Don’t worry take kaishora Guggulu 1tab bd, arogya vardini vati 1tab bd, sunarin ointment Externally apply, swadista virechana churnam 1tsp with lukewarm water, triphala churnam 1tsp with sitzbath u ll get 💯 results
Dr RC BAMS, MS Ano Rectal Surgeon
1.Triphala Churna 1 tsp at bedtime with warm water 2.Tab Pilex 2 tab twice daily with water after meals 3.Gandhak Rasayan 2 tab twice daily with water after meals 4.Abhyarishta 20 ml with 20 ml water twice daily after meals 5.Jatyadi taila-Apply directly on the fissure twice/ thrice daily
Sitz Bath with Panchavalkala Kwath-Warm Decoction for 15-20 min twice daily
🧘♀️ Supportive Routine - Warm sitz bath daily with Panchavalkala decoction or turmeric water. - Apply Jatyadi Taila gently with clean cotton after bath and before sleep. - Avoid spicy, sour, and dry foods during premenstrual days. - Stay hydrated and sip warm water throughout the day. - Include ghee, cooked vegetables, and soft fruits in diet.
Start with 1. Triphala Churna: 3 gm night with warm water (softens stool). 2 Avipattikar Churna: 3 gm before dinner (acidity + gut calm). 3 Kutajarishta: 15 ml + 45 ml water after lunch & dinner (heals mucosa). 4 Arshoghni Vati: 1 tab twice daily after meals.
External Applications Jatyadi Ghrita: Apply on fissure after bowel → leave overnight. Sitz Bath: Triphala Kwath 10 gm in 1 L hot water → sit 10 min twice daily.
Diet Give only: Moong khichdi + 1 tsp ghee. Buttermilk with roasted cumin. Papaya, pear. Avoid completely: Spicy, fried, maida. Straining during bowel.
Lifestyle No sitting >30 min. Apply warm sesame oil on anus before bowel. Sleep 10 PM – 6 AM.
Monitoring Pain & tear log: Daily. After 60 days: Proctoscopy if no 80% relief.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Start with Arshognivati 2-0-2 after food with water Triphala guggul 2-0-2 after food with water Apply jatyadi grith 3-4 times on affected area daily. Abhayarist 0-0-20 ml. After dinner with warm water. Avoid spicy. Junk food, street food Do sitz bath with triphala kwath.
Start on Triphala guggulu Giloy tablet Arshakalpa vati One tablet each twice daily after food with warm Triphala churna 1 teaspoon with warm water at night Jatyadi gritha -external application Avoid sour oil, spicy fermented food Drink plenty of fluids
Dealing with recurring fissures that worsen during your menstrual cycle is challenging, but there’s a chance Ayurvedic principles can provide some relief. Ayurvedically, fissures often link to a Vata-Pitta imbalance. The stress, dietary changes, and hormonal shifts around menstruation may aggravate these doshas, making you more susceptible. Consider these suggestions to potentially reduce symptoms and promote healing.
Start by addressing your diet. In Ayurveda, diet is key in balancing doshas. During the days leading to your period, incorporate foods that are cooling and soothing. Focus on warm cooked foods like khichdi, and hydrate well with warm, spiced teas containing ingredients like fennel and cumin. Avoid spicy, oily, or highly acidic foods, as they may aggravate Pitta and worsen symptoms. Constipation exacerbates fissures, so also add fiber-rich foods like cooked vegetables and oatmeal.
Daily routines can be subtly shift to stabilize Vata. Create a consistent schedule for eating, sleeping, and relaxing. Ensure you get restorative sleep, as it helps in healing and stress reduction. Gentle yoga or walking will aid circulation and digestion without overstressing the pelvic region. Sitz baths with warm water can help ease pain; try adding Triphala to the water for its healing qualities.
Consider the application of Ayurvedic oils. Jatyadi Taila is often used for external wounds and can be lightly applied to the affected area to promote healing. It’s soothing and aids the tissue recovery process. However, introducing this should be done cautiously and discontinued if irritation occurs.
Ensure you’re staying regular. Triphala can be taken internally to support digestion and mitigate constipation. Mix a half teaspoon of Triphala powder in warm water and drink at night. If there is no improvement or symptoms worsen, it would be wise to seek a healthcare professional specializing in both modern and Ayurvedic medicine for a closer examination and tailored treatment.
Consistency in these practices is essential. Remember, healing takes time, especially for conditions persisting over years. Pay keen attention to your body’s responses and adjust the routine as needed.
THANK YOU FOR CONTACTING ASK AYURVEDA YOU ARE SUFFERRING FROM ANAL FISSURE ESPECIALLY DURING PERIODS ITS A COMMON PROBLEM EFFECTING MANY PEOPLES YOU ARE HAVING MODERATE PAIN ANY BLEEDING OR ANY DISCHARGE ? ANY H/O CONSTIPATION?
I WILL TRY TO BRING RELIEF WITH SOME MEDICATION
1] AJMODADI CHURNA 1/2 SPOON WITH WARM WATER TWO TIMES A DAY
2]MAHA TIKTA GRITHA 1 SPOON WITH WARM MILK TWO TIMES A DAY
3]TRIPHALA CHURNA 1/2 SPOON WITH WARM WATER TWO TIMES A DAY
4]JATYADI TAILAM - APPLY EXTERNALLY TO ANAL REGION
5]HINGUVASTAKA CHURNA 1/2 SPOON WITH WARM WATER BEFORE BED TIME
SITZ BATH WILL BE HELPFUL:- TAKE A BIG TUB AND FILL WITH WARM WATER AND ADD A CUP OF DETOL AND SIT IN THAT TUB AND TAKE DEEP INSPIRATION. IT WILL HELP IN HEALING THE FISSURE
TAKE HIGH FIBRE DIET:- GREEN VEGETABLES , SALADS , FRUITS
DRINK PLENTY OF WATER , BUTTER MILK , MILK , CURD
AVOID COLD , SPICY , JUNK FOODS
REGULAR EXERCISES , YOGA
AVOID CONSTIAPATION
HOPE YOU RECOVERS SOON
HELLO
What is a fissure? An anal fissure is a small tear or crack in the skin lining the anus, which is the opening through which stool passes out.
When this skin splits, it causes sharp pain, burning, or bleeding during or after passing stool.
In your case, the fissure reappears/worsens just before or during periods, which means your condition is chronic (recurring) and linked with hormonal and doshic (energy) changes in your body.
Ayurvedic Viewpoint
In Ayurveda, your symptoms relate primarily to the imbalance of Vata and Pitta dosha, especially Apana Vata, which governs the pelvic organs, menstruation, and bowel movements.
The Process (Samprapti) -Apana Vata (due to strain, dryness, irregular food/ sleep, stress, or hormonal changes before periods). -Causes spasm of anal muscles → reduced blood supply → small tear develops. -Pitta adds to burn, inflammation and delayed healing. -Mamsa dhatu kshaya-weakness of the local tissue prevents proper repair, and hence a re-tear occurs every cycle.
Thus, the focus is on: Pacifying Vata (reducing dryness, strain, and pain). Cooling Pitta - reduce burning and inflammation. Strengthening tissue-healing capacity: Mamsa poshana Maintaining soft stool, lubrication always.
Treatment Goals -Heal the fissure completely by improving local tissue strength. -Prevent re-tear during menses through balancing of Apana Vata. -Ensure easy, soft bowel movement daily without strain. -Pacify chronic inflammation and pain. -Balancing menstrual rhythm reduces premenstrual Vata aggravation. -Improve digestion (Agni), since poor digestion aggravates Vata-Pitta imbalance.
Internal Medicines 1. Gandharvahastadi Eranda Taila Dose: 1–2 tsp with warm water at bedtime daily. Why: Mild herbal castor oil preparation that keeps stool soft and regulates Apana Vata. Duration: 6–8 weeks or longer, depending on the tendency to constipation.
2. Triphala Guggulu Dose: 1 tablet (500 mg) twice after meals. Why: Combines detoxifying Triphala with Guggulu (resin) to decrease swelling, promote the process of wound healing, and relieve inflammation. Duration: 2–3 months.
3. Abhayarishta Dosage: 15–20 ml with equal water twice a day after meals. Why: Classic Ayurvedic digestive and mild laxative tonic; ensures complete evacuation and prevents hard stool. Duration: 2–3 months; can be continued longer as needed.
4. Yashtimadhu Churna (Licorice powder) Dosage: 1 tsp with warm milk twice a day. Why: cooling, soothing and healing herb; promotes mucosal repair, reduces burning, balances Pitta. Duration: 1–2 months.
5. Phala Ghrita Dose: 1 teaspoon in warm milk at bedtime for 5 days before periods. Why: Nourishes reproductive tissue; stabilizes Apana Vata; prevents fissure aggravation during menses.
External Treatments (Bahya Chikitsa)
1. Sitz Bath (Avagaha Sweda) Preparation: Boil 1–2 tsp of Triphala or Dashamoola powder in 2–3 L water. Cool to warm temperature. How to Use: Sit in the warm decoction for 10–15 minutes, twice a day, morning and evening, or after a bowel movement. Why: Relieves pain, reduces inflammation, increases blood flow for healing. Frequency: Daily until healed.
2. Local Application - Taila or Ointment Jatyadi Taila is best for fissure healing. Apply it gently with clean cotton after sitz bath or bowel movement, 2–3 times a day. Contains herbs like Jati, Neem, Haridra-antimicrobial, wound healing, cooling. Alternative: Nirgundi Taila or Kasisadi Taila in cases of deeper fissures or with sentinel tag.
3. Matra Basti (Oil Enema) (If fissure is chronic for > 6 months or recurs every cycle) Oil: Dhanwantaram Taila or Balashwagandhadi Taila. Dose: 30–60 ml warm oil, administer in rectum daily or on alternate days under Ayurvedic supervision. Why: Deeply pacifies Apana Vata, provides internal lubrication, strengthens rectal tissue, prevents recurrence. Duration: 7-14 days per cycle for 2-3 cycles.
Diet Foods to Emphasize -Soft, warm and lubricated food: khichdi, dal soup, boiled vegetables and porridge with ghee. -Use cow’s ghee daily, 1–2 tsp in meals. -Hydration: 2.5–3 L water/day. -Fiber: cooked vegetables, soaked raisins, figs, flaxseeds, and psyllium husk (Isabgol). -Fruits: papaya, banana, pomegranate, sweet apple. -Cooling & healing foods: milk, buttermilk - diluted, coriander water.
Foods to Avoid -Spicy, fried, sour, fermented foods. -Dry snacks - chips, toast. -Excess tea, coffee, alcohol. -Red meat and cheese. -Fasting, skipping meals. -Constipating foods: refined flour, bakery items.
Changes in Lifestyle (Vihara) -Avoid straining during the passage of stool. -Do not suppress natural urges (urine, stool). -Avoid sitting for long periods on a hard surface. Sit on a cushion or ring seat, if necessary.
Manage your stress- it aggravates Vata imbalance. Sleep by 10–10:30 pm; wake early. Regular meal times and a light evening meal.
Yoga & Pranayama Yoga Asanas (gentle, daily) Pawanmuktasana releases trapped gas and relieves pelvic congestion. Malasana or yogic squat - this enhances rectal circulation. Vajrasana helps in digestion after meals. Supta Baddha Konasana - relaxes pelvic muscles; useful before menstruation. Setu Bandhasana or Bridge pose is an asana that strengthens the lower body.
Pranayama Anulom Vilom (Alternate nostril breathing) balances Vata-Pitta. Sheetali / Sheetkari: Cooling breath, soothes Pitta heat. Bhramari (Humming breath): Reduces stress & pelvic tension. Do 5–10 minutes daily.
Simple Home Remedies -Aloe vera gel: Apply pure gel externally to soothe burning and help heal. -Application of warm ghee-so after washing, cow’s ghee should be applied gently to lubricate and soften the tissues. -Soaked raisins, 10–15 overnight: eat in morning to promote natural bowel movement. -Triphala tea - mild decoction at bedtime to prevent hard stool.
Investigations to Rule Out Other Issues Even though fissure seems menstrual-cycle related, sometimes similar pain or recurrence may be due to: Chronic constipation or IBS Endometriosis involving rectal wall Iron deficiency anemia (common in chronic fissure sufferers) So it’s good to get: CBC (to check for hemoglobin & infection) Thyroid function test (T3, T4, TSH) Pelvic ultrasound (in case of severe menstrual symptoms) Proctoscopy-if bleeding or chronic pain-under medical supervision
Duration of Ayurvedic Treatment Initial relief: 2-4 weeks, pain and bleeding are reduced. Complete healing: 6–8 weeks. Preventing recurrence: Continue internal Vata–Pitta balancing for 3–6 months.
Your condition is chronic but completely manageable. It is not only about medications; rather, it is about regular bowel care, day-to-day lubrication, and menstrual equilibrium. Ayurveda does not merely patch the wound but corrects the inner imbalance that keeps reopening it. By following this regimen, most people experience: No recurrence of fissure after 2–3 cycles, Softer stool, painless periods, and Increased digestive comfort and emotional balance.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
The recurring anal fissures you experience around your menstrual cycle likely ties into the body’s fluctuating pitta dosha and vata imbalances at this time. These elements are, in Ayurvedic understanding, associated with heat and dryness, factors that can exacerbate this condition. Addressing the root cause involves pacifying these doshas and strengthening your digestive fire, or agni.
Begin by adjusting your diet to include more cooling and hydrating foods. Consume cooked vegetables, soft grains like rice, and moong dal, which aids in reducing inflammation and provides fiber to ease bowel movements. Avoid spicy, oily, and sour foods which can aggravate pitta, especially around your period when the imbalance peaks.
Hydration is crucial. Warm water or herbal teas like chamomile and fennel throughout the day can keep your body hydrated and support digestion. Regular use of Triphala churna at bedtime can regulate digestion and prevent constipation, a contributing factor to fissures. Mix a teaspoon with warm water and take nightly.
Applying warm coconut oil externally to the fissure area can be soothing, promoting healing due to its anti-inflammatory properties. A sitz bath with trifala or neem decoction can further reduce discomfort and speed healing. Do so daily around your cycle when symptoms tend to worsen.
Routine pranayama can balance your body’s energies. Practices like nadi shodhana (alternate nostril breathing) daily can be calming and grounding, counteracting vata imbalances. Perform for a few minutes, preferably morning and evening.
If symptoms persist or worsen, it’s vital to consult with a healthcare professional. Chronic fissures may sometimes need more than natural treatments, requiring medical or surgical options. Immediate consultation might prevent larger complications. Regular ayurvedic or medical check-ups can track improvement and adjust treatments as needed.
