and burning sensation, controlling anal bleeding and any associated discharge. Besides, it promotes the healing of cracks in the anus naturally. A very important cause, as well as an obstacle, that hinders healing of a cut at the anus, is constipation with hard stool. If during the healing process, the crack gets scratched by a hard constipated stool, again and again, healing gets much delayed. To prevent this, the stool passed needs to be soft. Here, homeopathic medicines also work on this aspect in treating constipation, regularising bowel movements, and softening the stool which will make the healing of cuts easy as it removes the underlying cause. Treating constipation also prevents future recurrences of anal tears due to dry, hard stool.
Homeopathic medicines are made of natural substances so they have zero side effects. Homeopathy works by using the body’s restorative processes and is considered very safe. It will only help, not bring any harm. These medicines are helpful for acute as well as chronic and recurrent anal fissure cases.
Homeopathic medicines are suitable for treating anal fissures in people of all age groups. These are prescribed based on the individual’s peculiar symptoms in every case. So, it is always advised to get any case of anal fissure evaluated by a homeopathic doctor to get the right homeopathic prescription and avoid self-medication.
Best 9 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, Petroleum and Natrum Mur. 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 the anus while passing stool and may remain for several hours thereafter. A very peculiar feature is anal pain 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 to use Ratanhia?
This medicine is the most frequently indicated remedy for anal fissures where pain and burning in anus is marked during or after stool for prolonged hours.
How to use Ratanhia?
This medicine can be used in both low and high potencies. It is most commonly used at 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. At times it can be stitching, tearing, or stinging type. Persons needing it are also constipated. They pass stool with great straining that causes cuts in the anus even if the stool is soft.
When to use Nitric Acid?
Its use is highly recommended for persons who have anal bleeding and sharp splinter like or cutting pain from anal fissures.
How to use Nitric Acid?
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 the anus. Besides, the anus is very sore to touch. Wiping the anal area causes intense pain. Bleeding too occurs with stool. The stool in most cases is large and passed with difficulty.
When to use Graphites?
Its use can be done in cases where a person feels severe, sharp cutting anal pain while passing stool that is large and passed with difficulty.
How to use Graphites?
If we talk about the potency of Graphites, it varies from as low as 3X, 30 C to high like 200 C. 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 the 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 the 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 to use Paeonia?
This medicine can be prescribed in cases where the main complaint is oozing of foul discharge from cuts at the anus.
How to use Paeonia?
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 the plant ArborVitae. It is a very helpful medicine when anal fissure is very sensitive and painful to touch. Along with this, a burning sensation and itching at the anus may be present. A pressing type of pain can also accompany it.
When to use Thuja?
If you have anal pain and the anus is sensitive to touch, you may find this medicine highly effective.
How to use Thuja?
Initially Thuja 30C can be taken once a day. Once relief sets in, gradually reduce the dose to twice a week followed by once a week.
6. Sedum Acre – For Anal Pain That Remains For Several Hours After Passing 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.
When to use Sedum Acre?
This medicine is recommended for persons who experience anal pain for several hours after passing stool.
How to use Sedum Acre?
It usually works well in 30C potency and can be used twice a day. Its higher potencies are also available and can also be considered under the advice of a homeopathic doctor.
7. 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 the anus can also be felt.
When to use Petroleum?
It is an ideal medicine for anal fissures with marked anal itching.
How to use Petroleum?
Take it once or twice in 30C potency to soothe the anal itching.
8. Natrum Mur – For Anal Fissure With Bleeding And Burning Sensation
This medicine is beneficial when there occur anal fissures along with bleeding and burning sensation at the anus. There is marked constipation. The stool passes on alternate days and is very dry and hard. The stool passes with much straining leaving much soreness around the anus.
When to use Natrum Mur?
Bleeding with stool along with burning at the anus is the prominent indication for using this medicine.
How to use Natrum Mur?
In the beginning, its use is suggested in 30C potency that can be repeated twice a day. Its higher potencies are also available but normally, higher potencies are not to be repeated very often and used under professional guidance from a homeopathic physician.
9. Bryonia – To Treat Constipation With Dry, Hard, Large Stool
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 a fissure is already present, then healing of the fissure won’t be interfered with. Its symptoms won’t worsen because the 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 the majority of anal fissure cases). Bryonia will regularize bowel movements and help in softening the stool.
When to use Bryonia?
It is the best medicine to treat constipation with a dry, hard, large stool that is the main reason behind anal fissures.
How to use Bryonia?
Bryonia 30C can be taken two to three times a day for good results.
Causes Behind Anal Fissure
A. Trauma to the anal area or its overstretching is the main cause behind anal fissure. This can happen for one of the following reasons:
1. Constipation: It is the most common cause of anal fissures. Passage of large, hard, dry stool that overstretched and tears the lining of the anal canal may commonly result in an anal fissure. Anal fissures may also occur when stool is passed with much-straining effort.
2. Long-term diarrhea (loose stool): It causes dryness and irritation in the skin of the anal area followed by cracks that can be very painful as the skin in the anal area is very sensitive.
3. Trauma caused by vaginal childbirth
4. Anal sex or putting any object in the anus
B. Having excessively tight anal sphincter muscles that control anal closure, reduced blood supply to the 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, gonorrhea, 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 a streak of blood while passing stool, or blood can be seen on the outer surface of the stool or toilet paper after wiping the anal area
3. Burning sensation at the anus or itching at the anal area
4. A visible crack in the 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
How to diagnose anal fissures?
A doctor can easily diagnose a case of anal fissure based on symptoms and visual examination of the anal area. A cut can be seen while examining the anal area that confirms the diagnosis. In rare cases, anoscopy may be recommended to see inside the anus canal and rectum. In this test, a doctor inserts anoscope in the anus to see and check the details of the ano- rectal area.
I have Crohn’s disease since 13 years old. In November after doing colonoscopy I got a perianal fistula a week later. Can you help me with the fistula. The fistula is leaking at the moment. I have a seton in place. Thank you
Anus area is tear
Hi Dr.Sharma,
Hope you & your family are in good health.
I’m a 70yr old male, Sometimes I have hard stools which will have anal tear which leads to blood with stool and it takes days to heal and get back to normal. This happens at least 4time in the last 6 months, when the doctor prescribes medicines after putting a stent in my heart, which creates severe constipation. After a few days Anal fissure develops.
I read your article & watched a video on youtube. This is very informative & good guidance for patients all over the world.
I have a few questions about homeopathic medicines. In the video more than 5 medicines are mentioned.
Ratanhia
Nitric Acid
Paeonia
Hepar sulp
sulpher
1. Please tell me how many drops to take in water.
2. does all medicines are only for pain killers or kill the fissure.
2. Can I use all medicines for disease? drops in water at one time.
3. Will homeopathic medicines completely get rid of fissure from roots & I can live as a healthy person in real life as I was before Ananl diseas. OR
could be more medicines to add with medicines stated above.
I also attached the picture of my Anus, so you can prescribe the right medicines.
What can I do to heal constipation and treat my anal fissure? Please help.
Awaiting your reply very eagerly.
Kind Regards,
Javid Iqbal
Hi Dr.Sharma,
I’m 33yr old female, Sometimes I have hard stools which will have anal tear which leads to blood with stoo and it takes days to heal and get back to normal. This happens atleast 1time in 2-3months what can I do to heal constipation and treat my anal fissure please help.