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Abdominal pain
I used to have fissure & bleeding sometimes since years. I got a surgery called Kshar sutra done in june 2025. I thought I was getting normal. But since a month again I have been getting pain & even a day if I skip laxative or sitz bath or anesthetic ointment, I end up in lot of pain. Doctor said it's because of stress. But when I had been for fever to a nearby physician, he checked & said the fissure is still there & muscle isn't relaxed. So another surgery should be done.All 4 months of pain, trauma went waste. Now, I can't go for surgery as I have lot of responsibilities at home & I've been undergoing so many surgeries since age 7 as a lorry accident survivor. I also have another neck surgery to go through. And have exams till may. So till then if there are any natural ways to relax the fissure muscle & heal it please let me know. I also used to eat lot of slate bars & shale stones. Could that have caused any other problems? I have left lower abdomen pain
Answers (14)
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Kshar sutra is very affective ayurvedic treatment for fissure it doesn't means that the disease might not reoccur reoccurance depends on lot of factors mainly Dietary and lifestyle changes plays very important role in fissure alonge with medication and treatment ..
Do consult to know more ...
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There are many good treatments in ayurveda with out surgery and they have many good results.
You can consult for further treatment
Next Steps
Do a consultation
Health Tips
Take high fibre diet, avoid carbonated drinks, drink plenty of water, Perform sitz bath
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•Take more fiber diet
•Drink plenty fluids
•Avoid oily and spicy food also junk food
•Use Abhayaristha 20ml BD with w.w
• Sitz bath twice in a day approx 15 min each
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1. Warm Sitz Bath (2–3 times daily)
Add:
Triphala decoction OR Dashmool kwath
Warmth reduces sphincter spasm.
2. Local Oil Application (Instead of only anesthetic)
Use:
Jatyadi oil Or Yashtimadhu ghee Or cow ghee
Apply gently inside with gloved finger after sitz bath. These promote healing,
3. Take 10–20 ml of Matra Basti daily or on alternate days, from a nearby Ayurvedic doctor.
4.
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Stress may cause spasm of anal sphincter muscles..but that's not the only cause of your problem..you have to take care of the root cause of this fissure..which is constipation
Next Steps
you can start taking Avipattikar churn..half tsp with warm water at bed time..it's a mild laxative..Also you can apply Jatyadi oil on your anal fissure area..before sleep n after bath..this will heal that area n will lessen your pain
Health Tips
Don't stop laxatives abruptly till your fissure is completely healed
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Take triflachurnwith with lukewarm water at night before sleep for 7days.
Next Steps
avoidspicyfood junkfood processed oilyhotfood nonveg. drink plenty of water,eat healthy diet vegetables, fruits, fibrediet dalia etc.
Health Tips
avoid long sitting, walk regular for 10 min daily do, meditation, pranayam.
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You need proper guidance dear. Follow HAIP DIET to begin with.There are many formulations that can help
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Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine
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Namastey
Even after Kshar Sutra, some patients may develop a chronic anal fissure due to persistent spasm of the anal sphincter muscle. When this muscle remains tight, blood supply to the area reduces, healing slows down or stops, and pain tends to return as soon as laxatives, sitz baths or local ointments are discontinued. Stress can worsen this muscle spasm, but it is not the only cause of the problem. On examination, the fissure may still be present along with increased muscle tightness. The good news is that cases of chronic anal fissure can be treated and managed conservatively also but ONLY DEPENDING ON KSHARA SUTRA WITHOUT THE CORRECTION OF DIETARY AND LIFESTYLE PATTERNS; will not give you the permanent cure. HARD STOOLS, RAW AND DRY FOODS INTAKE, chronic diarrhea, inadequate fiber and fluid intake, excessive use of spicy foods, and poor local hygiene; all contributes for the occurence of Fissure in ano.
Kshara sutra is done to cut out the enlarged and inflamed skin tags but not primarily the root cause, that's why it is recurring.
Next Steps
Ensure daily soft stools; avoid skipping stool softeners or fiber supplements abruptly. Correct dietary habits: increase fiber (fruits, vegetables), fluids, and avoid raw, dry, spicy, and junk foods. Maintain adequate hydration throughout the day. Follow regular warm sitz baths (15â20 minutes, twice daily), especially after bowel movements. Use local healing and muscle-relaxing ointments/oils as prescribed, regularly and gently. Avoid straining, prolonged sitting on the toilet, and suppressing the urge to pass stools. Improve lifestyle habits: regular bowel timing, light physical activity, and stress-management practices. Maintain proper local hygiene without excessive rubbing or harsh soaps.
Health Tips
Drink 1â2 glasses of warm water immediately after waking up. Maintain a fixed time for bowel movement; do not delay or force stools. Include fiber-rich foods daily (papaya, pear, oats, vegetables). Avoid raw, dry, spicy, fried foods, bakery items, and excessive tea/coffee. Walk for 20â30 minutes daily to improve bowel movement. Use warm sitz bath regularly to reduce pain and muscle spasm. Apply local ointment gently and consistently; do not stop suddenly once pain reduces. Avoid prolonged sitting; use a soft cushion if sitting for long hours. Do not strain or sit on the toilet for more than 5 minutes. Practice deep breathing or relaxation techniques to reduce anal muscle spasm.
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Take sitz bath with pottasium permanganate in it. Use mild lexatives
Next Steps
Easy digestable food
Health Tips
Aboid long sitting
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Noted ur vivid sharing. U have good height n BMI as shared.
Pain at anus is the result of ur diet n routine and stomach n Digestion pattern. Even u went for another sx and u not honoured ur tummy u may land in next level of health problem
Next Steps
hopefully u follow seitz bath by creame application
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Dr. Deeksha Attri
Ayurveda
3 yrs exp
Delhi
Take Laxatives .
Next Steps
Consult or visit personally for proper examination.
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Dr. Urvi Patet Pandey
Ayurveda
18 yrs exp
Dehradun
Hello
I have been seeing many patients like you, who have had some surgery or repeated surgery for fissures and it did not help them.
I specialise in treating piles and fissure without surgery and patients who undergo treatment with me have very good success rates.
So calm down and I really think I can help you.
Call or WhatsApp to book an appointment and I can examine you and have detailed discussion with you.
Next Steps
You can call to book an appointment at Ayurnidanam Ayurveda Treatment centre, Dehradun
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