Symptom Definition
An anal fissure can cause severe pain in the anus, especially when you have a bowel movement. This pain is often described as a kind of burning. They may disappear a few minutes after bowel movement, only to return and persist for several hours.
In addition to local pain, there are other symptoms:
- Itching in the anus
- Bleeding from the anus, visible on the surface of the stool or as traces of red blood on the toilet paper
- Spasms of the anal sphincter leading to contractions
- Constipation due to fear of pain during defecation
Causes to be evaluated
The main causes are:
- Constipation: causes an urge to evacuate hard and bulky stools, increasing pressure in the rectum.
- The brutal evacuation of liquid stools: in the case of pathologies such as during gastroenteritis or Crohn's disease.
- Childbirth: occurs in 15% of women.
- Poor circulation in the anal area: this can be exacerbated by significant and persistent contraction of the anal sphincter, which prevents the area from being flushed.
Naturopathic Protocol
🍽️ Nutrition
- Drink ½ cup of Aloe vera juice, 3 times a day, until anal fissures disappear.
- Avoid constipation and choose a diet high in fiber.
- Add a tablespoon of camelina, linseed, borage, evening primrose or perilla oil to your diet every day, without heating. Always choose first cold pressed oils.
- Avoid fats, alcohol, peppers, cow's milk products, sauces, pastries and deli meats.
🌿 Phytotherapy
If necessary, for constipation caused by stress, use mild laxatives such as:
- Rhubarb
- Cascara buckthorn
- Alder buckthorn
- Senna as a last resort, because it can be annoying
Warning! As with almost all laxatives, long-term use is not recommended (the anthracene derivatives present in this plant can irritate the gastrointestinal tract), with the risk of electrolyte loss (minerals, ....).
Activate the liver with a complex of bitter plants, including:
🌳 Gemmotherapy
These two plants strengthen the circulation and the small blood vessels.
You need to make regular cures, both preventive and curative, by taking a dose in the morning and evening before meals.
🌺 Aromatherapy
First Intention
Dilute the following essential oils in 5 ml of Wheat germ vegetable oil:
- 2 drops of Gum rockrose
- 2 drops of Myrrh
- 2 drops of Sweet scented geranium
- Apply 3 drops of the mixture locally to the crack, 2 to 3 times a day.
- Duration: 3 weeks
To complement
Apply a nut of Aloe vera gel to the anal area.
OR
Wash the anus with warm water after each bowel movement and apply the next preparation:
- 30 ml of Sweet-Brier or Marigold vegetable oil
- 10 ml of True lavender
- 5 ml of Curry plant
Then apply a pure Shea butter.
Put on a shield. Keep this in place for a few weeks to allow the tissues to strengthen. The wound should close and heal quickly.
💊 Micronutrition
Take a cure with the essential fatty acids omega 3 and omega 6:
- A 3 week course is recommended.
- Take 2 to 3 capsules a day.
- Supplements: borage or evening primrose oil combined with cold sea fish oil (rich in EPA/DHA) or linseed oil (for vegans).
🧘♂️ Manual Techniques
- Limit sitting positions and walk regularly.
🌼 Homeopathy
The homeopathic remedies administered will depend on the cause of the anal fissure.
- For a fissure caused by hard stool, Nitricum Acidum 7CH is prescribed in a dose of 5 granules twice a day. This will also relieve the pain.
- Another homeopathic treatment for these anal fissures is a combination of Ratanhia and Paeonia, 20 drops at midday and evening before meals.
- As a background treatment, Calcarea Fluorica 9 CH is given at a rate of 5 granules, 3 times a week.
- An anal fissure associated with haemorrhoids is treated with Nitricum Acidum 7CH and Ratanhia 7CH.
- For anal fissures associated with chronic constipation, Graphites 4 CH to 7 CH is taken 4 to 6 times a day.
- Nitricum Acidum 4 CH to 7 CH, taken 4 to 6 times a day, relieves acute pain associated with purulent stools.
- If itching and burning persist for hours after bowel movement, Ratanhia 4CH to 7CH should be taken 4 to 6 times a day.
- In any case, Ratanhia ointment is used locally on the anal fissures as a complementary treatment. It will help the fissures to heal.