Causes of Fissure in Ano
Most common cause of the fissure-in-ano is constipation. Chronic constipation due to any reason (such as habitual, drug-induced, pregnancy, etc.) leads to recurring abrasion or forceful rubbing of the anal mucosa, which leads to a fissure. The current theory also suggests that sphincter spasm and accompanying ischemia may precipitate the development of fissures and prevent them from healing in some people. The other less common causes can be
- Following bout of diarrhea or following the passage of bulky stools very quickly (especially in children)
- Multiple pregnancies
- Chronic use of laxatives
- Rarely, a fissure may be the manifestation of underlying disease e.g. Crohn's disease, ulcerative colitis, sexually transmitted disease, or cancer.
- Incorrectly performed an operation for piles
When choosing the homeopathic remedy for the fissure, the causative factors are always evaluated, and homeopathic medicine encompassing this cause is chosen. The remedy chosen in such way not only heals the fissure but also does not allow the problem to recur.