Anal fissure is a tear in the lining on the area from the the anus to the rectum, medically called as the anoderm. Anal fissures are considered acute if the tear has developed in less than six months time. It is considered chronic if the fissure has occurred for more than six months.
The most common cause of anal fissures is trauma. It can also be caused by non-traumatic factors such as conditions like Anal Cancer, Chron’s disease, Leukemia, viral infections like Cytomegalovirus or Herpes, Syphilis, Tuberculosis, Gonorrhea, Chlamydia, Chancroid and Human Immunodeficiency Virus.
Anal fissures begin with pain during or after defecation. However, pain usually subsides between bowel movements. In some instances, bleeding, itching and malodorous discharges happen with the pain. To confirm the presence of anal fissures, doctors usually perform a gentle rectal exam.
The goal in the treatment of anal fissures is to halt the spasm of the anal sphincter which causes the repeated tearing of the anoderm. Treatment options include home remedies, pharmaceutical therapy, herbal therapy or a surgical intervention.
For patients considering herbal therapy, Neo Healer and Ginkor Fort is the most common remedy.
Neo Healer is an herbal solution, made of four essential herbs such as the Aloe Vera, the Peppermint, the White Dammar and the Mediterranean White Lupin. It is available in suppository and ointment form. Its herbal properties bring immediate pain relief once absorbed by the skin. It primarily decreases inflammation and stops the bleeding from the anal fissure. The Aloe Vera in Neo Healer works by calming and soothing the dilated veins of the anal fissure. The polysaccharides as well as the gibberlin in Aloe Vera effectively decreases the inflammation. The Peppermint also relieves the pain and itchiness. The White Dammar works as an antiseptic that restores the normal anal lining. The enzymes in the Mediterranean White Lupin aid in the reparation of the injured tissues.
Ginkor Fort is another herbal treatment with a primary ingredient of gingko biloba extract. It focuses on the veins by promoting venous activity by increasing the blood circulation to the veins thus making it less fragile. Ginkor Fort makes veins less elongated causing an increase in the veins resistance to pressure. It also stabilizes capillaries in the rectum thus brining pain relief to the patient. The usual dose for Ginkor Fort is three to four capsules for seven days.
Another famous treatment for anal fissure is the prescription of a medication called Daflon 500 mg. It is a a phlebotonic drug and a vascular-protecting agent mostly given to patients with accompanying hemorrhoids to their anal fissure. Contents of Daflon 500 mg are micronized purified flavonoid fraction which enhances the blood flow to the anal fissure to promote faster healing (phlebotonic effect). As blood circulation improves, damaged tissues regenerate. Daflon decreases the inflammation causing less pain and bleeding by decreasing leukocyte activation (vascular-protecting effect). Daflon 500mg can be purchased over the counter and is taken two to three times a day. Full treatment is expected within two to three weeks.
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