Ayurvedic Treatment for Fissure-in-Ano (Gud Parikartika) – A Holistic Approach to Healing

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Is every bowel movement painful? Do you experience a sharp tearing sensation followed by burning or bleeding?
You may be suffering from fissure-in-ano, a common yet distressing anorectal condition. While modern treatments may offer temporary relief, Ayurveda provides a holistic, natural approach that heals from the root, without surgery in most cases.

At Adyant Ayurveda, we specialize in treating fissures through time-tested Ayurvedic therapies that are gentle, effective, and sustainable.

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🔍 What is Fissure-in-Ano?

A fissure-in-ano is a small tear or crack in the lining of the anal canal, usually caused by constipation, straining, or passing hard stools. It leads to:

Severe pain during and after defecation
Bleeding (fresh red blood)
Burning and itching
Fear of passing stools

🪔 Ayurvedic Understanding: Gud Parikartika

In Ayurveda, fissure-in-ano is referred to as “Gud Parikartika”, described in texts like Charaka Samhita and Sushruta Samhita.

✅ Dosha Involvement:

Vata Dosha – causes dryness, tearing, sharp pain.
Pitta Dosha – responsible for burning sensation and inflammation.

You May Also Like: Ayurvedic Doshas: Vata, Pitta, Kapha

🚫 Causes (Nidana):

Excessive intake of spicy, dry, and oily foods
Constipation or delayed bowel movements
Prolonged sitting and a sedentary lifestyle
Suppressing the urge to defecate

🌿 Ayurvedic Line of Treatment (Chikitsa Sutra)

The Ayurvedic approach focuses on:

Relieving pain and inflammation
Healing the fissure without surgery
Preventing recurrence through lifestyle correction

Read Also: Treat Piles fissure Fistula Naturally

🧴 Internal Medications for Healing

Medicine	Action	Dosage
Kaishor Guggulu	Anti-inflammatory, blood purifier	2 tabs thrice daily after food
Avipattikar Churna	Natural antacid, mild laxative	3–5 gm with lukewarm water
Panchsakar Churna	Vata-pacifying, stool softener	At bedtime with warm water
Nagkeshar Churna	Stops bleeding (Raktastambhaka)	2–3 gm after meals

💆‍♂️ External Ayurvedic Therapies

🛁 1. Sitz Bath (Avagaha Sweda)

Sit in warm decoction of Triphala or Panchavalkala for 10–15 minutes post-defecation.
Reduces pain, cleanses wound, enhances healing.

💧 2. Pichu (Oil-Soaked Swabs)

A soft cotton swab soaked in Jatyadi Taila is inserted gently at the site of the fissure.
Promotes healing, reduces infection risk, and protects delicate tissue.

🧴 3. Herbal Oil Application (Shatdhaut Ghrita or Jatyadi Taila)

Apply 2–3 times daily to moisturize and heal the affected area.

🌿 4. Lepa (Herbal Paste Application)

A paste made from turmeric, sandalwood, and Daruharidra is applied locally.
Cools inflammation, soothes irritation, speeds tissue regeneration.

🥗 Diet & Lifestyle Guidelines (Pathya-Apathya)

✅ What to Follow:

Warm, soft, easily digestible food – Khichdi, moong dal, ghee
Drink plenty of warm water
Include natural fiber: flax seeds, soaked raisins, fruits
Take ghee with warm milk every morning to lubricate intestines

❌ What to Avoid:

Spicy, fried, or junk food
Constipation-causing foods: cheese, maida
Long sitting hours and ignoring the urge to defecate

🧘‍♀️ Panchakarma Supportive Therapies (If Needed)

🪔 Matra Basti (Medicated oil enema)

Administered with Bala Taila or Jatyadi Taila
Lubricates rectum, reduces Vata, promotes deep healing

📈 Case Study – Healing Without Surgery

Patient: 45-year-old male, chronic fissure with bleeding and severe pain
Treatment Plan:

Ayurvedic laxatives + anti-inflammatory herbs
Pichu therapy + daily sitz bath + Jatyadi oil
Diet changes and stress reduction

Outcome:

Pain subsided in 7 days
Bleeding stopped by day 10
Complete healing in 21 days with no recurrence reported in 3 months

💚 Why Choose Ayurvedic Treatment?

✅ Non-surgical & natural
✅ Addresses the root cause (constipation, dosha imbalance)
✅ Strengthens local tissue and immunity
✅ No side effects
✅ Personalized for each individual’s Prakriti and condition

🩺 When Is Surgery Required?

In chronic, non-healing fissures with fibrosis or sentinel tags, surgical procedures like Kshar Sutra or lateral sphincterotomy may be considered. Ayurveda can still support post-surgical healing and prevent future recurrence.