Anal fissure along with sentinel tag

purnima barange, 8 June 2015 11:59  this question feed

Dear Doctor, I have been suffering from ana fissure on and off from last one year. I was diagnosed by doctor and he said it is due to hard stool. For which I took MgO tablets and I still take it from last 3 months or more (one tablet a day) to soften my stool. If I do not take MgO then it is ok too. Constipation is not my problem. But there fissure though healed but the crack is still open. It is like a wound which does not dry. There is a sentinel/skin tag above the would which is like an extra skin. It neither hurts not grow. Please help me how to completely I cure my fissure problem and should I remove the skin tag? Will it grow? I am planning for having a baby and I worry if my fissure get worse.

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Ayurvedic Medicine


Due to constipation history and due to lack of moisture in colon and when anal sphincters are not in tone, there are chances of getting fissures which is referred as cracks and lead to bleeding while defecating and another issue is with sentinel tag which itself is leading to tightening of anal sphincters. So, there are chances of getting recurrent fissures. You need to focus on clearing constipation by following proper diet and avoiding certain food items like spicy, oily foods, and foods that cause constipation and flatulence formation to be avoided like potato, cheese, butter, paneer etc. If there are recurrent fissures, then you may end up in getting piles which is again a complicated one.

Here we can try to relieve constipation by taking following medicines such as Kabjhar Granules one teaspoon after dinner with warm water and Triphala Guggulu, one tablet twice daily which is helpful for healing of fissures and also to clear constipation, and for relieving fissures you may apply Jatyadi Tailam for external application before going for defecation and after washing, again you can apply the same oil so that you can generate lubrication and also to relieve constipation.

posted by Dr.Vijay on 6 August 2015


A fissure is a tear in the lower anal region. A sentinel tag is a small oedomatous fibrosed tissue usually seen just posterior to the fissure. It may get bigger or cause frequent infections. Anal sphincterotomy is done which will also relieve the spasm of the muscles if the tag is bigger and the fissure persists. Ayurvedic medicines can be taken to improve the bowel movements and for the healing of the fissure.

Ayurvedic medicines like Gandharvahastadi kvath - 15ml with 60ml of warm water before food twice daily,Kaisora guggulu and Triphala Churna can be taken for a month and then reviewed. Sitting in a tub with warm water will help to relax the muscles, improve the circulation as well as the healing.

Include prunes, figs, yam, small onion, fiber, complex carbohydrates, turmeric and raisins. Reduce excess oil, sugar and salt. Yogasanas like Trikonasana, Padmasana, Pavanmuktasana, Bhujangasana, Padahasthasana and Vajrasana are beneficial.

posted by Dr.Ramani on 11 June 2015

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