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Dealing with Fissures and Constipation for 6 Months
Gastrointestinal Disorders
Question #48419
89 days ago
968

Dealing with Fissures and Constipation for 6 Months - #48419

Client_72f4ea
$3.51

फिशर के लिए भी ले सकते हैं 6 महिने से परेशान हैं कब्ज भी रहती है जख्म बन गये और खून भी आ रहा है सारी रिपोर्ट नार्मल है

How would you describe the severity of your pain?:

- Excruciating

What triggers your constipation?:

- No specific triggers

Have you made any dietary changes recently?:

- No changes
Question is closed
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Doctors' responses

Haan aap jo samasya bata rahe hain usse yeh spasht hota hai ki aapko purana guda vidradhi ya fissure hai jo kabz ke kaaran chhe mahine se theek nahi ho pa raha hai Jab baar baar sakht mal tyag hota hai to zakhm bhar nahi pata aur atyadhik peeda jalan aur taaza rakt aata hai Saari jaanch sahi hone ka arth hai ki yeh koi badi bimaari nahi balki pachan shakti kam hone aur guda kshetra ki sukhapan wali samasya hai Ayurveda mein iska poora aur sthayi upchar uplabdh hai

Sabse pehle kabz ko door karna bahut avashyak hai Raat ko sone se pehle triphala churna ek chamach garam jal ya doodh ke saath roz lein Subah mal tyag aasaan hoga aur zor nahi lagana padega Subah khali pet gandharva haritaki churna aadha chamach garam jal ke saath lein Agar kabz adhik ho to ise raat ko bhi liya ja sakta hai

Zakhm bharne aur rakt srav kam karne ke liye abhayarishta bees mili barabar jal ke saath subah shaam bhojan ke baad lein Chandraprabha vati do goli subah shaam bhojan ke baad lein Yeh aushadhi andar se bharav karti hain aur peeda jalan aur sujan ko kam karti hain

Bahar se lagane ke liye jatyadi tail ya jatyadi ghrit din mein do baar guda kshetra mein lagayein Raat ko lagana adhik labhdayak hota hai Roz ek baar gungune jal mein das se pandrah minute baithkar sek karein Isse peeda turant kam hoti hai aur guda ki manspeshiyan shaant hoti hain

Bhojan hamesha halka aur resha yukt rakhein Jaise sabzi papita nashpati moong dal daliya Raat ko ek chamach isabgol doodh ya jal ke saath le sakte hain Bahar ka teekha tala hua bhojan mirch masale wali cheezein chai coffee bilkul band karein Din bhar paryapt jal piyen aur mal tyag ko kabhi na rokein Niyamit upchar aur aahar vihar se purana fissure bhi dheere dheere theek ho jata hai aur peeda aur rakt srav mein achha sudhaar aata hai

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Abhayarishta - Dabur
Triphala Churna - Dabur
Jatyadi Taila - Baidyanath
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Ap medicines pe abhi mat depend rahiye surgery is the best option. Agr apko long term relief chahiye to surgery ke liye hi jana chahiye.

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Medicines 1 Abhayarishta – 20 ml + 40 ml warm water after lunch & dinner 2 Arshoghni Vati – 2 tablets twice daily after food 3 Triphala Guggulu – 2 tablets twice daily after food 4 Jatyadi Ghrita – apply locally after every bowel movement & sitz bath

Daily Must-Do Warm Sitz Bath – hot water + pinch rock salt + 1 tsp Triphala powder for 15 min, 2–3 times daily (reduces pain & promotes healing) Vajrasana 10 min after meals Drink 3–4 L warm water daily

Diet Eat daily: moong khichdi + 2 tsp ghee, papaya, pomegranate, cooked lauki, thin buttermilk + roasted jeera Avoid completely: spicy/sour, fried, maida, non-veg, cold drinks, late dinner

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Don’t worry Take Anuloman ds 1tab bd Kaishora Guggulu 1tab bd Arshakutar ras 1tab bd Kanchanara Guggulu 1tab bd Triphala churna kashaya with sitzbath Sunarin ointment Externally U ll get relief 💯

Dr RC BAMS MS AYU Ayurvedic Ano rectal Specialist

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Detailed history required to find the root cause. Then only proper medicines with necessary life style advice can eradicate issue permanently

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Hlo,

आपके लक्षण एनल फिशर + पुरानी कब्ज से मेल खाते हैं (6 महीने से दर्द, जख्म, खून आना, बहुत तेज़ दर्द)। रिपोर्ट नॉर्मल होना इसमें आम है।

🌿 आयुर्वेदिक दवा

1️⃣ त्रिफला चूर्ण डोज़: 1 छोटी चम्मच कैसे लें: रात को सोने से पहले गुनगुने पानी या दूध के साथ फायदा: कब्ज दूर करेगा, मल को मुलायम बनाएगा

2️⃣ अभयारिष्ट डोज़: 15–20 ml कैसे लें: रात को खाने के बाद बराबर पानी मिलाकर फायदा: पुरानी कब्ज और दर्द में बहुत उपयोगी

3️⃣ गंधक रसायन डोज़: 250 mg (1 गोली) कैसे लें: सुबह-शाम गुनगुने पानी के साथ फायदा: जख्म भरने और जलन कम करने में

4️⃣ जट्यादि तैल (बाहरी प्रयोग) कैसे लगाएँ: सुबह और रात को गुदा क्षेत्र में हल्के हाथ से फायदा: जख्म भरता है, दर्द व जलन कम करता है

5️⃣ ईसबगोल भूसी (अगर बहुत सख़्त मल हो) डोज़: 2 छोटी चम्मच कैसे लें: रात को गुनगुने दूध या पानी के साथ

🥗 ज़रूरी परहेज़ व आदतें ✔ गुनगुना पानी दिन में 2–3 लीटर ✔ सुबह शौच के लिए ज़ोर न लगाएँ ✔ मिर्च, तला-भुना, शराब, फास्ट फूड बंद ✔ बैठने का सिट्ज़ बाथ (गुनगुने पानी में 10 मिनट) दिन में 1–2 बार

⚠️ तुरंत दिखाएँ अगर: खून लगातार आ रहा हो दर्द असहनीय बना रहे 3–4 हफ्ते में सुधार न हो

Tq

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6 महीने से फिशर से परेशान हैं साथ ही कब्ज की समस्या भी है जिसकी वजह से एनल एरिया में ज़ख्म बन गया है और कभी कभी खून भी आ रहा है आपकी सारी रिपोर्ट्स नार्मल हैं इसका मतलब यह है कि यह फंक्शनल समस्या है जो वात दोष के बढ़ने की वजह से हुई है लंबे समय तक कठोर मल या कब्ज रेक्टल म्यूकोसा में टूट पैदा करता है जिसकी वजह से दर्द और खून आता है

दर्द और ज़ख्म के लिए महाकश्याय तैल रोज दो बार लगायें यह सूजन को कम करने और ज़ख्म को ठीक करने में मदद करता है कब्ज के लिए त्रिफला चूर्ण एक चम्मच रात को सोने से पहले गरम पानी के साथ लें इससे मल कठोर नहीं होगा

आहार में मसालेदार तैलीय पैकेज्ड फूड रेड मीट शराब चाय कॉफी न लें चावल दाल सब्ज़ी घी पपीता अनार और सेब खाएं रोजाना गरम पानी पिएं

लंबे समय तक बैठने से बचें स्क्वाटिंग पोजीशन में मल करें दीप ब्रीदिंग योग और हल्की वॉकिंग रोज करें यह वात को शांति देने में मदद करता है यदि खून ज्यादा और दर्द लंबे समय तक रहे तो कोलोनोस्कोपी या सिग्मोइडोस्कोपी कराना उचित है ताकि किसी गहरी समस्या को नजरअंदाज न किया जा सके

निर्धारित दवाइयाँ और उपचार एक साथ लिए जा सकते हैं जहां तक आपकी सिरदर्द आँख जलन और पीठ दर्द का सवाल है किसी भी दूसरे उपचार से कोई विरोधाभास नहीं है

नियमित आहार दिनचर्या और दवाइयों के साथ 3 से 6 हफ्ते में फिशर ठीक हो सकता है नियमित फॉलोअप जरूरी है

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नमस्ते, संपर्क करने के लिए धन्यवाद। आप पिछले छह महीनों से एनल फिशर, लगातार कब्ज, ब्लीडिंग और तेज़ दर्द से परेशान हैं। सच कहूँ तो, ये सभी एक साथ होते हैं। जब तक कब्ज रहेगा, फिशर ठीक नहीं होगा।

अच्छी खबर यह है: आपकी सभी रिपोर्ट्स नॉर्मल हैं। इसका मतलब है कि आपको कोई फंक्शनल प्रॉब्लम है, जिसके लिए सर्जरी की ज़रूरत नहीं है। आयुर्वेद इसे पूरी तरह से ठीक कर सकता है।

आयुर्वेदिक दृष्टिकोण

आपको ये हैं: - विबंध (कब्ज) - परिकर्तिका (एनल फिशर)

इसका कारण क्या है? - अपान वात बहुत सूखा और तेज़ है - आपकी आंतें सूख गई हैं - सख्त मल उस जगह को चोट पहुँचाता रहता है

तो, जब तक आपका मल नरम नहीं हो जाता, फिशर ठीक नहीं होगा। यही मुख्य बात है।

आयुर्वेदिक इलाज योजना

इसके तीन मुख्य हिस्से हैं: 1. मल को नरम करना 2. घाव को ठीक करना 3. दर्द और जलन को कम करना

1. शमन (अंदरूनी दवाएँ)

1. त्रिफला चूर्ण हर रात ½–1 चम्मच गर्म पानी या दूध के साथ लें। यह बहुत ज़रूरी है—इसे लंबे समय तक लेते रहें।

2. गंधर्व हरीतकी रात में एक टैबलेट। यह एक सुरक्षित लैक्सेटिव है और नित्यम से बेहतर काम करता है।

3. अभयारिष्ट 20 ml पानी के साथ 20 ml, दिन में दो बार खाना खाने के बाद लें। यह कब्ज से राहत दिलाने और पेट साफ करने में मदद करता है।

4. कैशोर गुग्गुलु दिन में दो बार दो टैबलेट। यह घाव को ठीक करने और सूजन को कम करने में मदद करता है।

स्थानीय इलाज – यह बहुत ज़रूरी है

जात्यादि घृत दिन में दो बार रूई से धीरे-धीरे अंदर लगाएँ। यह आराम देता है, ठीक करता है और दर्द से राहत देता है।

सिट्ज़ बाथ रोज़ाना 15 मिनट के लिए थोड़े से सेंधा नमक वाले गर्म पानी में बैठें। आप देखेंगे कि सिर्फ़ ऐसा करने से ही आपका दर्द कम से कम आधा हो जाएगा। डाइट – यही असली गेम-चेंजर है

पूरी तरह से बंद कर दें: - चाय, कॉफी - मैदा, बिस्किट, ब्रेड - मसालेदार या तला हुआ खाना - पनीर, चीज़ - देर रात का खाना

ज़्यादा खाएं: - हर खाने के साथ घी - रात को गर्म दूध - पपीता, नाशपाती - दलिया, ओट्स - पकी हुई सब्ज़ियां - दिन में 3–4 लीटर पानी

लोग जो सबसे बड़ी गलतियां करते हैं: - हर दिन नित्यम या क्रेमाफिन पर निर्भर रहना - मल त्याग करते समय ज़ोर लगाना - सपोसिटरी का ज़्यादा इस्तेमाल करना - लगातार डॉक्टर बदलना

ये सब एक फिशर को लंबे समय की समस्या बना देते हैं।

आपको सर्जरी की ज़रूरत कब पड़ती है? सिर्फ़ तब, जब 6–8 हफ़्ते के सही इलाज के बाद भी आपका मल नरम हो, लेकिन घाव ठीक न हो रहा हो। आपके मामले में, मेडिकल इलाज 100% काम करना चाहिए।

छह महीने पुरानी समस्या छह दिन में ठीक नहीं होगी, लेकिन आयुर्वेद इसे पूरी तरह ठीक कर सकता है।

आपकी समस्या आसान है: सूखा कोलन, सख्त मल, बार-बार चोट लगना।

इसका जवाब है: तेल, गर्मी, नरम मल, और सब्र। ज़बरदस्ती न करें—चिकनाई पर ध्यान दें। दबाव न डालें—अपने शरीर को पोषण दें।

अगर आप 4–6 हफ़्ते तक इस प्रोटोकॉल को फॉलो करते हैं, तो आपको सर्जरी की ज़रूरत नहीं पड़ेगी।

अपना ख्याल रखें, डॉ. स्नेहल विधाते

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1.Tripahal churna 1 chammach raat m sote samay garam pani k sath 2.Abhyarishta 4 chammach saman paani k sath din m 2 bar khane k baad 3.Jatyadi taila- Ghav pr 2 samay lgaye

🧘 सहायक उपाय

आहार (Diet): - रोज़ाना गुनगुना पानी पर्याप्त मात्रा में। - रात को 5–6 भिगोए हुए किशमिश या अंजीर। - भोजन में गुनगुना दूध + 1 चम्मच घी। - मसालेदार, तैलीय और बहुत गरिष्ठ भोजन से परहेज़।

जीवनशैली (Lifestyle): - मल त्याग के समय ज़्यादा ज़ोर न लगाएँ। - Sitz Bath – गुनगुने पानी में 10–15 मिनट बैठें, दिन में 1–2 बार। - योगासन: Vajrasana (भोजन के बाद), Pawanmuktasana।

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HELLO,

You are suffering from a condition called Anal Fissure, which in Ayurveda is known as Parikartika

An anal fissure is A small but deep cut or wound at the anal opening -Causing severe pain, burning, and bleeding during or after passing stool Because this problem has continued for more than 6 months it is now called a chronic fissure

WHY ARE YOU HAVING SO MUCH PAIN? Many patients wonder The wound is small, then why is the pain so unbearable?

This happens because -Constipation makes stool hard -Hard stool reopens the wound every day -Pain causes the anal muscle to become very tight (spasm) -Tight muscle reduces blood supply -Poor blood supply means wound does not heal -Fear of pain causes stool holding → more constipation This becomes a vicious cycle

In Ayurveda -VATA DOSHA is responsible for pain, dryness, hard stool -PITTA DOSHA causes burning, bleeding, inflammation

Your condition is mainly Vata-pradhana Parikartika with Pitta association

TREATMENT GOALS -Make stool soft and easy -Reduce pain and muscle spasm -Heal the fissure wound -Stop bleeding and burning -Prevent recurrence permanently

INTERNAL MEDICINES

1) GANDHARVA HARITAKI CHURNA= 5 grams at night with lukewarm water for 4 weeks
=Best medicine for chronic constipation, Pacifies aggravated Vata, Prevents hard stool formation

2) ABHAYARISHTA= 25ml with warm water after dinner for 8 weeks =Regulates bowel habits,Improves digestion, Prevents gas and dryness, Reduces strain during stool

3) KAISHORE GUGGULU= 2 tab twice daily after meals for 8 weeks
=Reduces inflammation, Promotes wound healing, Helps in chronic non-healing fissure

4) ARSHOGHNI VATI (If bleeding present)= 1 tab twice daily after meals =Controls bleeding, Reduces pain, Supports healing of anorectal wounds

EXTERNAL TREATMENT

1) JATYADI TAILA How to apply -Clean area -Apply inside anal canal (about 1–1.5 cm) and outside -2 times daily -Best after sitz bath

Duration: Until complete healing (usually 6–8 weeks) =Heals wound, Reduces burning, Reduces pain, Improves blood circulation

2) SITZ BATH How to do: -Warm water -Add Triphala decoction or plain warm water -Sit for 10–15 minutes -2 times daily =Relaxes anal muscle, Reduces spasm,Improves healing, Immediate pain relief

DIET -Warm, freshly cooked food -Rice, khichdi -Ghee (1–2 tsp daily) -Milk -Papaya -Soaked figs or raisins -Plenty of water (3–4 liters/day)

AVOID -Spicy food -Fried food -Bakery items -Cheese -Junk food -Alcohol -Excess tea/coffee

Yoga Asanas -Malasana -Pawanmuktasana -Vajrasana (after meals)

Pranayama -Anulom Vilom -Deep abdominal breathing

=Improves digestion, Reduces stress, Improves bowel movement, Reduces Vata imbalance

HOME REMEDIES -1 tsp ghee in warm milk at night -Soaked figs overnight -Avoid suppressing urge of stool -Fixed time for toilet -Avoid long sitting in toilet

WHEN AYURVEDIC SURGICAL OPTIONS ARE CONSIDERED -Non-healing fissure > 6 months -Severe recurrent pain -Sentinel pile present Options -Kshar Karma -Agni Karma -Kshar Sutra (rare)

-Your condition is painful but curable -Surgery is NOT the first option -Constipation control is the key -Ayurveda works well when followed strictly and patiently -Healing takes time — do not stop medicines early

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Start with Abhayarist 15ml twice daily after food with water Tablet Pilex 2-0-2 after food with water. Apply kasisadi oil Local application on affected Anal area twice. Avoid spicy, foods, heat producing foods like eggs chicken prawns. Do sitz bath once daily with betadine drops.

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Sage
21 hours ago
Thanks a lot doc! Your answer was super helpful and clear. Feeling more hopeful now, gonna give it try!
Thanks a lot doc! Your answer was super helpful and clear. Feeling more hopeful now, gonna give it try!
Logan
23 hours ago
So grateful for the thorough guidance! Feeling much better about my situation. Really appreciate the clear advice on what to watch for too. Thanks a lot!
So grateful for the thorough guidance! Feeling much better about my situation. Really appreciate the clear advice on what to watch for too. Thanks a lot!
Paris
1 day ago
The doc gave an honest take on using Ayurveda alongside surgery. His tips for boosting memory and strength with herbs are super helpful. Appreciate the detailed suggestions!
The doc gave an honest take on using Ayurveda alongside surgery. His tips for boosting memory and strength with herbs are super helpful. Appreciate the detailed suggestions!
Aria
1 day ago
This answer was really on point and just what I needed! Gave me a great roadmap for Ayurvedic options for my mom. Thanks so much!
This answer was really on point and just what I needed! Gave me a great roadmap for Ayurvedic options for my mom. Thanks so much!