Anal fissures

Anal fissures.
When an acute longitudinal tear takes place in the anal canal it leads to one of the most painful conditions called fissure. This may be caused by the passage of large stools, childbirth traumas, diarrhea or injury. Infants can also develop acute fissures.
Fissures are extremely painful, especially during defaecation, and cause marked spasms of the anal sphincter. Surgery is often suggested by doctors, but experience has shown that fissures tend to recur even after surgery.
Homoeopathic medicines have helped provide long term relief from fissures, thus making surgery unnecessary. Before thinking of Surgery, think of Homoeopathy. Nitric Acid While passing stool the rectum feels torn, leading to excruciating cutting pain, as if splinter has been pushed up into the anus. This pain lasts for hrs after passing stools. When fissures are associated with piles there is more bleeding. Cold water seems to provide relief.
Aesculus hip. The patient has hard, dry and difficult stools. Shooting pain from anus upwards and prolonged pain after the stool casusing constant backache.
Nux vom The indications  for this are continuous urge to pass stools which never come out, or even if a small stool is passed with difficulty, there is still a sensation of the evaluation being incomplete. This irregular tendency also leads to fissure. Hot fomentation gives relief.
Graphites This is one of the most important remedies chronic constipated hard stools. The stools tend to be hard like balls which are evacuated only after exerting a great deal of pressure. Due to this the skin at the anus tears and result s in fissure. There is a smarting burning pain in the anus along with severe itching.
Paeonia It is recommended when fissures are associated with severe itching in the anus. The patient experiences sensations as if small insects are crawling and biting around the anus. There Constipation alternating with sudden diarrhea.
Ratanhia There is severe pain in the anal area as if it is full of small pieces of broken glass, this pain lasts for hrs after passing stools. Feeling that anal passage has become small and constricted ,patient is in great agony because of severe ( fire like)burning pain .Ratanhia is the remedy of choice.
A word of caution

The above mentioned medicines should be taken only in acute conditions and in 1 M  potency, 5 pills every hr, but for repeated attacks of fissures it is very important to take systematic treatment from your homoeopath. At times what you mistake for a fissure may really be a rectal abscess, the primary lesions of syphilis,, TB or even Cancer.
Prevention.
Regular bowel movement is the most important factor in avoiding fissures . Most of us expect to be blessed with at least one good evacuation a day. But when it doesn't happen as expected, it may become a source of great anxiety. I have heard such people describing a good normal evacuation as beautiful, fantastic and wonderful.
There are certain important points you should keep in mind, 
Never avoid nature's call to empty your bowel,
Drink plenty of water. Minimum of eight full glasses ( but check with your Dr before doing so in case you suffer from a heart or a kidney disorders.)
Exercise stimulates the bowel to contract and move out the faeces
Long and regular walks are ideal,
Diet plays most important role in regulating bowel movements .A good amount of roughage and a high fibre diet are necessary to prevent Constipation. Grains like unpolished wheat, bajra, jowar, wheat bran and oats, Followed by fruits and vegetables are the richest source of fibre..
Go to your homoeopath who will give you your Constitutional medicines to help you in regularising your bowel movements. Don't take laxatives on a regular basis.
They perpetuate the problem, never solve it.
Remember, do not go for an operation for your fissures before consulting a Homoepathician.