Posts Tagged ‘Fissure in ano’

Fissure in ano

01 Sep


1. Pain while passing stools : The lower anal canal is exquisitely sensitive area of skin and can produce fairly significant signals of pain if damaged. Sharp agonizing knife-like pain starts when the individual passes stool. The pain is severe and persists for an hour or so. It ceases suddenly. The sufferer is comfortable until the next action of bowel. The individual tends to be constipated rather than go through painful ordeal. If a fissure becomes chronic (long-standing) and deep, another kind of pain can develop. It is a dull ache in the anus and pelvis that starts a few minutes after the bowel movement and can persist for hours after passing stools. This chronic fissure pain is due to spasm of the internal sphincter muscle (one of the small muscles in the anus) and can be quite debilitating.

2. Severe spasm of the anal sphincter (as a protective reflex)

3.Blood streaked stool (typically on the side of the hard stool) : It is important to note that the bleeding associated with a fissure-in-ano is bright red and associated with some pain or tenderness in the anus. Dark bleeding of greater amount without any anal tenderness or pain should never be ignored and should be brought to the notice of doctor.

4. Discharge, swelling, and itching occur especially with chronic fissures

Interestingly, homeopathy has many medicines to relieve the discomfort. Rightly chosen homeopathic medicine covers various aspects of fissure.

Types of Fissure-in-ano

Fissure-in-ano may present as acute fissure of recent origin (less than 6 weeks of duration). At this stage fissures are superficial. Some of them may deepen to reach underlying layers and present as chronic fissure of a long duration (more than 6 weeks of duration) or recurring fissures.

Fissure-in-ano is largely considered as a medico surgical disorder. However, looking at it in the light of homeopathic medicine, it is medically correctible conditions. Fortunately, in most cases, surgery can be avoided with homeopathy treatment.

Homeopathic Treatment –


Adapted to persons with dark hair and rigid fibre; weakly, psoric, with excessively yellow, sallow complexion; subject to affections of respiratory and urinary tracts.

Constipation : passes stool easier when standing . Constriction, after coition. Diarrhoea, from cold air on abdomen.  Pain Worse on walking, Pressive pain in rectum, Pulsation in perineum, frequent, ineffectual desire; stool passes better between person is standing; impeded by haemorrhoids; tough and shining, like grease; in children with nocturnal enuresis.


For lean, stoop-shouldered persons who walk and sit stooping; walk stooping like old men. Standing is the worst position for Sulphur patients; they cannot stand; every standing position is uncomfortable.

Constipation : stools hard, knotty, dry, as if burnt (Bry.); large, painful,  child is afraid to have the stool on account of pain,  or pain compels child to desist on first effort; alternating with diarrhoea. The discharge both of urine and faeces is painful to parts over which it passes; passes large quantities of colorless urine; parts around anus red, excoriated; all the orifices of the body are very red; all discharges acrid, excoriating wherever they touch.


Adapted to hydrogenoid constitution of Grauvogl, which is related to sycosis as effect is to cause.

Constipation : violent pains in rectum compel cessation of effort; stool recedes, after being partly expelled, Piles swollen, pain most severe when sitting. Anus fissured, painful to touch, surrounded with flat warts, or moist mucous condylomata.


Suited to women, inclined to obesity, who suffer from habitual constipation; with a history of delayed menstruation.

Constipation : Chronic constipation; stool difficult, large, hard, knotty, with lumps united by mucous threads; too large, smarting sore pain in anus after stool.


Constipation : stool hard with great straining; protrusion of haemorrhoids followed by long-lasting aching and burning in anus; bowels inactive; pain after stool as if splinters of glass were sticking in anus and rectum. Excruciating pains after stool; burning after soft stool

Nitric Acid

Pains: sticking, pricking as from splinters; suddenly appearing and disappearing, Fissures in rectum; tearing, spasmodic pains during stools; lancinating, even after soft stools, Affects especially the mucous outlets of the body where skin and mucous membrane join; mouth, nose, rectum, anus, urethra, vagina.