Parikartika

Parikartika

An anal fissure is a cut or tear occuring in the anus ( through which stool passes out the body ) that extends upwards into the anal canal . Fissure usually cause pain during bowel movements that often is severe . Anal fissure is the most common cause of rectal bleeding in infancy .

Causes

1 The fissure may be caused by a hard stool .
2 Repeated episodes of diarrhoea .

3 Occasionally . the insertion of a rectal thermometer . Enema tip. endoscopy or ultrasound probe ( for examination the prostate gland ) can result in sufficient trauma to produce a fissure .

4 During childbirth . Trauma to the perineum may cause a tear that extends into the anoderm .

The most common location for an anal fissure in both men and women ( 90,,%, of all fissure ) is the midline posteriorly in the anal canal .

Principal of Treatment

1 Malanulomana

2 Vrinaropana

3 Anal dilations

4 Stool softeners.

5 increase the liquid intake.

Rx.
Shamana Chikitsa

1 Panchasakara Churna 6gm at bedtime with warm water or milk

2 Nimbadi Guggulu 2 TID after meals BD with warm water.

3 Abhayarista  15 - 20 ml BD with warm water

4 Jatyadi Taila - Pichu Dharana

5 Yasthimadhu Taila - Pichu

Pathya ( Indications )

1 Rest  . Foot end elevation .

2 Drink plenty of fluids . At least eight glass per day.

3 Eat Higher Fiber diet . Fruits .Vegetables  and whole grains .

4 Use a stool softeners to prevent straining.

Apthya ( Contraindications )

1 Hot . Spicy . Salty diet . Constipating food.

 2 Suppression of natural urges.