An anal fissure is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. Anal fissures can occur at any age. Most (85-90%) fissures occur in the posterior (back) midline of the anus with about 10-15% occurring in the anterior (front) midline.
Non Surgical :- Ayurvedic treatment for fissures include deepana, pachana (Digestives) and vatanulomana medicine internally and externally - Avagaha-Sweda -Sitz Bath with Medicated decoctions. Panchakarma - Basti. In Ayurveda, the sentinal tag is cut by using a specialized medicated alkaline thread ligation technique which is known as Kshara-sutra ligation, and it offers a better way to treat chronic fissure-in-ano than conventional surgery. Kshara sutra method is least invasive para surgical procedure for cutting benign tissues like sentinel tag, piles, masses, warts, condyloma e.t.c. A highly specialized medicated thread is ligated tightly around the sentinel tag, which strangulate the tissue and cause necrosis. Thus, the tag falls off in 3-5 days. The underlying fissure heals up in 5-15days.