Anal Fissure: Causes, Symptoms & Ayurveda Treatment for Fast Relief

Learn what an anal fissure is, why women commonly suffer from it, and how symptoms like burning, bleeding, and sharp pain can be treated. Discover Ayurvedic treatments like Ksharkarma, Agnikarma, and Apunarbhav Chikitsa for complete and permanent fissure relief.

A fissure is a small tear or crack in the skin of the anal opening. It is similar to the way lips crack when they become dry — except much more painful.
A fissure typically causes:
1) A sharp, cutting pain during stool
2) Severe burning sensation after passing stool
3) Bright red blood on the toilet paper or a few drops in the pot
4) Temporary relief after some time.
In today’s world, 40–50% of anorectal patients are women. However, due to fear, embarrassment, and shyness, many women silently tolerate fissure pain for years.Over time, a small skin tag forms outside the anus (called a sentinel tag). Patients often mistake this for piles and start taking piles medicine — which does NOT help fissure at all.
Why Women Commonly Suffer from Fissure?
Fissure is extremely common in:
Girls who eat outside frequently
Women who eat stale food or eat at irregular times
Pregnant women
Women after delivery
Women above age 35.
In all these cases, the body slowly develops: Dryness, Increased internal heat, This makes the anal skin crack like a split lip, forming a fissure and a skin tag. Most women assume this is “piles” and continue to suffer silently, but it is actually fissure — not piles. This is why piles medicines do NOT work for fissure and often worsen the condition.
So the first step is to visit a specialist and get a proper examination and diagnosis.
Treatment for Fissure
1. Medicines (For Recent/Nearly Developed Fissure)If the fissure is fresh and in the early stage, it often heals with: Oral medicines to regulate bowel movement, Ointments to reduce inflammation, Soothing gels for healing. This works well when the fissure has just begun.
2. Surgery (When Required)In chronic fissure, the anal passage becomes tight, and a muscle spasm develops. In such cases, the following may be required: Minor cut to loosen the internal sphincter (LIS)Removal of the fissure bed. Stitching if necessary. Widening of the anal passage. This helps reduce pain and promotes fast healing.
3. Ayurvedic Treatment – Ksharkarma & Agnikarma - Ayurveda offers a highly effective treatment without cutting or stitches.
Procedure: A specific herbal alkaline compound (Kshar) is applied to the tear. After a short time, the area is cleaned with medicated ghee.
Mild Agnikarma (thermocautery) is performed carefully.
Benefits: No cutting of natural muscles. No stitches. No risk of losing control over stools. No change in the shape of the anus.
Heals the fissure completely. Eliminates the chance of recurrence. The natural structure remains intact, and the patient becomes symptom-free.
Apunarbhav Chikitsa – Preventing Recurrence.
Ayurveda emphasizes Apunarbhav Chikitsa, meaning treatment that prevents the disease from returning. In fissure, the goal is to: Reduce body heat, Reduce dryness, Remove constipation, Strengthen the digestive system.
Medicines are given to eliminate the root causes permanently.Patients are also advised to follow a diet that prevents internal heat from increasing again.
How Women Can Prevent Fissure?
If you want to prevent fissure naturally, women and girls should: Every morning, take 1–2 cups of milk mixed with 1 tablespoon (10 g) of pure cow’s ghee.
Lifelong use of this: Prevents fissure. Reduces dryness.  Improves digestion. Prevents many other anorectal conditions.