Ayurvedic Management for Recurrent Anal Fissures 1. Internal Medications:
Gandharva Haritaki Churna: 1 tsp with lukewarm water at bedtime. This acts as a gentle stool softener. Panchasakar Churna: 1 tsp mixed with warm water early in the morning to ensure smooth bowel movements. Kasisadi Taila Capsules (if available): Supportive for healing internal injuries.
2. External Application: Continue using Lookman-E-Hayat oil for relief, but also consider Jatyadi Taila for external application to promote faster healing of the fissure. Apply after cleaning the area with warm water.
3. Dietary Recommendations: Increase fiber intake: Include psyllium husk (Isabgol) mixed with water or milk daily. Hydration: Increase water intake to 2–2.5 liters/day. Foods to Avoid: Spicy, oily, and fried foods. Limit red meat. Include: Steamed vegetables, fruits like papaya and figs, and whole grains.
4. Lifestyle Adjustments: Avoid sitting for prolonged periods—use a cushion if necessary. Do light yoga poses like Pawanmuktasana and Malasana to improve digestion and reduce strain. Ensure a fixed bowel routine to avoid sudden hard stools.
5. Clarification on Triphala: Triphala Churna: It is generally safe even for those with low blood pressure but should be used cautiously in moderation (e.g., 1/2 tsp at bedtime with warm water).
6. Preventive Measures: Use ghee (1 tsp) daily with warm milk to lubricate the digestive tract. Consume castor oil (1 tsp) mixed with warm water before bedtime if bowel movements are consistently hard. Avoid stress during bowel movements and ensure complete evacuation.
7. Panchakarma Option (if feasible): Consider Matra Basti (enema with medicated oil) under an Ayurvedic practitioner’s guidance. It can help in lubrication and healing.
8. Monitoring: Regular follow-ups are essential to assess progress. If symptoms persist, consult an experienced Ayurvedic doctor to rule out chronic fissures or related conditions. With consistent care, these measures can aid in healing and prevent recurrence effectively.
Hi Doctor, how to relax anal sphincter muscle? Because my starting stool is little hard then rest is smooth which is causing fissure to occur again. Also does the anal hole become small after fissure bcz when i pass little bulky stool also fissure occur again
Doctor, thank you so much i will follow accordingly. Also I have been applying 3ml of Lookman-E-Hayat oil inside my anus for relief from recurrent fissures. Is it safe to use this oil internally, or could it cause any side effects? Would you recommend switching to Jatyadi oil for internal application instead?
Yes you can try using Jatyadi oil for a week on a cotton swab.
Recurrent anal fissures can indeed be frustrating, and while you’ve made some beneficial lifestyle changes, let’s dive deeper into Ayurveda for a sustainable way to manage this. The Issue here is primarily related to vata imbalanced with apana vata (responsible for downward movement and elimination) being disturbed. It’s also a sign weak agni or digestive fire which needs strengthening.
First off, hydration is critical but 1 liter a day might not be enough. Aim for 2-3 liters daily to keep the stools soft. Also, explore more fiber-rich foods - whole grains like barley and oats plus fruits like papaya (helps soften stools) and bananas can be helpful. Ghee too can aid in lubrication: mix a teaspoon of it into warm milk before bedtime.
Now for that Lookman-E-Hayat oil: it can be useful, but a gentle herbal remedy like Jatyadi Taila is often recommended in classical Ayurveda for healing anal fissures. It’s soothing for the tissues and might enhance healing. You can apply it after your bowel movement — but do seek a consultation to make sure it’s suitable for you.
Regarding stool softeners, there’s Avipattikar churna which can be helpful. Unlike Triphala, it has heating properties that won’t aggravate low blood pressure. Start with half teaspoon mixed with warm water before meals, once a day, and monitor how you respond.
Enhanced digestion is key for prevention. You might want to sip warm jeera or ginger water during the day to stoke that digestive fire. A good probiotic, like homemade buttermilk (takra), is supportive for gut health, take it with a pinch of roasted cumin powder regularly.
Let’s not forget lifestyle - mind your mental stress, and engage in relaxed activities like yoga asana, focusing on ones that support digestion, like Pavanmuktasana (wind relieving pose) and Vajrasana (thunderbolt pose) after meals. Regular pranayama practice, particularly Anulom Vilom, can harmonize vata.
For the Triphala and low BP dilemma: moderate use is fine. But if you’re cautious, definitely opt for alternatives mentioned prior. Lastly, swing by an Ayurvedic practitioner if the fissures are stubborn - they might propose therapies like Ksharasutra or specific enemas (Basti) that can offer additional benefits.



