Posted by: Admin Ayurveda 2019-02-15 11:08:56
This is a very common Ano rectol disease causing a lot of suffering to the patient. It consist of a tear or a crack in the skin lined part of the anal canal. It usally found in yound and middle age people but sometimes even in children. Though a small crack, the pain and suffering inflicted by it is of great magnitude. Beside, more often than note, it does not heal permanently and keeps on showing its effects continually or intermittently.
The crack is usually in the midline posterior i.e. inline with the cleft of the buttocks. Occasionally it may be in the front or sides. Some times a little tag, swelling of the skin develops at the edge of the anus. This is could the sentinel tag or Sentinel Piles. This stays even after the fissure heals unless excised. Very long standing fissure develops hard fibroid tissue. Later on perennial abscess or a anal fistula may form as a complication. Fissure in Ano is also a common cause of anal stenosis / spasmodic anus.
Some long standing cases of painful fissure develop disturbances in passage of urine, some times the frequency to urinate is increased whereas in some cases there is retention.
This is the most predominant symptom of fissure in Ano. It is often describe by the patient as of sharp, cutting searing and tearing nature & is of great severity. The pain is usually during defecation and may last up to three to four hours after defecation. The Pain is so agonizing that the patient dreads his visits to the toilet and tends to avoid passing stool, as a result in some cases remains constipated for several days. This further aggravates the symptoms when he eventually has to pass stool. Some patient s discover that by passing soft watery stool, the pain can be avoided and develop a habit of tacking laxative / purgatives regularly instead of getting proper medical advise. These patents unknowingly are actually aggravating the problem by worsening the condition of the sphincter.