What is Fissure Piles ?

Fissure Piles popularly known as a medical condition affecting the anal fissure of the patient. It's a common issue among people that causes extreme bleeding and pain during bowel movements. The condition may occur to people of any gender and age.

In most cases, fissure piles occur towards the back of the Anus, which is called the posterior midline. It's only in the rare cases that the condition occurs in the Anus's anterior midline. Only a handful of patients get this condition in the back and the front locations.

What are the symptoms of Anal Fissure Piles ?

The most common symptom of Anal Fissure includes bleeding and pain at the time of bowel movement. Additionally, patients also suffer from extreme pain after and during a bowel movement which could last from few minutes to several hours. Look for a Fissure specialist doctor as soon as you observe the onset of these symptoms.

Fissure Piles Causes

Severe Pain in the Anus

Fissure Piles' major cause is the lining's injured inner lining, which is caused possibly due to dry and hard bowel movements. However, diarrhea and loose stools may also cause this medical condition. The tear in the tissue leads to severe pain, which further causes anal sphincter spasm. It also increases muscle pressure in the anal sphincter resulting in decreased blood flow where the injury is caused. The condition impairs wound healing. Bowel movements increase the intensity of pain and worsen the condition of the patient.

Swelling and bleeding in the posterior/anterior midline of Anus

Fissure Piles are either chronic (lasting over 9-11 weeks) or acute. In acute fissure piles, there is a small tear in the posterior or anterior midline of the Anus. Patients suffering from chronic fissures have a scar and swelling in the tissue. It is comparatively difficult to treat Chronic fissures. The patient may develop hypertrophied papilla or an external lump (possibly due to the tear) named as skin tag or sentinel pile.

Fissure piles & Hemmorhoids

Fissure piles are misconceived as hemorrhoids either by the physician or the patient as the two conditions have some common symptoms. Delay in treatment could increase the severity of the condition making it more complicated. Moreover, it could cause other severe conditions such as cancer or a serious infection, which may go untreated and undetected. Less severe fissures may result in infections, inflammation, or tumors such as Ulcerative Colitis, Crohn's disease, tuberculosis, syphilis, anal cancer, HIV/AIDS, or leukemia.

Fissure piles ayurvedic treatment in delhi

Kshar Sutra treatment for piles is one option to treat Fissure piles, but it isn't required in maximum cases. The following treatments are adopted by physicians to treat Fissures Piles

Change in diet

Doctors recommend a high fiber diet to patients suffering from acute Fissures Piles. It helps in making the patients consistent. Additionally, doctors for fissure treatment in Delhi also recommend fiber supplements to meet the daily intake (up to 25-30 grams). Increased water intake and stool softeners is mandatory for promoting smooth and pain-free bowel movements. Moreover, it speeds-up the process of healing.

Anti-diarrheas medication for soothing anal muscles

Anti-diarrheas are required for treating frequent, loose stools. Usually, doctors provide topical medications like lidocaine that eases anal pain. Additionally, the physicians also recommend 10-15 minutes of sitz baths after bowel movements. It promotes relaxation and gives a soothing experience to the patient. Plus, it also relieves anal muscles of the pain while speeding up the process of healing.

Medications for anal sphincter muscles relaxation

Patients suffering from chronic fissure piles are recommended medications having compounds like nifedipine, nitroglycerin, or diltiazem hydrochloride. It helps in reducing sphincter pressures. Also, they help in healing the fissure. It is recommended to discuss the side-effects and benefits of these medications with your medical doctor. Experts advise surgery in severe cases as chronic fissure piles are difficult to treat.

Medications Prescribed For Treating Fissures Piles

Nitroglycerin Ointment

Nitroglycerin Ointment is a compounded medication that helps in treating both chronic and acute fissure piles. It relaxes the sphincter and internal muscle while decreasing sphincter pressure. Also, it improves blood flow at the injured area, consequently leading to fissure healing. The chemical compound in the ointment is affecting treating almost half of the condition. Fissure piles treatment isn't limited to applying the ointment. Increasing water and fiber intake is necessary to get rid of the issue completely.

Calcium Channel Blockers

Calcium Channel Blockers are medications including nifedipine and diltiazem. Like, nitroglycerin ointment also heals fissure piles but is often recommended to patients with a chronic condition. It is one of the best medications to treat Anal fissure treatment without surgery. It, too, has some side effects, such as decreased blood pressure and mild headache.

In what conditions is surgery done for treating Fissure Piles?

Surgery is required when fissure piles don't respond to the medications or other traditional measures: persistent loose or hard bowel movements, spasm, or scarring of the anal muscle delay the healing process. Also, medical conditions such as Crohn's disease, anal tumors, or infections may cause anal fissures. Surgery is necessary in such cases. Additionally, patients with continuous anal pain may need the surgical treatment method.

What is the surgical method of fissure piles treatment in ayurveda ?

In ayurveda, fissure piles treatment in Delhi is done through Kshar Sutra, Kshar Sutra for fissure piles starts with adding a coat of Snuhi latex to the linen thread gauge. The surgical gauge is coated with Apamarga Kshara and Snuhi latex four to seven times and Haridra churna and Snuhi latex four times. The surgery provides relaxation to the anal muscles and promotes healing of the injured area, thereby relieving the anal spasm and pain to the patient.

The two ends of the Khara Sutra are replaced with a new one every week. It helps in cutting the track, which heals the symptoms consequently. The process also helps eliminate the damaged tissue, facilitating pus drainage and treating a microbial infection in the tract, which heals the symptoms.

Unlike surgical method that comes with some side-effects and risks, Kshar sutra treatment for fissure piles do not have any side effects at all   helps to cure fissure piles permanently. It is recommended to discuss the risks associated with your physician before the treatment.

Do Fissure Piles recur even after they are healed completely?

Fissure piles may recur even if they are healed fully. Any injury in the anal area or hard stool/bowel movement may induce bleeding and pain in the anal area. Therefore, it's crucial to include dietary fiber in your eating habits and a healthy lifestyle. Consult your doctor immediately as soon as you observe the recurrence of the issue.

If you're looking best doctor for anal fissure in Delhi, Consult Dr Monga Clinic for best fissure treatment results.