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 (29)
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Recurrent fissure after Kshar sutra can occur due to persistent sphincter spasm and incomplete healing. Strict stool regulation, adequate hydration, high-fiber diet, stress management, and regular sitz bath are essential.
Next Steps
You can contact me on WhatsApp for detailed case taking on 708302736nine
Health Tips
Surgery is not always immediately required unless there is severe fibrosis or complications.
Dear Madam,
I have carefully read your history, and I understand how distressing and exhausting this situation must be for you — especially after undergoing surgery, dealing with persistent pain, and managing multiple responsibilities along with your health challenges.
Based on what you have described, it appears that the fissure has not completely healed and the anal sphincter muscle remains in spasm. This is a common reason for persistent or recurrent fissure pain even after procedures like Kshar Sutra. When the muscle stays tight, blood supply to the area reduces, which delays healing and causes recurring pain whenever stool consistency changes or routine care is interrupted.
Your history of repeated surgeries, ongoing stress, and the need to avoid further procedures at present makes it important to manage this condition in a structured, individualized, and non-surgical way wherever possible. Additionally, your past habit of consuming slate or shale substances and your present lower abdominal pain also need proper evaluation, as they may contribute to bowel irritation, nutritional imbalance, or digestive dysfunction that can interfere with healing.
In such chronic and sensitive cases, treatment must be tailored to the person’s physical condition, bowel pattern, pain response, emotional stress level, and healing capacity. General advice alone is often not sufficient for long-standing fissures with muscle spasm.
I would strongly recommend a detailed consultation so your complete case can be assessed properly and a personalized treatment plan can be designed to help relax the sphincter, support tissue healing, regulate bowel function, and reduce recurrence — without pushing you immediately toward another surgery unless absolutely necessary.
If you wish, you may contact Health Global Homeopathy Clinic to schedule a consultation.
Website: www.healthglobalclinics.com
A careful, individualized approach at this stage can make a significant difference in comfort, healing, and long-term stability.
Wishing you strength and recovery.
Dr. Jyoti Kadkol
It needs to be treated in a holistic approach for complete recovery.
Fissure and rectal issues can be well treated with homeopathic medicine and diet management effectively and without any side effects.
Even if you get it operated, the chances of recurrence is high.
Homeopathic medicine would be the best solution for your problem.
Stress can increase the existing situation.
You need an expert homeopathic physician who is a good psychiatrist or Psychologist.
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I have been working as a homeopathic Psychiatrist and counseling psychologist for the last 18 years of experience. You can contact me through an online appointment for further assistance.
Hi user,
These types of symptoms can be treated successfully by Homeopathy. Homeopathic medicine has no side effects and can remove all these symptoms effectively and permanently.
Request you to consult via chat or call for treatment plan.
Medicine will be send by courier.
Thanks.
Definitely we can avoid another surgery for you by treating your fissure naturally. You will be amazed at the results homeopathy can offer. Feel free to consult anytime or you can google me and come to clinic prior appointment basis
Hello.
I have read your complains. Honestly with just presenting complains no homoeopathy medicine will help you cure your problem as you have a complex of complains.
Also this has affected you at psycological level.
It is advised to get an abdominal and pelvic usg and then connect with me for further homoeopathic treatment.
Need little more detail on other symptoms and modalities to give u a perfect plan of treatment.
Hello Practo User, use homoeopathic medications for your problem to get Instant and effective results.Its Curable, no need to worry about. Homoeopathic medicines plays Excellent role to treat Such problems in a hollistic way without any side effect.I suggest you to message me your complete history in private chat with all reports & details & Consult Online through Practo. I will guide you for holistic & effective Results with homoeopathy ! Take care !! Best Regards:)
An anal fissure is a small, painful tear in the lining of the anal canal, often causing sharp pain, burning, and bright red blood during or after bowel movements. Primarily caused by passing hard stools, chronic constipation, or anal trauma
A homoeopathic treatment will give you best results naturally
You can easily take an online consultation for personalised treatment
Or click on the calling option over my profile on Practo
Hello,
First of all, I’m really sorry you have been going through so much at such a young age. Repeated surgeries and persistent pain can be emotionally exhausting.
From what you’ve described, this sounds like a chronic fissure with persistent internal sphincter spasm. Even after procedures, if the muscle remains tight, the fissure does not heal properly and pain continues especially if laxatives or sitz baths are stopped.
The main issues in chronic fissure are usually:
• Internal sphincter spasm
• Reduced blood supply to the area
• Irregular bowel habits
• Stress-related tightening of pelvic muscles
Since you are under exam stress and have had a long trauma history, muscle tightness can worsen.
In many cases, conservative management can be tried before considering another surgery, depending on severity and examination findings.
In homeopathy, we focus on:
• Reducing spasm tendency
• Improving healing response
• Regulating bowel pattern
• Addressing stress and trauma impact
Regarding eating slate/shale stones..that is called pica and can sometimes affect digestion or cause abdominal discomfort, so that also needs evaluation.
Your left lower abdominal pain may be related to bowel irregularity or stress-related gut sensitivity, but it needs proper case study.
Next Steps
I would strongly suggest a detailed consultation so your full history (physical + emotional) can be taken properly and a structured treatment plan can be made.
You may book a consultation with me on Practo for detailed evaluation.
Health Tips
Meanwhile, you can:
• Continue warm sitz baths
• Avoid straining
• Keep stools soft naturally (fiber + hydration)
• Practice slow breathing to reduce pelvic muscle tightening
• Do not abruptly stop supportive measures
You are not alone in this. With the right approach, healing is possible!
Take care.
Kshar Sutra is mainly used for fistula, not fissure.
If you had a chronic fissure, the real issue is usually:
Internal sphincter spasm
Poor blood supply to fissure area
Constipation cycle
If muscle is still tight, pain continues.
That doesn’t mean the first surgery was “waste.”
It means the underlying spasm didn’t fully resolve.
Laxative → stool becomes hard → re-tear → pain
Sitz bath → muscle stays tight → pain
Anesthetic ointment → no temporary relief → pain
So this confirms: the problem is muscle spasm + healing delay, not something dangerous.
🪨 About eating slate bars & shale stones
This is called pica.
Possible issues:
Intestinal irritation
Parasites
Heavy metal exposure
Constipation
Left lower abdominal pain (could be colonic spasm)
You should get:
Hemoglobin checked
Iron levels
Stool examination
Pica is often linked to iron deficiency.
Next Steps
don't worry you can connect online with me and i will suggest you a proper care.and you will be more satisfied then....try it out,Stay healthy and safe 👍🏻😊
As per all the symptoms that I have read about your fissure,you still have chances to be cured permanently by proper Homeopathic treatment.
You can consult me regarding your entire case history & for your personalized treatment.
There's excellent homoeopathic medicine for your all complaints.
You will get permanent cure with homoeopathic constitutional medicine because I had cure many similar cases.
Need more details for proper treatment and guidance.
Hello, I can understand your concern. Yes eating slate bars and other indigestibles can trigger inflammation in your body. Right now you have acute inflammation of the recto anal region and hence you have severe pain. Also, taking laxative, sitz bath and pain killers can help you temporarily but not permanently. Homoeopathy medicine treats the root cause of the issue and can cure fissure completely and permanently without any recurrence in the future. It can also relieve this acute pain and inflammation and can give you best relief. To know more and for any other concern you can call us or reach us online.
You can try some relaxing pelvic floor exercises you can also do hot water sits two times a day which helps to decrease in inflammation and reduces pain
Stop eating slate pencils and stone it will cause abdominal pain
Next Steps
If you can take Homoepathic medicine near by you Homoepathic store then you can also apply calendula ointment on affected part
You can also take Pulsetilla 1m 3 doses only for 3 days a
You likely still have sphincter muscle tightness, causing:
Pain → spasm → poor blood flow → delayed healing.
Until May:
• Keep stool very soft (water + psyllium + fiber)
• Warm sitz bath 2–3× daily
• Practice deep breathing + pelvic relaxation
Slate/shale eating (pica) can cause bowel irritation and left lower abdominal pain — check CBC and iron.
I’ll advice u to get precised medicine for complete cure of Your’s with a homoeopath u feel like cosulting with
Can also consult me if you feel like doing
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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