Anal fissure is characterized by a small lesion or crevice in the anal canal, which is located at the base of the rectum. Adults are the ones that are most affected and the condition may be due to recurrent constipation, frequent diarrhoea, chronic inflammation of the intestines or because of the practice of sodomy among homosexuals. Young children, between 6 months and 2 years old, may also be affected by anal fissure.
There are several forms of anal fissures, such as the topographic forms that include anterior, posterior and lateral fissures, and are mostly found in women. An anal fissure can also take on a more complicated form and become infected by purulent oozing near the anus. The patient then has a small nodule caused by the infection. As for the postoperative fissure, it may result poorly conducted cutaneous drainage during surgery. An anal fissure can also occur with the onset of haemorrhoids.
The most common signs of an anal fissure are burning sensations and pain experienced during defecation. Blood stains in the stool or on the toilet paper may also be noticed. Sphincter muscle cramps and itching around the anus are all tell-tale signs of anal fissure.
The homoeopathic remedies that will be administered depend on the cause of anal fissure. For a fissure caused by abundant stool, 5 granules of Nitricum acidum 7CH will need to be taken twice a day. It also will reduce the pain resulting from the fissure. Another homoeopathic treatment for dealing with these anal fissures consists of combining 20 drops of Ratanhia and Paenia, at noon and in the evening before the meal. For a preventive treatment, administer 5 granules of Calcarea Fluorica 9 CH three times a week.
An anal fissure linked to an onset of haemorrhoids will be treated with Nitricum acidum 7 CH and Ratanhia 7 CH. Four to six daily intakes of Graphites 4 to 7 CH will heal anal fissures linked to chronic constipation. Severe pain accompanying stool with oozing pus will be relieved by four to six daily intakes of Nitricum acidum 4 to 7 CH. In the presence of pruritus and burning sensations that persist for hours after defecation, treat by taking Rathania 4 to 7 CH four to six times a day.
In all cases, Ratanhia ointment will be applied locally on anal fissures as an adjuvant treatment. It will stimulate the fissures’ healing process.
If at the symptoms persist and the pain increases at the end of the homoeopathic treatment, consult a doctor immediately. In addition, in the absence of adequate treatment, anal fissures have a tendency to become infected or to reach the sphincter muscles Unbearable and persistent pain during bowel movements and bloody anal walls should lead to a medical consultation, as they may be signs of thrombosed haemorrhoids, therefore requiring surgical intervention.
• Nitricum Acidum
Good to know: Homoeopathy acts in-depth to treat anal fissures, especially if they are diagnosed from the onset of the first symptoms.