Can you please help me I am suffering with anal fissure & perianal absces - #19745

Since you have anal fissure, perianal abscess, severe pain, white bubble (pus drainage), swelling, and difficulty passing urine, the focus should be on: ✅ Reducing pain & swelling ✅ Draining the pus & preventing infection ✅ Healing the fissure & improving digestion

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1. Ayurvedic Remedies for Quick Healing

✅ Triphala Powder (For Soft Stools & Healing Fissure) • Take 1 tsp Triphala powder with warm water at bedtime to prevent constipation.

✅ Gandhak Rasayan (For Abscess & Infection Control) • Take 1 tablet twice daily with warm water. This purifies the blood & promotes wound healing.

✅ Kanchanar Guggulu (For Abscess & Swelling Reduction) • Take 2 tablets twice daily after meals with lukewarm water.

✅ Jatyadi Taila or Panchavalkala Kwath Sitz Bath (For Healing & Pain Relief) • Boil Neem leaves + Triphala + Turmeric in water. Sit in this warm water for 15 minutes twice daily. • Alternatively, apply Jatyadi Taila directly on the affected area.

✅ Aloe Vera & Coconut Water (For Cooling & Inflammation Relief) • Take 2 tbsp Aloe Vera juice in ½ cup coconut water in the morning.

🚫 Avoid strong purgatives (like Castor oil) as they may worsen the fissure.

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2. Diet Plan for Fast Recovery

✅ Eat These Foods to Heal Faster

✔️ Soft, fiber-rich foods (Khichdi, dalia, moong dal soup, vegetable stew). ✔️ Papaya & Soaked Raisins – Prevents constipation. ✔️ Coconut Water & Buttermilk – Keeps digestion light & prevents acidity. ✔️ Flaxseeds & Isabgol Husk (1 tsp in warm water at night) – Softens stools. ✔️ Turmeric Milk at Night – Helps heal wounds internally.

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🚫 Foods to Avoid (They Worsen Fissure & Abscess)

❌ Spicy, Fried & Oily Foods – Increase inflammation. ❌ Tea, Coffee & Processed Sugar – Slows healing. ❌ Non-Veg, Heavy & Dairy Foods (Cheese, Paneer, Cream, Ghee in excess) – Causes indigestion & harder stools. ❌ Dry Snacks, Bakery Items, Biscuits – Lack fiber & worsen constipation.

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3. Lifestyle Changes for Faster Healing

✅ Drink 2-3 liters of warm water daily – Prevents constipation. ✅ Do not sit for long periods – Use a soft cushion if needed. ✅ Keep the anal area clean & dry – Wash with lukewarm water after every bowel movement. ✅ Use Coconut Oil + Turmeric Paste – Apply around the anus for relief.

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4. When to Seek Medical Help?

🔴 If pus discharge increases, swelling worsens, or high fever develops, consult a doctor immediately as an abscess may need drainage.

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Conclusion

Your anal fissure & perianal abscess need internal healing (via diet & Ayurvedic medicines) and external care (sitz baths & herbal applications). Follow this plan strictly for 7-10 days, and your pain & swelling should reduce.

1. Leech therapy 2. Chirbilwadi kashay vati 2-2-2 3. Chirbilwadi kashay 2 TSP with warm water 3 times 4. Trifla gulgule 2-2-2 5. Kankayani vati 2-2-2 6. Chandanasav 2 TSP with water 3 times 7. Avoid strictly non veg food 8. Avoid milk curd outside food 9 avoid bakery products

Hello Bhargavi, Please get yourself examined from a proctologist as the abscess can converted in fistula if ignored and get treated from an Ayurvedic Shalya Expert ;’(surgeon).

I’m really sorry you’re going through this, an anal fissure along with a perianal abscess can be truly painful and it’s crucial first to address the immediate concerns. From what you’re describing, it sounds like you may need immediate medical intervention to avoid complications. These symptoms might require surgical drainage by a professional. Please don’t ignore the urgency here—if the pain worsens or you develop a fever, go to a hospital.

Once that’s sorted, from an Ayurvedic view, let’s look at supportive measures for healing and prevention. The issue you’re having is often tied with a Pitta imbalance, which could be causing inflammation and burning sensations. Try integrating cooling foods into your diet, like cucumber, watermelon, and coconut water which might help soothe Pitta.

Ghee is another friend here. Applying some warm ghee around the anal area after you’ve cleaned it can aid in healing fissures—it has natural healing properties that Ayurveda praises. Make sure to keep the area as dry and clean as possible to prevent any further infections. Sitz baths with warm water and a little bit of neem or turmeric powder might provide some relief too, as both have anti-inflammatory and antiseptic properties.

Also, consider your diet. Favor fiber-rich foods like whole grains, green leafy vegatables, and fruits to keep your stools soft and regular. Drink plenty of water, avoid spicy, oily, and processed foods that can irritate the gut and make matters worse.

Stress is another piece of the puzzle; it can aggravate Pitta, so integrating a simple routine like daily pranayama or meditation could be beneficial. But rememeber, while these suggestions can assist during recovery, immediate professional medical evaluation is key, especially if new or severe symptoms develop. Take care, and I truly wish you better days ahead!