Fissure Treatment Homeopathy — Dr. Vandna Kanani

The most frequently indicated remedy in fissure treatment homeopathy for anal fissure with a characteristic burning pain after stool as if red-hot coals or broken glass were placed in the anorectal area, lasting for hours after each bowel movement. The pain during stool is knife-like and cutting. The post-stool burning is the most distinctive and reliable Ratanhia fissure indication, lasting one to three hours after each stool and preventing the patient from sitting comfortably. The constitutional picture of the Ratanhia fissure patient also shows an emaciated, exhausted appearance from the chronic pain and from avoiding food to reduce stool frequency.

For chronic, non-healing anal fissure with the characteristic splinter or stick sensation in the anorectal area that persists long after stool has passed. The Nitric acid fissure bleeds easily, has irregular jagged edges and refuses to heal despite conventional management. The constitutional picture includes anxiety about health, sensitivity to noise and cold, a tendency to warts and other fissured skin conditions elsewhere and a characteristic offensive urine. The splinter sensation in the anus alongside the non-healing fissure edges and the constitutionally anxious wart-prone type confirm Nitric acid in fissure treatment homeopathy for the chronic non-healing presentation.

For anal fissure with rawness and violent post-stool pain accompanying constipation, in the obese, chilly, skin-prone constitutional type who has cracks and fissures in multiple sites, particularly behind the ears, at the nostrils, at the corners of the mouth and between the toes, alongside the anal fissure. The Graphites constitutional tendency is to form fissures at skin and mucosal junctions throughout the body, and the anal fissure is the most painful and disabling expression of this constitutional crack-prone tendency. Constipation with large, knotty, mucus-covered stools accompanies the fissure and contributes to the traumatic tearing with each bowel movement.

For chronic anal fissure with a constitutional inability to heal, in the thin, chilly, refined constitutional type who lacks vital heat and whose wounds and mucosal injuries never heal without lingering. The Silicea fissure may develop a small perianal abscess at the fissure margin, or may develop fistulous tracks from the chronic non-healing suppuration. Silicea builds the constitutional vital force capacity to complete the mucosal healing process that the Psoric deficiency has rendered impossible. Among the most indicated remedies in fissure treatment homeopathy for the chronic non-healing fissure in the thin chilly constitutionally depleted patient.

For anal fissure with intense, almost intolerable itching and burning of the anorectal area alongside the pain during stool. The Mezereum fissure has a burning, itching quality that is worse from warmth and from the heat of the bed at night. The post-stool burning has a violent, scalding quality. Among the more specific remedies in fissure treatment homeopathy when the itching component of the anorectal discomfort is as prominent as the pain component, and when the constitutional picture of extreme sensitivity to cold with paradoxical aggravation from warm applications confirms the Mezereum constitutional type.

For anal fissure that has progressed to an ulcerating state, with the characteristic Paeonia raw, excoriated, ulcerated quality at the fissure margins. The anus is covered with excoriating discharge and the skin around the fissure is raw and inflamed. Post-stool burning and rawness is extreme. Among the most indicated remedies in fissure treatment homeopathy for the ulcerating, excoriating anal fissure where the mucosal damage has extended beyond a simple linear tear to involve the surrounding perianal skin and deeper anorectal mucosal layers. Often prescribed alongside Ratanhia or Nitric acid as an intercurrent remedy for the most advanced fissure presentations.