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– Curd is promoted in Ayurvedic medicine as a treatment that works by targeting the digestive tract and promoting regular, pain-free bowel movements. Its probiotic potential is the foundation of this approach ( 25 ). Curd is made by mixing boiled milk with an acid, such as lemon or vinegar.

1. Live bacterial cultures convert lactose into lactic acid.
2. Depending on the strain, the probiotics may help relieve constipation.
3. However, not all curds contain bacterial cultures that exert probiotic effects to help improve digestive health and bowel movements.
4. The probiotic properties of homemade curds can be inconsistent ( 26 ).

If you want to reap the benefits of probiotic-rich foods, opt for yogurt containing live bacterial cultures, sauerkraut, miso, and kimchi ( 27 ).

Why is fissure not healing?

Chronic anal fissure: 2% topical diltiazem hydrochloride An anal fissure is a common and often painful problem caused by a small tear or ulcer (open sore) in the lining of the anus (back passage). This can cause bleeding, local itching and pain with a bowel movement, which can be severe.

1. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area.
2. Anal fissures usually heal within a few weeks but those that have not healed after 4–6 weeks are called chronic fissures.
3. If someone has a chronic fissure, it is thought that the reason it has not healed is that the ring muscle (sphincter) that goes around the anus (back passage) has become so tense that the flow of blood to the lining of the anus is reduced.

That means that not enough oxygen (carried by the blood) gets to the fissure (or tear). Without enough oxygen, the cells which make up the lining can’t grow and repair (heal) the fissure (or tear). A licensed medicine for treating chronic anal fissure in adults (over 18 years of age) is available in the UK: glyceryl trinitrate ointment (also called Rectogesic 4 mg/g Rectal Ointment).

Glyceryl trinitrate is commonly abbreviated to GTN. GTN ointment is applied to the affected area twice a day and is used to relieve pain caused by the fissure. The GTN helps the ring muscle (sphincter) to relax which allows more blood to flow to the lining of the anus (back passage) so that the cells which make up the lining can heal the fissure (or tear).

Treatment with GTN often causes headache and about 20 in every 100 people using it have very bad headaches. These can be treated with pain-killers such as paracetamol but the headache causes some people to stop using the medicine. If the person has had to stop treatment with GTN, or the fissure hasn’t healed or has come back, other treatments can be tried.

1. These include botulinum toxin injections (such as Botox or other brands) into the area around the anus (back passage) or a surgical procedure called spincterotomy.
2. Both these treatments help the ring muscle (sphincter) to relax and allow more blood to flow to the lining of the anus (back passage).
3. Diltiazem hydrochloride cream or ointment can also be tried.

It is also sometimes used in children; there is no licensed medicine for treating chronic anal fissures in children. : Chronic anal fissure: 2% topical diltiazem hydrochloride

Are bananas good for fissures?

Q. Is banana good for fissures? – A. Yes, Bananas are a good source of fibre, which softens the stool and prevents the worsening of fissures. In addition, bananas also act as food to the beneficial gut bacteria, which enhance protection against fissure infections by killing pathogens. Furthermore, bananas can be a good option for curing fissures naturally due to their laxative effect.

Can I eat bread in fissure?

Anal Fissure – Foods to avoid An anal fissure is a tear or small cut in the lining of the anus. The crack in the skin causes severe pain and bleeding always during the bowel movements. Fissures are quite common but are often confused with the other causes of pain and bleeding such as hemorrhoids.

● White flour : Consuming products made with white flour forms a sticky paste slows down the bowel movement, cause constipation, burning and itching your fissure. So avoid eating bread, bagels, and pasta which are made with white flour.● Added sugars : Food items like cookies, pastries, cakes, and doughnuts are low in fiber, low in fluid and high in fat. Avoid your intake of these foods and choose higher fiber snacks such as fresh fruits.● Processed foods, Frozen Dinners : When you are trying to avoid constipation, stay away from processed foods. Eat only fresh foods that include all the fiber and nutrient content. Frozen dinners are almost always low in fiber as well.● Fried foods : Fried foods take a long time to digest which results in constipation. The high-fat content in fried foods has a tendency to slow down the bowel movement.● Unripe bananas : Ripe bananas helps in relieving constipation. On the other hand, unripe bananas contain a lot of starch which is hard to digest and cause constipation.● Spicy foods : Spicy and pickled foods can cause excess burning and irritation to the anal canal as they pass through the bowels. Avoid these foods when you treat anal fissures.● Dairy products : Products such as Cheese, ice cream, and other dairy products are hard to digest and cause problems in the digestive tract as they are high in fat and low in fiber.

It is always best to avoid dairy products as constipated stools worsen anal fissures and will slow down the healing process. : Anal Fissure – Foods to avoid

Is honey good for fissure?

A small cut or tear in the anal opening is an anal fissure. Anal fissures can lead to itching, painful bowel movements, swelling, and redness in the affected area. They can get deep enough and expose the underlying muscle tissue. The main causes of the condition are:

Lifting heavy weights Hard stool, chronic constipation, or diarrhoea Spending too much time on the toilet obesity

Treatments like pain relievers and stool softeners can relieve discomfort, but fissures that persist beyond six weeks require medical attention. In most cases, fissures are not serious enough and can easily be treated at home with home remedies for anal fissures.1.

• Seitz Baths Seitz Baths are small plastic tubs available at drugstores that can help patients eliminate discomfort, pain, and swelling caused by an anal fissure.
• Patients need to fill the plastic tub with warm water, add some Betadine lotion to it, and place it atop the toilet seat.
• Next, they must sit on it for at least 10 to 15 minutes, allowing their anal area to soak in warm water to ease pain and other symptoms of anal fissure.

Epsom salts and other products can also be added to warm water in the Seitz bath, but one must do this only after their doctor’s approval. If a Seitz bath is not available, people can use a bathtub for a Seitz soak.2. Apple Cider Vinegar Straining during bowel movements or constipation can worsen the condition.

1. And with its pectin content, Apple Cider Vinegar can reduce this problem.
2. Pectin is a water-soluble fibre that encourages smooth bowel movements and digestion.
3. For the best results, blend unfiltered apple cider vinegar and honey and have it twice regularly.3.
4. Dietary Fibre Next on the list of home remedies for anal fissures is dietary fibre.

As per studies, adult men and women must get a minimum of 38 grams and 25 grams of fibre daily, respectively. Eating a good amount of fibre prevents stools from becoming hard, leading to constipation, and soft and easy-to-pass stool will not irritate the fissure further.

Top fibre-rich foods include split peas, beans, lentils, wheat bran flakes, high-fibre bran cereal, avocado, artichokes, and pumpkin seeds.4. Aloe Vera Due to its natural pain-relieving properties, aloe vera is very effective for anal fissures. Aloe vera can treat not only chronic fissures but also alleviate the symptoms of this condition.

Simply remove aloe vera leaves, slice them and scoop out the gel with a spoon. Apply this gel on the affected area at least twice daily for best results.5. Coconut Oil Coconut oil is among the best home remedies for anal fissures due to its rich medium-chain triglycerides content.

• The triglycerides pass through the skin easily and moisturise the affected area.
• Massaging coconut oil against the anal sphincter multiple times during the day heals and treats anal fissures in no time.6.
• Drinking Lots of Water One common cause of constipation is dehydration.
• Patients with anal fissures can make things easier by having sufficient water to keep stools soft and easily passable.

Such individuals can also consume foods that add to their overall water intake. These include spinach, broccoli, tomato, cantaloupe, cabbage, sweet peppers, celery, cucumber, strawberries, watermelon, zucchini, and lettuce. Suggested regular water intake may vary from one person to another.

• Therefore, it is best to consult a doctor to know the right amount of water one should take throughout the day.7.
• Avoiding Junk Food Individuals with anal fissures should avoid hard solids and unhealthy foods like chips, nachos, and popcorn.
• These spicy and sharp foods can form hard stool, causing more strain when passing stool.8.

Olive Oil Filled with natural laxatives, olive oil helps with easy stool passage. Honey, beeswax and olive oil are excellent home remedies for anal fissure that causes bleeding, pain, itching and swelling. To get instant relief, one can combine all the ingredients and apply the blend to the affected area several times during the day.9.

Papaya Papaya comes loaded with the papain enzyme that aids digestion and thus offers relief to the ones suffering from anal fissures and constipation. Having papaya as a salad or mid-morning snack can soften stool and minimise the discomfort caused by anal fissures.10. Ghee Ghee is a natural laxative that relieves severe constipation and thus heals anal fissures.

Ghee contains a lot of fatty acids that allow smoother bowel movements. Though ghee is considered one of the crucial home remedies for anal fissures, people must limit its consumption as too much ghee can cause cardiovascular damage.11. Yoghurt Another excellent home remedy for anal fissures is yoghurt.

This probiotic consists of good bacteria, such as Bifidobacterium and lactobacillus, that regulate digestion and thus relieve constipation. Having yoghurt regularly can improve bowel movements and relieve dry stools.12. Raw Turmeric The yellow pigment, curcumin, in turmeric offers antioxidant and anti-inflammatory properties that can relieve infections and inflammation related to anal fissures.13.

Regular Workout Exercises are the best home remedies for anal fissures caused due to obesity. Exercising regularly improves the body’s metabolism, and blood circulation and helps in passing stools easily. When Do People Need Surgery for Anal Fissure? Since anal fissures are not a serious condition, they can heal on their own with the use of the home remedies mentioned above.

However, conditions that persist beyond six weeks become chronic and might require surgery. Healthcare professionals generally perform a surgery known as lateral internal sphincterotomy or LIS, where they cut a small part of the anal sphincter muscle. This promotes healing and reduces pain and spasm in the affected area.

Another form of surgery is the advancement anal flaps, where the doctors take healthy tissue from a certain part of the patient’s body and use it to repair an anal fissure. This also improves blood supply to the affected area. This surgery is the best treatment for fissures caused by pregnancy, long-term fissures or fissures due to injury to the anal canal.

What vitamins are good for fissures?

– Certain foods and lifestyle modifications may help your fissures heal more quickly and reduce pain. Eating foods that deliver fiber, nutrients like vitamin C and zinc, and probiotics may be beneficial. In addition, drinking plenty of water and getting enough movement may help.

Chukwudi Eze