HELLO YASHITA, AFTER FISSURE SURGERY(LASER SPHINCTEROTOMY), MANY PATIENTS CONTINUE TO FEEL -BURNING PAIN->DUE TO PITTA DUSHTI AND NERVE SENSITIVITY -TIGHTNESS OR SPASM->DUE TO VATA AGGRAVATION IN ANAL REGION -UNHEALED MICRO-ULCERS OR FIBROSIS->DUE TO POST TISSUE REGENRATION
THIS MEANS YOUR BODY STILL CONSIDERS THE AREA AS INJURED, AND DUE TO LOW RASA+RAKTA+MAMSA DHATU NOURISHMENT, THE TISSUES HAVE NOT REGENRATED FULLY. ALSO, YOU ARE HIGHLY PITTA SENSITIVE- SO HOT,USHNA , SHARP(TIKSHNA) HERBS OR OIL LIKE CASTOR, PRANSAGUTIKA, UDRAMRUTA AGGRAVATES YOUR SYMPTOMS INSTEAD OF HELPING
WHAT HAPPENS IN BODY’S HEALING PROCESS 1)HEMOSTASIS(STOP BLEEDING)- BLOOD CLOT FORMS LOCAL VASOCONSTRICTION = BUT IN YOUR CASE IT MAY BE DELAYED IF BLOOD QUALITY POOR
2)INFLAMMATION- WHITE BLOOD CELLS CLEAN DEBRIS= BUT DUE TO EXCESS PITTA IT CAUSES EXCESSIVE HEAT AND REDNESS IN YOUR CASE
3)PROLIFERATION- NEW TISSUE (GRANULATION)GROWS= IN YOUR CASE TISSUE DEPLETION DELAYES TISSUE GROWTH
5)MATURATION- TISSUE REMODELS SCAR FORM=BUT IN YOU FIBROSIS OR INCOMPLETE HEALING CAUSES PAIN
WHY HEALING IS DELAYED- DUE TO EXCESS PITTA POST-SURGERY- IT INCREASES HEAT AND INFLAMMATION= BURNING PAIN,IRRITATION
VATA SPASM OF ANAL SPHINCTER- MUSCLE TIGHTNESS AND DRYNESS=SHARP PAIN ON DEFECATION
AMA(TOXINS)ACCUMULATION- POOR DIGESTION AND TOXINS= CHRONIC INFLAMMATION,POOR HEALING
DHATUKSHAYA(NUTRITIONAL DEPLETION)- WEAK BLOOD AND MUSCLE TISSUE= DELAYED TISSUE REGENERATION
LOCAL FIBROSIS/SCAR- IMPROPER WOUND REMODELLING= CONTINUOUS DISCOMFORT, SENSITIVITY
THIS MEANS YOUR BODY’S NATURAL HEALING IS SLOWED BY PERSISTENT INFLAMMATION AND MUSCULAR SPASM HEALING CAN TAKE SEVERAL WEEKS TO MONTHS IF THE DOSHIC IMBALANCE IS NOT CORRECTED.
#GOAL OF TREATMENT IS AIMED AT 1)TO RELIEVE PAIN AND BURNING=PITTA SHAMANA(COOLING, ANTI-INFLAMMATORY) 2)HEAL MUCOSA AND FISSURE SITE= VRANA ROPANA(WOUND HEALING) 3)SOFTEN STOOL GENTLY= VATAANULOMANA(BOWEL REGULARIZING, NOT HARSH PURGATION) 4)NOURISH RECTAAL TISSUES=DHATU POSHANA+REJUVINATION 5)REMOVE POST-OPERATIVE FIBROSIS AND SPASM=BY CHANNELS SODHANA(PURIFICATION) + VATA HARA OIL MASSAGE
#INTERNAL MEDICINES(SAFE AND NON-HEATING IN YOUR CASE 100% EFFECTIVE)
DURATION=6-8 WEEKS AND CAN EXTEND UPTO 3 MONTHS
*MORNING EMPTY STOMACH 1)SHATAVARI GHAN VATI- 1 TAB WITH WARM WATER=BALANCES PITTA, HEALS MUCOSA, IMPROVES RASADHATU
2)AVIPATTIKAR CHURNA- 1 TSP WITH WARM WATER= ACIDITY+DIGESTION+MILD STOOL SOFTENING IF HEATING OCCURS->USE TRIPHALA CHURNA 1 TSP + COW GHEE AT BEDTIME INSTEAD
*AFTER MEALS(TWICE A DAY AFTER LUNCH AND DINNER) 1)SUKUMAR GHRITA- 1 TSP WITH WARM WATER=ANTI-VATA, HEALS INTESTINAL LINING, LUBRICATES COLON, SUPPORTS MILD PURGATION
2)YASTIMADHU GHAN VATI- 1 TAB WITH WARM WATER= POTENT ANTI-INFLAMMATORY FOR MUCOSAL HEALING,AND IT REDUCES BURNING
3)(OPTIONAL) KAMADUDHA RASA(MOTI YUKTA)- 1 TAB= IF STILL EXPERIENCING HEART BURN,NAUSEA,BURNING RECTUM
#SOOTHING HOME REMEDIES
*FEENEL+CORIANDER INFUSION=TWICE A DAY BOIL 1 TSP FENNEL+1 TSP CORIANDER SEEDS IN 2 CUPS WATER->REDUCE TO 1 CUP->SIP WARM
BENEFITS- REDUCES PITTA,SUPPORTS DIGESTION,RELIEVES BURNING
#EXTERNAL APPLICATION- VERY IMPORTANT=TWICE DAILY(AFTER MORNING BATH+BEFORE BED)
1)JATYADI TAILA -WASH AREA GENTLY WITH WARM WATER -APPLY 5 ML USING CLEAR FINGER OR COTTON BUD(NOT INSIDE THE CANAL) -IF TOO SENSITIVE:-SOAK A SMALL COTTON BALL IN THE OIL AND PLACE AT ANAL OPENING(REMOVE AFTER 15-20 MIN)
2)TRIPHALA SITZ BATH -BOIL 1TSP TRIPHALA CHURNA IN 1.5 L WATER-> REDUCE 1 L -LET IT COOL TO WARM -SIT IN IT FOR 15 MIN -DO TWICE DAILY-ESPECIALLY BEFORE BEDTIME
#DIET=YOU MUST STRICTLY FOLLOW A PITTA-PACIFYING, ANTI-CONSTIPATION,MUCOSA-HEALING DIET
EAT- -COWGHEE- ATLEAST 1 TSP WITH MELS-HEALS TISSUES+SOFTEN STOOLS -WARM,SOFT FOOD=LAUKI,MOONG DAL,RICE,KHICHDI -COOKED APPLES AND PEARS, SOAKED FIGS -MUNAKKA(RAISINS)- NOURISHES GUT AND PREVENT HARD STOOLS -BUTTERMILK WITH CUMIN+CORRIANDER(AFTER LUNCH)-AIDS DIGESTION
#STRICTLY AVOID *HEATING FOODS -REDCHILLI, GARAM MASALA, FRIED ITEMS -TEA,COFFEE,SOFT DRINKS -TOMATOES,CURD ,SOUR FRUITS
*CONSTIPATING FOODS -BAKERY,MAIDA,FRIED SNACKS -EXCESS PANNER,DRY FOODS -NON VEG TILL HEALING IS COMPLETE
#LIFESTYLE AND YOGA DAILY -WALKING- 30 MINS IN MORNING+EVENING-KEELPS GUT MOTILITY HEALTHY -AVOID LONG SITTING- USE A DONUT CUSHION WHEN WORKING -STRESS RELIEF- LISTEN TO SOFT MUSIC, RELAXATION -SLEEP-10PM TO 6 AM
*SIMPLE YOGA(5-10 MINS ONLY) -BALASANA(CHILDS POSE) -VAJRASANA AFTER MEEALS -ANULOM VILOM-5 MINS DAILY
WHAT TO DO IF? -IF STOOLS IS STILL HARD=ADD SOAKED FIGS OR 1 TSP ISABGOL+1 TSP GHEE AT BEDTIME
-PAIN GETS WORSE=INCREASE SITZ BATH TO 3 TIMES DAILY+APPLY YASTIMADHU GHRITA IN PLACE OF JATYADI TAILA
-FEELING BLOATED- ADD HINGWASTAKA CHURNA 1/2 TSP WITH GHEE IN LUNCH
#EXPECTED TIMELINE FOR RELIEF
WEEK 1-2=. RELEIF FROM SHARP PAIN, SLIGHT REDUCTION IN BURNING
WEEK3-4= REGULAR STOOL, LESS BURNING,BETTER HEALING SEEN
WEEK 6-8= NEARLY PAIN FREE, TISSUE HEALING COMPLLETE
MONTH 3 ONWARDS= FULL STRENGTH RECOVERY,NO RECURRANCE WITH DIET MAINTENANCE
EMERGENCY DOCTOR VISIT -BLEEDING DOES’NT STOP -PAIN INCREASES WITH SWELLING OR FEVER -NEW LUMP OR PUS DISCHARGE APPEARS
THIS ALL MAY INDICATEINFECTION OR ABSCESS
DO FOLLOW CONSISTENTLY 100% RELIEF YOU WILL GET
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR.MAITRI ACHARYA
Hii Yashita I totally understand the kind of suffering you’re going through b’cz of having specialization in this field I get to help many such patients daily.
- Please have lighter and fibrous meals (that doesn’t mean raw veggies) - Practice taking fresh buttermilk with your meals adding little cumin powder, mint but do not take at night - Avoid sprouts, oats, cornflakes, heavy and junk - Brisk walking after meals - Maintain your circadian rhythm (early to bed and waking up before sunrise) - Take ghee with your food (but ensure the source of it) take 2 tsp ghee with warm milk at night - For quick relief with your burning problem: Please do Sitz bath daily twice at least Apply Yashtimadhu oil frequently in local area (you can also apply it just before defecation followed by sitz bath and reapplication) - Practice Kegel’s exercise while you do sitz bath and you can do at bed time also. Feel free to ask any details further Hope you get well soon.
Apply kasisadi oil on anal region Take pilex 1-1-1 after food with water Take triphala tablet 0-0-2 at bedtime with water Avoid spicy fried foods. Have Green vegetables and fresh <link removed>clude butter milk with pinch of asafoetida black salt and roasted jeera powder daily in the afternoon with lunch Do sitz bath once daily with warm water putting betadin few drops.
Hi Yashita Post Fissure surgery, there will be discomfort while passing stools , symptoms like pain and burning sensation may be felt. They can last for 2-4 weeks post surgery. But in your case, its been 66 months and symptoms still persists. Hence I suggest you to get it examined locally by the doctor who performed the surgery to rule out ant infection. As infection can reoccur post surgery , so treatment can be done accordingly. For symptomatic relief you can follow below mentioned remedies: 1.Tab Sutashekhar 1 tab thrice a day before meals with warm water. 2.Kasisadi Taila- Apply locally . A medium sized cotton ball is dipped in this oil , apply 2 times a day after passing stools. Duration: follow the treatment for 2 weeks. Dietary recommendations: Consume soft liquid diets like khichdi, dalia, pongal, fruits juices buttermilk . Avoid hard and dry foods that are difficult to digest and may cause constipation and further worsen your symtpoms . Avoid fatty foods, junk foods. Include vegetables, fibrous foods.
Sometimes post anal fissure surgery can perform discomfort…so please take proper rest and follow dietary rules… Take…DIVYA ARSHOGRIT TAB =2-2 TAB BEFORE MEAL TWICE DAILY
DIVYA AROGYAWARDNI VATI DIVYA PHYTER TAB KAISHORE GUGULU=2-2 TAB AFTER MEALS TWICE DAILY…
JYATADI OIL…FOR ANAL APPLICATION AT NIGHT…
PLEASE AVOID RED CHILLY/PROCESSED FOOD/MAIDA …
TAKE FIBRE RICH FOOD… CONSUME 3-4 LITRES WATER PER DAY
REGULAR DO KAPALBHATI PRANAYAMA
YOU CAN EAISLY CURED
Hello
Post Anal surgery it will cause little discomfort but after 6 months also u r facing this discomfort please go to the doctor and get it examined done.
Strictly follow the diet Avoid hard food ,oil process food processed food, spicy food ,heavy meal ,curd, dairy products,
Take fresh buttermilk before food everyday in the afternoon
Take good amount of fibre content vegetables Avoid brinjal potato sweet potato
1) apply shatadautha ghrita 2) triphala guggulu 1-1-1 after food 3) triphala choorna 0-0-1/2tsf with glass of hot water at bedtime
Thank you Dr.Nikitha
Persistent pain and discomfort for months can be due to infection or incomplete healing. And also it may recurred due to spasm of internal anal sphincter.
I will suggest you to re consult your doctor for digital examination and anoscopy. Then only we can rule out the actual problem.
To relieve the pain you can do sitz bath in warm water for 10-15 minutes twice a day.
Hello Yashita
"NO NEED TO WORRY "
" I WILL HELP YOU UNDERSTAND RECOVER & MANAGE POST FISSURE SURGICAL PAIN SAFELY EFFECTIVELY "
I can understand ur concern and Discomfort and its affecting ur Quality of Life
UR ISSUES
Post Surgical Chronic Pain - Since 6 Months +
PAST MEDICAL HISTORY
Laser Anal Fissure Surgery 6 + Months Back
PROBABLE CAUSE
* Post Surgical Anal Sphincter Muscle Spasm causing pain Discomfort many times /while Passing Stools * Post Surgical Nerve Irritation * Tissue Scaring leading tightness all time /durning passing stools * Chronic Recurrent Infections as areas become weak prone to cuts wound infect easily * Recurrent Constipation Bloating Irregular Bowels causing pressure pain * Recurrence of Anal Fissure Again * Improper Diet high Acidic Spicy Salty Sour Masala Fried Fast Juck Foods Bakery non veg Intake After Surgery * Poor Hygiene * Improper Post Surgical & Wound Care * Psychological Fear Anxiety leading high pain perception
WHAT U CAN DO NOW ?
* I Advice U to Reconsult Again with Surgeon who did Surgery and Get Physically Examined * Physical Examination will reveal the Present Status of Issues & cause Behind ur Pain as I said above * It’s Easy to Address the Issues Upon accessing correct Status * His Comments Opinion Adviced is Most Important
KINDLY REVIEW ME WITH UR SURGEON’S OPINION ADVICE & EXAMINATION DETAILS SO I CAN TREAT U WELL THROUGH AYURVEDA
AYURVEDIC APPROCH
High Vata Pitta Rakta Mamsa Ama ( Toxins) Imbalance Accumulation Post Surgery At Anal area leading Vrana Shoth ( Swelling ) at Anal region causing Discomfort (Anal Pain Spasm Burning) & Delayed Healing Process ( Wound healing Healthy Granulation New Tissues Formation Fibrosis Scarring ) Vata Causes Pain Spasm Wound Deformity Pitta Causes Burning Inflammation Irritation Ama Indigestion Delayed Healing
WHY CASTOR OIL PRANADA GUTIKA UDARKALP CHURNA AGGRAVATED PAIN ?
* Anal Fissure has High High Pitta Vata Imablance leading high heat at Anal Levels * All These Medicine are Hot In Potency has Ushna ( hot ) Teekshna ( Sharp) and Ruksha ( Dry) properties which Aggravates Pitta Vata Causes Dryness Obstruction which are Opposite to Anal Fissure pain so not suited to you .
HOW AYURVEDA HELPS U IN PRESENT SITUATION ( TILL U SHARE ME UR SURGEON OPINION)
* Helpful in Relieving Pain Inflammation Burning and Ease * It Helps to heal the wound * It helps Proper Digestion Gut Motility Imablance and Easy expulsion of Passing Stools which ease u * Helps to Relax and Relieve Spasm post Surgery
BEST RESULT ORIENTED AYURVEDIC MEDICINES IN MY CLINICAL PRACTICE
U MUST TRY
EASY TO DO,QUICK SUITABLE SOLUTION , MINIMUM MEDICINE MAXIMUM BENEFITS WITH COMFORT
* Aloe Vera Juice 30 ml -0- 30 ml on empty stomach with 1 Glass of Normal Water * Tab.Kamdudha Ras Mukta Yukta 2 -0-2 Before Food * Cap.Soreheal 1 -0- 1 After Food * Tab Peedantak Vati 2 -0- 2 After Food * Sukumar Ghritam 1 Tsf -0- 1 Tsf Night After Food Preferably with Luke Warm Water * Local Application Jatyadi Ghritam + Shatadhouta Ghritam Local Application over Pain & Burning areas * Sitz Bath - Neem leaves 30 in Number + Triphala Powder 2 Tsf in water for Sitz Bath
HOW MUCH TIME IT TAKE TO HEAL?
7 Days -14 Days - Pain Burning Reduces Motion becomes Normal 14 Days -28 Days - Comfortable Ease in Work 30 - 40 Days - Wounds heals & Heads towards recovery 60 Days + - Complete Recovery
INSTRUCTIONS MUST TO FOLLOW
• Drink Plenty of Water Fluids Fibers Approximately 3 Liters Per Day • 100 Steps Walking After every meal • Eat Chew Food Nicely.Eat With Calm Mind without Distractions like eating and seeing TV • Avoid Overeating Frequent Eating. • Avoid Afternoon Sleep • Hing Jeera Ajawain Sounf Mulethi Water Decoction Once Daily • Take 1 Tsf Pure Cow Ghee with ¼ Glass of water Evening • Eat 2 Ripen Bananas at Night • Avoid Excessive Stimulants like Tea Coffee Carbonated Beverages Excessive Sweets Packed Canned Foods • Avoid Spicy Salty Sour Masala Fast Foods Bakery excessive tea coffee No Afternoon Sleep • Timely Food Timely Sleep • Avoid Mental Stress Overthinking • Totally Avoid outside foods • Practice Dhyan Meditation Daily • Avoid Straining while Passing Stools • Don’t Hold Stools Urges
DAILY DIET PLAN ( DIET AS MEDICINE TO RECOVER FAST )
NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )
* BREAKFAST - Rava Ragi Bajra Oats Items Upma Kheer / Fruits Salads/ Home made Soups
* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal
* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet
DO’S :- Prefer Healthy Nutritious Well Cooked Steamed Light for Digestion All Green leafy vegetables Salads Sprouts Fruits Soaked Dry fruits (Kishmish Khajoor Anjeer) fibers Plenty Of Water Fluids intake Luke Warm Water to Drink Fresh Butter Milk
DON’TS :- Restrict Heavy for digestion Excessive Acidic Salty Sour Spicy Fried Oily Junk food Food Bakery Foods Wheat Maida Udad items Fermented Foods Excess Tea Coffee Avoid Rajma Chole Curd Paneer Cream Sweets
LIFESTYLE MODIFICATIONS Rest Good Sleep Lifestyle Physical Activities Timely Food Intakes Sleep Early Wake Early Avoid Sedentary Lifestyle
YOGA Shitali Pranayam Panvanmuktasan Utkatasna Malasan
EXERCISES Walking Mild Mobility Exercise etc
ANTISTRESS Dhyan Meditation
REGARDS
Dr Arun Desai
God Bless You 😊🙏
If you have any questions u can ask me.I will Answer u to level of your satisfaction.U have Text Option here.
Dear yashitha, I understand, how exhausting your journey has been even after surgery and medicines. Pain burning can continue if pitta and vata are still aggravated You require gentle cooling support
Take Yasthimadhu churna 2 gm+ Shatavari churna. 2 gm Along with warm water twice daily after food Apply jatyadhi taila externally twice daily with cotton Triphala churna-1 teaspoon with warm water at night Avipattikara churna-half teaspoon with water before meals Do sitz bath with lukewarm water three times daily
Eat soft, warm food like moong dal Ghee rice aah gourd pumpkin Avoid spicy, sore oil, food, tea, coffee
Healing, take time, but it is possible You have to use this at least for three months to see the changes
HELLO YASHITA,
You have been going through so much pain for such a long time. Anal fissures-especially chronic or post surgical ones- can be incredibly stubborn and emotionally drainage.
WHY PAIN PERSISTS EVEN AFTER LASER SURGERY? 1)persistent sphincter tightness->poor blood flow ->slow healing.
2)Nerve hypersensitivity post surgery->pain even without visible fissure
3)Residual inflammation in the rectal mucosa.
4)Digestive disturbance even slight acidity, IBS, or constipation->aggravates
5)Ayurvedic meds were too ushna(heating) for your pitta-predominant Prakriti.
YOU NEED A PITTA-PACIFYING MUCOSAL-SOOTHING PROTOCOL-NOT DEEP CLEANSING- lets avoid ushna(heating) herbs, oils or laxatives. NO PRANDAGUTIKA, NO UDRAMRUT CHURNA, NO CASTOR OIL
SAFE AYURVEDIC PLAN FOR YOU DURATION- 6-8 weeks all herbs must be taken with lukewarm water or cows milk
1)Avipattikar churna- 1/2 tsp after lunch and dinner= soothes acidity, reduces pitta, and supports bowel movement
2)Shatavari capsule- 500 mg twice daily after meals with milk= deeply cooling, helps tissue repair
3)Triphala+Yashtimadhu mix- 1 tsp at bedtime with lukewarm water=gentle laxative+ mucosal healing
LOCAL TREATMENT(TOPICAL+SITZ BATH)
1)Sit bath with triphala decoction daily once or twice
2)Yastimadhu ghrita fichu -soak sterile cotton in ghee apply externally or gently insert if tolerated. -helps healing of micro-wounds , reduces inflammation , no burning.
3)Tender coconut water-1 glass to keep pitta and gut cool.
DIET PLAN(STRICT BUT HEALING)
AVOID -tea/coffee -spices-especially chilli, mustard, black pepper -sour foods-curd,tamrind, tomatoes -fried food -bakery items
INCLUDE -warm khichdi, steamed veggies -cow ghee daily- 1 tsp with rice -soaked raisins and almonds-peeled -chamomile tea at night
GENTLE LIFESTYLE -never suppress urges to pass gas or stool -avoid sitting too long on hard surfaces -mild walking after meals -ashwini mujra-gentle anal sphincter tightening and relaxing- helps improve blood flow.
Do follow
thank you
DR. HEMANSHU MEHTA
In situations like these, experiencing persistent pain and discomfort even after surgery can be understandably frustrating. With Ayurvedic guidance, it’s important to address this cautiously, given your hypersensitivity to past remedies. It seems like there might be an underlying pitta imbalance, which can cause excessive heat and inflammation.
First, let’s consider dietary adjustments to help cool down this pitta. Avoid overly spicy, sour, salty, and deeply fried foods, as they can aggravate the heat. Favor cooling and soothing foods like cucumber, melon, leafy greens, and whole grains. Include more coconut water, which helps to balance pitta with its sweetness and cooling nature.
For local relief, try applying a cooling mixture externally. Aloe vera gel is an excellent option — apply it gently to soothe and heal the affected area. Adding a pinch of turmeric can be beneficial, given its anti-inflammatory properties, but ensure there’s no added irritation.
Internally, aim to strengthen the digestive agni gently. You might try a simple decoction of coriander seeds and cumin seeds, which you can sip throughout the day. Take coriander and cumin in equal parts, boil them in water, and then strain — drink the water warm but not hot.
Yoga and meditation can also help manage stress and support healing. Gentle poses like legs-up-the-wall (Viparita Karani) can improve circulation and provide relief. Regular meditation may reduce stress-related components of pain.
If symptoms persist, consult an Ayurvedic practitioner for a panchakarma cleanse, ensuring it’s tailored to your condition. Given the persistent issues you’re facing, reevaluation by a healthcare professional for further treatment or diagnostic evaluation might also be warranted.
Safety and addressing your needs carefully must remain the focus while navigating towards comfort and healing.
