Fissures in Anus

(A long narrow deep crack or slit in mucous membranes of anus)
Symptoms:
a) The patient complains of severe pain after passing stools
b) The pain lasts for a considerable period of time.
c) Out of fear he tends to suppress his stools
d) It creates constipation and worsens fissures.
e) Thus he is trapped in a vicious circle.
Remedies:
1) Graphites 6x or 12x or 30x: It may be given 4 hourly at least one week for anal
fissure advantageously, if it has been caused by severe constipation. It is also good for
varicose veins of rectum.
2) Nitric Acid 12x: 3 doses per day for 7 days, in case the patient is afflicted with pain
as from splinters, passes urine smelling like that of a horse, suffers from spasmodic
lancinating pains during stool in rectum, and the symptoms are better while riding in a
carriage.
3) Silicea 12x: It should be taken 4 hourly. It is useful in cases where partly expelled
stools recede due to irritable sphincter ani and constipation occurs before and during
menses.
4) Calcarea Phos 6x, thrice daily: For fissures of anus in children, it is the best
biochemic remedy. It may be alternated with Calcarea Fluor 6x, 4 hourly.
5) Calcarea Fluor 6x: Tones the elastic fibers causing free movement of bowels. It
should be used internally as well as externally.