Anal Fissure Treatment with Kshar Sutra Therapy – A Safe and Effective Ayurvedic Approach
Anal fissure is a common condition characterized by a small tear in the lining of the anal canal, resulting in pain, bleeding, and discomfort during or after bowel movements. This discomfort can discourage normal bowel habits, impacting daily life and overall well-being.
What Is an Anal Fissure?
An anal fissure typically appears because of passing hard stools, chronic constipation, or excessive straining. The main symptoms include:
Sharp pain during and after defecation
Bleeding (usually visible on toilet paper or in the toilet)
Itching or burning around the anus
A visible tear at the anal opening in some cases.
Conventional Treatment Options
Management of anal fissure commonly involves:
High-fiber diet and increased fluid intake to prevent constipation
Topical ointments to reduce pain and relax the anal sphincter
Sitz baths to aid healing and reduce discomfort
In chronic cases, procedures like Botox injections or lateral sphincterotomy (a surgical procedure) may be recommended
While sphincterotomy provides relief and good healing rates, it may carry some risk of incontinence and recurrence in a minority of cases.
Dr Deepak Rathi
Consult for Kshar Karma and Kshar Sutra Treatment for Piles, Fissure, Fistula, and Pilonidal Sinus.
Kshar Karma and Kshar Sutra – The Ayurvedic Remedy
Ayurveda provides gentle, non-surgical options for treating both acute and chronic fissures. Two main therapies applied are Kshar Karma and Kshar Sutra:
Kshar Karma for Acute Fissures
Kshar Karma is an outpatient procedure in which a herbal alkaline paste is applied directly to the fissure. It cleans and disinfects the tear, removes unhealthy tissue, decreases inflammation, and promotes the natural regeneration of healthy cells. This therapy is especially helpful in early-stage (acute) fissures, enabling faster and pain-free healing.
Kshar Sutra Therapy for Chronic or Recurrent Fissures
When fissures become long-standing (lasting over 6 weeks), are associated with sentinel piles or skin tags, or have recurred despite conservative management, Kshar Sutra therapy may be indicated. This therapy uses an herbal medicated thread inserted into the fissure or tract, where it gradually cuts through the unhealthy tissue while stimulating healing and reducing an overly tight sphincter.
The procedure is performed under local anesthesia
The thread is periodically adjusted or replaced depending on healing progress
Patients notice relief from pain and improved healing, resuming most activities quickly
Benefits of Ayurvedic Fissure Therapy
Minimally invasive and generally done as an outpatient procedure
No major cuts or stitches, preserving normal anal function
Avoidance of the risk of incontinence linked to some surgical options
Promotes natural healing and recurrence prevention via herbal support
Suitable for patients who wish to avoid surgery or have a high anesthetic risk
Role of Ayurvedic Medicines and Aftercare
Ayurvedic medicines support treatment by:
Improving digestion and softening stools
Reducing local inflammation and pain
Supporting mucosal healing for long-lasting relief
Doctors also advise daily sitz baths, strict perianal hygiene, high-fiber diet, and regular hydration for optimal recovery and prevention of recurrence.
For expert consultation and a tailored, safe solution for painful fissure, consider Ayurveda’s minimally invasive options such as Kshar Karma and Kshar Sutra Therapy. Early intervention brings the best results for a pain-free, healthy tomorrow
Dr Deepak Rathi
Consult for Kshar Karma and Kshar Sutra Treatment for Piles, Fissure, Fistula, and Pilonidal Sinus.
Senior Proctologist and Piles Specialist with 17+ years of experience
Expertise in Kshar Sutra and Kshar Karma procedures
High success rates and low chances of recurrences.
Compassionate and patient-friendly approach
Availability for both in-clinic treatment and online consultation
Dr. Deepak Rathi
Senior Proctologist and Piles Specialist with 17+ years of experience
Expertise in Kshar Sutra and Kshar Karma procedures
High success rates and low chances of recurrences.
Compassionate and patient-friendly approach
Availability for both in-clinic treatment and online consultation
Got Fissure..??
Don’t let the discomfort of fissure-in-ano affect your daily life—get expert care today! Schedule your appointment or consult online today for expert guidance and personalized solutions. Call or WhatsApp at +91 9818050963 to book appointment.