Category Archives for Health Issues

I have what? Shingles


I have what? Shingles


Yes, you heard it right shingles. It is cringe-worthy yes, but you have absolutely nothing to worry about, shingles are controllable, preventable and curable. For those who have no idea what shingles are, this article has got your back.


Shingles are viral infections resulting from a virus known as varicella-zoster the same germ known to bring about chickenpox. After chickenpox, the virus varicella-zoster becomes inactive and relocates to the spinal cord and brain areas only activating years later to bring on shingles. The virus varicella-zoster checks into a category of viruses known as the herpes viruses, viruses’ notorious causing genital herpes and the cold sores.

Shingles are known to leave a burning or itchy sensation on one’s skin. Though they can manifest on any part of your body, shingles are more common to either the right or left torso of the infected. Consequently, the rash might develop on one eye or half the neck or face. The surprising thing is, some go through shingles without developing a single rash on their skins. Though not grave, shingles can cause a lot of pain and discomfort. While vaccines trim down the risk of occurrence of shingles, timely treatment shortens the shingle infection and lessens the probability of reoccurrence.


Symptoms of Shingles

Though they only affect part of your body, the signs are easy to spot. The signs are, but not limited to;

  • A burning, tingly sensation
  • Pain
  • Heightened skin sensitivity
  • The red rash is evident few days after the pains
  • Blisters filled with fluid that eventually burst open and dry out
  • Itching and numbness

Others signs are;

• Fatigue

  • Fever
  • Dizziness
  • A headache

Pain is more often than not, the earliest warning sign of shingles. The pain differs from one person to the next, to some it is unbearable to others it is almost inexistent. Pain located in major body organs such as kidneys, lungs or hearts, is often prone to misdiagnosis.


When to See your Doctor

Like previously stated shingles are in no way life-threatening, but it is advisable to take a trip to your doctor upon seeing the following signs.

  • If the pain or rashes are close to your eyes. If ignored, the following can permanently damage your eyes.
  • If you are 60 and above. The risk of complication increases with age. Older people are at a higher risk of developing a complication.
  • If you have a weak immune system. A weakened immune system results from cancer, chronic illnesses or medication.
  • If the rashes are excruciating or widespread.


Though the causes of shingles are known, the reasons as to why the infection occurs remain unknown. However, rumour has it that the infection might result from the lowered immunity in persons of advanced age. Shingles are common to the old and those with weakened immunity levels.


Are Shingles Contagious?

Yes, shingles are contagious. The virus varicella-zoster can quickly be passed on to any person with zero immunity against chickenpox. The virus, however, can only be passed when one comes into contact with the open shingle sores. The person, however, develops chickenpox instead of shingles.


Till your shingle scabs heal, you should avoid contact with anyone who is yet to develop the illness, pregnant women, and infants.

What are some of the Shingles Risk Factors?

Any person who has had run-ins with chickenpox is at a higher risk of getting infected with shingles. Other aspects that promote the hazard of getting infected are;

  • Being past 50
  • Suffering from diseases that might otherwise weaken your immunity
  • Those undergoing chemotherapy. Chemotherapy lowers one’s resistance to illness.
  • Those under medication.


Complications that Result from Shingles

  • Skin infections if and when the blisters that result from shingles are not carefully treated
  • Vision loss if the disease occurs around a person’s eyes
  • Neurological complications if major sensory nerves are affected.


Shingles are preventable. One can prevent them in the following ways.


Getting a chickenpox vaccine

Although the varivax vaccine is principally administered to young kids as a preventive measure for chicken pox, adults who are yet to suffer from chickenpox are advised to take the vaccine. The vaccine also reduces the rate of shingle infection.


Shingle vaccines

Shingle vaccines are the most guaranteed way of doing away with the infection



As previously stated, shingles are 100% preventable and controllable. Take the shingle vaccine as early as possible, like they say prevention is always the safest option. To those that are already infected, there is no need to panic. Visit your doctor as early as possible for proper diagnosis.


Shingles Virus Explained




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How to Cure Anal Fissures Permanently ?


A fissure refers to a cut or tear that occurs around the anus region, and it is characterized by pain during bowel movements especially the rectum. The pain can be more severe and is coupled with itchiness and bleeding. The fissures appear along the specialized tissues that line the anal canal referred to as anoderm.

Globally, fissures are approximately responsible for 6% to 15% of rectal surgeon visits. It is the predominant cause of rectal bleeding in infancy, and common causes of anal fissures include long bouts of constipation, childbirth and straining bowel movement

Anal fissure often heals naturally within a few weeks just like other small skin cuts and tears. However, they can recur easily. There are various approaches to healing fissures which are broadly classified into self-help and medicated remedies.

Self-help remedies include the following;

Drinking enough water

It is pretty simple, but it makes tremendous change and improvement in the overall body health. Water is crucial to making the body hydrated. The common approach of ensuring consumption of adequate water is observing “The 8×8 Rule” meaning, drinking at least eight ounces of water eight times a day. If you unable to drink water which I understand can be difficult to drink, including myself. I could never really drink 8 glasses of water and I tried. If you can, then you should, but if you can’t, then drink your favourite juice  or beverage. Avoid alcohol, but the point is get liquids into your body.

Bottle Water

Your body takes about 2 months to get used to the liquids you are taking, so keep taking as much liquid each day and avoid stool softners as they are in theory not good for your body and it is not good to take unnecessary medication anyway.

Using soft toilet paper after a bowel movement

Use of soft toilet paper to wipe after a bowel movement is a great way to ease the pain as compared to using abrasive ones. The softer the toilet paper, the better for the fissure as it ensures minimal disturbance to the healing fissures.

Increasing fibre intake

Minimal intake of fibre may lead to constipation which is a major cause of anal fissures. This leads to strenuous bowel movements due to the unnecessary excessive force exerted around the anus. Dietary fibre is found in high quantities in foods such as fruits, wholegrain, and vegetables. These foods have the ability to relieve and prevent constipation. The following table illustrates the recommended daily fibre intake.


Age 50 years and below Age 51 and older
Men 38 grams 30 grams
Women 25 grams 21 grams



Exercise is vital in promoting cardiovascular health which in turn helps the heart in pumping sufficient blood to various body organs. Walking, stretching, yoga and canoeing are good in healing anal fissures as they promote good blood flow to the anal area since it does not get as much blood supply compared to other areas. However, biking, sports that require a lot of running, heavy weight lifting and all other exercises that cause straining should be avoided.

Medical Therapies

Using Glyceryl trinitrate

This is an ointment applied to the anal canal twice a day. This medication is recommended especially if the symptoms do not improve within two weeks. It works by increasing blood supply to the fissure and expanding blood vessels around the anus. This helps in reducing pressure around anal canal and helping it heal faster. The ointment should be applied for at least six weeks. It is documented that acute fissures will heal using Glyceryl trinitrate treatment and around seven in every ten chronic fissures respond to the ointment if used correctly.


Botulinum toxin injections

This medication is relatively new and used in cases where others have not helped. Botulinum is poisonous but safe when used in small doses. The medication helps by paralyzing the sphincter muscle after injection which prevents spasming hence reducing pain and allowing the fissure to heal. Although it is not very clear how effective the medication is for anal fissures, research has shown it was helpful in more than half the people it was administered to.

Botox Injections

Lateral sphincterotomy

The Lateral sphincterotomy procedure involves reduction of tension around the anal canal by making a small cut in the sphincter. This helps in healing and reduces the probability of developing more fissures. The operation is done under a general anesthetic on a day patient basis

This remedy is one of the most successful treatments of anal fissures with an excellent track record of success, and most patients heal within two to four weeks

Advancement anal flaps

This procedure is recommended in treating chronic anal fissures that are mostly caused by injury to the anal canal or pregnancy. It involves transferring a healthy tissue from another body part and using it to repair the fissure. This helps in improving blood circulation to the fissure.

Calcium channel blockers

They are majorly used in the treatment of high blood pressure. However, once applied directly to the anal canal has proved helpful in treating people with anal fissures. This medication works by relaxing the sphincter muscle hence increasing the blood supply to the affected region.

There are side effects that are associated with the use of Calcium channel blockers which can include dizziness, headaches, and itchiness especially the area applied. The side effects are expected to disappear once the body gets used to the medication.


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Hemorrhoids Piles Treatment – What is Hemorrhoids ?



What are Piles / Hemorrhoids ?

Hemorrhoids are clumps of dilated (enlarged) blood vessels in the anus and lower rectum. The rectum is the last area of the large intestine before it exits to the anus. The anus is the end of the digestive tract where feces leaves the body.

Sometimes hemorrhoids swell when the veins enlarge and their walls become stretched, thin, and irritated by passing stool. Hemorrhoids are classified into two general categories:

  • internal, originating in the rectum, and
  • external, originating in the anus.

What’s the difference between anal fissures and hemorrhoids?

At first it was something tiny. Almost nothing.

Maybe you felt just a twinge of pain or a tickle of an itch after going to the bathroom. Maybe you started to notice after a long weekend of playing hard that the water in the toilet was occasionally rosy. Maybe you just felt something back there when you were washing that was different.

Whatever it was then, it doesn’t really matter, because now it hurts. You’re seeing blood in the toilet or on the toilet paper, you’re experiencing itching, burning, and pain during and after a movement, and you’ve decided you’ve got to figure out what it is so you can make it stop. Yesterday.


Be Careful When It Comes to Laxatives

When you’re constipated, some fiber supplements, particularly psyllium capsules, have a track record of helping get you more regular, which can prevent painful hemorrhoids. As far as laxatives go, they can help as long as you choose the correct ones. “The safest laxatives are those that work with your body rather than those that stimulate or simulate normal physiological activities,” Kussin says. “Some laxatives work by stimulating intestinal contraction to move the contents along. This might increase hemorrhoid pressures and cause symptoms.” To prevent hemorrhoids or to treat hemorrhoids that are active, Kussin suggests osmotic laxatives that simply increase the amount of water in the gut and reduce constipation.




Diet has a pivotal role in causing – and preventing – haemorrhoids. People who consistently eat a high-fibre diet are less likely to get haemorrhoids, but those who prefer a diet high in processed foods are at greater risk of haemorrhoids. A low-fibre diet or inadequate fluid intake can cause constipation, which can contribute to haemorrhoids in two ways: it promotes straining on the toilet and it also aggravates the haemorrhoids by producing hard stools that further irritate the swollen vein



Thanks to the highly successful campaign by Jamie Lee Curtis and her yogurt commercials, many folks already know that yogurt aids in the digestive tract with its probiotics. It comes as no surprise that this also acts as a way to keep your stool uniform and soft, so that it will not irritate any hemorrhoids present. Having a yogurt every day can really make a difference in your trips tothe bathroom.

Fruits and Vegetables

Stawberries on TableThere’s so much that fruits and vegetables can do for your digestive system, you could list hundreds of ways they help treat and prevent diseases and illnesses. Many types of produce contain healthy fiber to keep things moving and prevent hemorrhoids. Fruits and vegetables also contribute to healthy immune systems and blood flow, speeding up the recovery from having hemorrhoids. Remember to buy your produce fresh and local, if you can, they will contain the highest concentration of vitamins and nutrients.

Fruits and vegetables like:

Green Tick ApplesGreen Tick Peas
Green TickBeansGreen TickBerries
Green Tick PearsGreen Tick Avocados
Green Tick ArtichokesGreen Tick Broccoli and Cauliflower
Green Tick Dark leafy greensGreen TickCelery


Fruit platter

How do I know if I have piles?

First, your doctor will look at the anal area. He or she will likely also insert a lubricated gloved finger and may insert an anoscope (a hollow, lighted tube for viewing the lower few inches of the rectum) or a proctoscope (which works like an anoscope, but provides a more detailed rectal examination) into the back passage.

More procedures may be needed to identify internal haemorrhoids or rule out other conditions that may cause anal bleeding, such as anal fissure, colitis, Crohn’s disease, and colorectal cancer.

To see further into the anal canal (into the lower, or sigmoid, colon), sigmoidoscopy may be used, or the entire colon may be viewed with colonoscopy. For both procedures, a lighted, flexible viewing tube is inserted into the rectum. A barium X-ray can show the entire colon’s interior. First a barium enema is given and then X-rays are taken of the lower gastrointestinal tract.


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Hemorrhoids Relief

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H-Fissures Formula

H-Fissures Formula

The homeopathic ingredients in H-Fissures Formula have been carefully selected to counteract the uncomfortable symptoms of fissures. For example Chamomilla assists with painful fissures and Calendula officinalis is a remarkable healing agent.* H-Fissures Formula contains anti-inflammatory and antibacterial constituents. When used as directed, it will help reduce swelling associated with anal fissures. In addition, the analgesic component in the formula helps to alleviate the extreme pain that often accompanies anal fissures so that you can once again have a bowel movement without any discomfort or fear of pain

Girl squatting on potty

Fast facts on piles:

Here are some key points about piles. More detail and supporting information is in the main article.

  • Piles are collections of tissue and vein that become inflamed and swollen.
  • The size of piles can vary, and they are found inside or outside the anus.
  • Piles occur due to chronic constipation, chronic diarrhea, lifting heavy weights, pregnancy, or straining when passing a stool.
  • A doctor can usually diagnose piles on examination.
  • Hemorrhoids are graded on a scale from I to IV. At grades III or IV, surgery may be necessary.

Types of piles

Internal piles start inside your anal canal, but they might hang down and so come out your anus. Internal piles can be graded according to whether they come out your anus and – if so – how far they come out

  • First degree piles may bleed but don’t come out of your anus.
  • Second degree piles come out of your anus when you have a bowel movement, but go back inside on their own afterwards.
  • Third degree piles come out of your anus and only go back inside when you push them in.
  • Fourth degree piles are always partly outside your anus and you can’t push them back in. They may become very swollen and painful if the blood inside them clots.

External piles are swellings that develop further down your anal canal, closer to your anus. They can be very painful, especially if they have a blood clot in them.

Piles is classified into four grades:

  • Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.
  • Grade II: Grade II piles are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided.
  • Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.
  • Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.

External piles form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops, as the blood clot can block the flow of blood. Thrombosed external piles, or hemorrhoids that have clotted, require immediate medical treatment.

Hemorrhoids or Piles

Hemorrhoids are caused by swelling in the anal or rectal veins. This makes them susceptible to irritation.

This swelling can be caused by several things, including

  • obesity,
  • pregnancy,
  • standing or sitting for long periods,
  • straining on the toilet,
  • chronic constipation or diarrhea,
  • eating a low-fiber diet,
  • coughing,
  • sneezing,
  • vomiting, and
  • holding your breath while straining to do physical labor.

Prevention of piles

The following lifestyle measures can help to keep your faeces soft, preventing constipation and piles.

  • Eat plenty of fibre-rich foods such as fruit, vegetables, wholegrain cereal, wholegrain rice and pasta, nuts, beans and pulses. Aim to eat 25 to 30g of fibre a day. As a guide, half a cup of bran cereal contains nearly 10g of fibre and a medium-sized apple has about 3.5g.
  • Drink plenty of fluids. Try to limit your intake of caffeinated drinks.

Human Digestive System

Complications of piles

Piles rarely cause serious problems but they can lead to some complications, such as those below.

  • Ulcers can form on external piles.
  • Skin tags can occur when the inside of a pile shrinks back but the skin remains. For more information about skin tags, see our FAQs section.
  • Mucus leaking from your anus can cause the surrounding skin to get very sore and damaged.
  • Severe piles (fourth degree piles) can sometimes get strangulated, meaning they lose their blood supply. This can be very painful and cause the tissue to die.
  • Thrombosed piles – this is where a blood clot forms within a pile, causing severe pain. This can be treated with a procedure to remove the clot.


You may also find that your piles make you feel self-conscious (about having sex for example). If you need any advice, speak to your GP.

Internal hemorrhoids. These lie inside the rectum. You usually can’t see or feel these hemorrhoids, and they rarely cause discomfort. But straining or irritation when passing stool can damage a hemorrhoid’s surface and cause it to bleed.Internal

Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation.

External hemorrhoids. These are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed.External

Thrombosed hemorrhoids. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus) that can result in severe pain, swelling, inflammation and a hard lump near your anus.

When to see a doctor

Hemorrhoids Piles Treatment

Bleeding during bowel movements is the most common sign of hemorrhoids. Your doctor can do a physical examination and perform other tests to confirm hemorrhoids and rule out more-serious conditions or diseases.

Also talk to your doctor if you know you have hemorrhoids and they cause pain, bleed frequently or excessively, or don’t improve with home remedies.

Don’t assume rectal bleeding is due to hemorrhoids, especially if you are over 40 years old. Rectal bleeding can occur with other diseases, including colorectal cancer and anal cancer. If you have bleeding along with a marked change in bowel habits or if your stools change in color or consistency, consult your doctor. These types of stools can signal more extensive bleeding elsewhere in your digestive tract.

Seek emergency care if you experience large amounts of rectal bleeding, lightheadedness, dizziness or faintness.

Healthy eating for a happy tummy!

Being constipated can make you feel sluggish and bloated, as well as making you prone to piles and other gut conditions. We should have about 25g of fibre a day – yet 8 out of 10 of us don’t get enough. To keep your colon ticking along nicely, try the following:

  • start the day with a high fibre cereal. People who do get about 60% more fibre than people who don’t
  • switch to wholemeal (or granary) bread and pasta
  • eat baked rather than boiled potatoes – and don’t leave the skins on your plate!
  • another reason to eat your greens! All vegetables are good sources of fibre
  • If you’re tempted to have a drink of fruit juice, try the real thing instead. Fruit can quench your thirst, but has the added benefit of plenty of fibre
  • Snack on dried fruit rather than reaching for the biscuit barrel
  • drink enough fluid (2-2 ½ litres, or 6-8 cups, a day).
  • regular exercise will also help keep your bowels moving

Types of Stools

Who gets piles?

Piles can occur at any age, but are more common in older people. They affect both men and women. In fact, most people suffer from piles at some time, but usually they are nothing more than a temporary problem. Many experts believe that they are caused by continuous high pressure in the veins of the body, which occurs because humans stand upright. They are particularly common in pregnancy because of the additional pressure from the baby, and because of hormonal changes. Sometimes they result from straining hard to pass faeces, which is more likely if you do not eat enough fibre, or lifting heavy weights. They are not caused by sitting on hot radiators or cold, hard surfaces, or by sedentary jobs. A family history, as with many other health-related problems, is frequently found and is likely to be a significant risk factor for developing piles.

Anal Fissures

Unusual bowel movements, including hard stools and diarrhea, can cause the tender lining of the anus to tear. These tears are called anal fissures. In addition to constipation and diarrhea, other risk factors for fissures include having inflammatory bowel disease, being overweight or being of an advanced age.

Anal fissures are painful. They especially hurt when passing stool, and the pain can last for hours afterward. It is often experienced as a throbbing sensation.grater toilet roll

Fissures can also itch uncomfortably. Plus, you may notice blood when you wipe or spot blood in the toilet bowl.


Hemorrhoids are often accompanied by fissures and show many of the same symptoms. . The difference between anal fissures and hemorrhoids is that they are each a different kind of injury. While an anal fissure is a tear of tissue, hemorrhoids are caused by the weakening of cushions of tissue in the lower rectum, causing the skin to blow up like a tiny balloon and fill with blood[A1] . There are two kinds of hemorrhoids – external hemorrhoids and internal hemorrhoids. Pain in the rectum is usually associated with external hemorrhoids and/or a fissure. You might also experience blood on the toilet paper after wiping, as well. In the case of internal hemorrhoids, the most common symptom is rectal bleeding. You might see bright red streaks of blood on the toilet paper or bright red blood in the water after passing a movement. You might also see streaks of blood on the stool. Hemorrhoid treatments range from creams and home remedies to hemorrhoid banding to surgery.

Ultimately, the difference between anal fissure and hemorrhoids, symptomatically, is difficult to differentiate for most persons experiencing one of these conditions. Anyone experiencing what they believe to be anal fissure or hemorrhoids should find a hemorrhoid doctor in their area. Specialists in this area are the best equipped to provide an accurate diagnosis and effective treatment for your condition, whatever it might be.

Uncomfortable, sure. Harmful? Not so much

Okay, so that description certainly sounds miserable, but the faint glimmer of good news here is that hemorrhoids aren’t going to cause any direct harm to your health. They’re not related to cancer in any way (phew). The only cause for serious concern is if they’re bleeding excessively, which could lead to anemia, Grucela says, but that’s pretty rare.

Constipation is a major trigger

All that straining and pushing increases the pressure that can lead to inflamed hemorrhoids. Treating any constipation is the second step in standard hemorrhoid treatment, Grucela says, and the easiest way to do that is getting hydrated, fast. The more parched you are, the more parched your poop is. Eating enough fiber (or taking a fiber supplement, whether in old-school powder form or newfangled gummies) helps bind water to stool. “That way, it will be softer and pass through less traumatically,” she says. The ideal: The kind of poop that glides out so effortlessly you almost don’t even need to wipe. If you’re still stopped up, constipation meds may help, Grucela says, “but most people will get better by increasing hydration and fiber.”Image of Fiber

What is Anal Itching?

Also called puritis ani, anal itching it’s usually not deadly but can be intensely irritating and downright painful. Not only does the anus itch but often the skin around the anus called the perianal skin. The bad news is that in most cases doctors cannot find a cause for anal itching in their patients. The good news is that over the counter and home remedies often provide effective relief.


Known causes of anal itching include lack of bathing, hemorrhoids, parasite infestation, tumors growing in the anus or allergic reactions to soaps, medications, undergarments or personal cleansing wipes.

Hemorrhoids Piles Treatment

Below are some practical tips to help with the treatment and prevention of an itchy bottom:
Home remedies and self-care

  • Avoid highly seasoned and spiced foods, and maintain a regular bowel habit
  • Keep the anal area clean after emptying the bowel
  • Avoid medicated, perfumed, or deodorant soaps – use only plain warm water for cleaning, aqueous cream, or emollients
  • Use moist toilet tissues instead of paper
  • Avoid allowing the anal area to stay moist, and dry it gently by dabbing, not by rubbing
  • Use drying powders, but not medicated or scented ones
  • Avoid scratching the area, which creates further trauma and makes the problem worse
  • Wearing socks or cotton gloves on the hands may reduce the harm from unconscious scratching for people who find they have been unable to resist overnight scratching
  • Wear loose, breathable clothing, avoiding materials such as acrylic and nylon, which trap sweat

Understanding and educating about the scratch-itch cycle is very important. The skin must be allowed to heal to reduce the irritation that causes the scratching. Avoiding irritating soaps and creams, and keeping the skin cool, dry, and clean is essential.

When to see a doctor

People who have anal itching plus bloody diarrhea or draining pus should see a doctor in a day or two. Other people should see a doctor if the itching has lasted for more than a few days, but the visit is not urgent.

What the doctor does

Doctors first ask questions about the person’s symptoms and medical history. Doctors then do a physical examination. What they find during the history and physical examination often suggests a cause of the itching and the tests that may need to be done (see Table: Causes and Features of Anal Itching).

The history is focused on when the itching started and how long it has lasted. Doctors ask about the following:

  • Ingestion of irritating foods, particularly acidic or spicy foods
  • Bowel habits, including use of wipes, ointments (even those used to treat itching), sprays, and soaps applied to the anus
  • Hygiene habits, particularly frequency of showers and baths

  • Known infections or disorders (such as diabetes, hemorrhoids, or psoriasis Doctor

  • Recent use of antibiotics

The physical examination is focused on the appearance of the anus and the perianal skin. Doctors examine this area for

  • Dullness and thickness
  • Signs of irritation due to scratching

  • Hemorrhoids, lesions, fistulas, and scrapes (caused by scratching and rubbing)

  • Scabies or pinworms

Is Bleeding From the Back Passage Serious?

Bleeding from the anus can be serious if the bleeding is connected to a bowel disease or condition rather than the anus itself. These diseases/conditions include:

  • Cancer of the rectum / lower colon
  • Innocent or benign tumours (polyps)
  • Inflammation of the rectum (proctitis)
  • Inflammation of the colon (colitis)

Your GP will help to evaluate your problem and may use the following procedures when examining you:

  • Examine your abdomen, searching for lumps or tender areas
  • Examine your back passage to check the anal canal

Following these investigations, your GP may decide to send you to a specialist who may investigate further and you may need to undergo some common tests and procedures.

Hemorrhoids Treatment and Prevention (Hemorrhoids Piles Treatment)

Rubber band ligation

This procedure is often done on prolapsed hemorrhoids, internal hemorrhoids that can be seen or felt outside. Using a special tool, the doctor puts a tiny rubber band around the hemorrhoid, which shuts off its blood supply almost instantly. Within a week, the hemorrhoid will dry up, shrink, and fall off.

Coagulation or cauterization

With an electric probe, a laser beam, or an infrared light, your doctor will make a tiny burn to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink. This works best for prolapsed hemorrhoids.

A high-fibre diet with large amounts of water is the answer for grade I internal hemorrhoids and painless external hemorrhoids. This will soften the stool, decreasing constipation and straining. It will also allow the inflamed veins to decrease in size. There are also a number of ointments and suppositories available without prescription that can help reduce pain and inflammation around the anus. These include topical hemorrhoidal preparations that contain local anesthetics for their soothing properties. Your pharmacist can help you choose a topical application that is appropriate for your circumstances. Prescription medications can include anti-inflammatory cortisone creams.

Other useful measures include stool softeners or bulking agents, or a sitz bath, used 3 or 4 times daily for 15 minutes at a time. A sitz bath is a container filled with warm water that fits over a toilet bowl. Ice packs alternated with warm packs on the affected area can help dissolve a blood clot in an external hemorrhoid.


Facts About Hemorrhoids


Please go ahead and leave me a comment…

I would love to hear from you and if I have missed anything, let me know and I will add it.

I would appreciate you linking back to our blog if you found any of these articles useful and please let us know where we could improve or add additional content on a specific subject.


Thank you


Chronic Anal Fissure – Home Remedies for Anal Fissure

Pain Chronic Fissure

About a Chronic Anal Fissure

I am going cover ways to try help you out if you are suffering from a Chronic Anal Fissure. Not everything will work for everybody and everybody is different, but there are some basic things you can try do, some natural home remedies which you may already have in your kitchen like Coconut Oil, Manuka Honey and so forth. I am not going to try substitute any medical advice and advise you still to go see your doctor and specialist if your condition continues and to consult a professional.Boy sitting on potty

Realize that most chronic anal fissures will generally recover within 2 weeks. Avoid any kind of straining, never ever strain and let it come naturally. As soon as you need to go, go, do not wait as the longer you wait even for 10 minutes, the worse it gets, practise these simple principles and it will make things are less painful over the long run.

Don’t Ignore Your Urge to Go

If your body tells you it’s time to have a bowel movement, don’t put it off till later. Waiting too long or too often can weaken the signals that let you know it’s time to go. The longer you hold it in, the dryer and harder it can get, which makes it tougher to pass.

What is a Chronic Anal Fissure?

A chronic anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus.

A Chronic Anal Fissure may occur when you pass hard or large stools during a bowel movement. Chronic anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter).

Chronic Anal Fissures are very common in young infants but can affect people of any age. Most chronic anal fissures get better with simple treatments, such as increased fiber intake or Sitz Baths. Some people with chronic anal fissures may need medication or, occasionally, surgery.

Girl squatting on potty


Signs and symptoms of a chronic anal fissure include:

  • Pain, sometimes severe, during bowel movements
  • Pain after bowel movements that can last up to several hours
  • Bright red blood on the stool or toilet paper after a bowel movement
  • Itching or irritation around the anus
  • A visible crack in the skin around the anus
  • A small lump or skin tag on the skin near the chronic anal fissure


Personal Experience

For the record I was a chronic anal fissure sufferer myself and dealt with over a year’s of chronic pain until I realized a few things during my experience but mainly is that you have to learn to manage your chronic anal fissure verses focusing on trying to cure it. I couldn’t sit, walk, sleep, lie down without being in excruciating pain. A number of people will have a mild chronic anal fissure and it will cure within 2 weeks (you are the very lucky bunch).

I suspect if you here reading this, you are a chronic anal fissure sufferer like myself asking why nothing seems to work and why the insufferable pain continues. I have tried many home and doctor-directed remedies without success, nothing seemed to work. I saw two Proctologists who had different ointments and methods for treatment. I will talk about these and the various home remedies, sitz baths and the various things I tried and hopefully, some of them will help you.


Acute vs Chronic Anal Fissure

90% located in the posterior anal canal. Acute vs Chronic. Acute: small tears in anal mucosa. Usually, respond to medical treatment. Resolve within 4-6 weeks. Chronic: present for longer periods of time. Associated with sentinel tags, rolled mucosal edges and hypertrophic anal papilla at fissure apex. Less likely to heal with medical management.

Before we get too deep into the article, there were three main things that I felt helped me in the long term.

1) I learnt to drink a lot of liquid once I realized it helped me pass stools easier. It was a bit of an epiphany because it was so obvious that I missed it. I was more focused on getting stool softeners that I missed the obvious.

2) I was taught various exercises by an Osteopathy Centre who practises Osteopathy, one of those excesses which I will call The Table Method which best describes it albeit not the proper name (Basically the just of it is treat your butt like a table when you sitting) helped me a lot as I didn’t realize I was not. I will talk later about exercises, but keeping your butt stretched out at all times whenever you sit even if painful, over time strengthen muscles and reduced the pain.

3. A medication that lowers your blood pressure. Hear me out, the way this is supposed to work is it causes your blood pressure to heal in other places. As a not the ointments prescribed but your doctors do exactly the same thing but in the form of a lotion or paste. If your doctor did prescribe something to you, he/she likely told you that you would experience headaches basically because it is lowering your blood pressure.

The tablets I took did the same thing but you swallow them, a heck of a lot nicer to apply. The medication I am talking about is Diltiazem 180MG. Speak to your doctor about it and discuss whether it is right for you. I know you going to be hesitant to try take this, but this basically got rid of the pain. It was prescribed by an experienced pain doctor at one of the largest hospitals in the area and here is a reference on



The two other creams that I tried, but didn’t actually work for me, but may you. Chances are you already have been prescribed one or the other


Here some products you may want to consider trying, some may work, some may not. Personally, I have tried the Honey and Coconut Oil. It’s going to vary from person to person and may work for you before you rule it out.

Product Description Go to Site
Carex Sitz Bath

Carex Sitz Bath

  • Ideal for use in hemorrhoid treatment, episiotomy recovery and other conditions in the anal and genital areas
  • Features a  convenient on/off flow control clip
  • Fits all standard toilets
  • Not for use in autoclave
  • Round Medical Seat Cushion

    Round Medical Seat Cushion

    Joykit Inflatable Vinyl Ring Round Seat Cushion Medical Hemorrhoid Pillow Donut
    Hemorrhoid Fissure Ointment

    Hemorrhoid Fissure Ointment

    Doctor Butler's Hemorrhoid & Fissure Ointment...FDA Approved Relief & Healing Formula (also contains Organic Herbs, Minerals and Amino Acids)
    100% Raw Manuka Honey

    100% Raw Manuka Honey

    Wedderspoon 100% Raw Manuka Honey - KFactor 16 - 8.8 oz
    Viva Coconut Oil

    Viva Coconut Oil

    Viva Naturals Organic Extra Virgin Coconut Oil, 16 Ounce
    H-Fissures Formula

    H-Fissures Formula

    The homeopathic ingredients in H-Fissures Formula have been carefully selected to counteract the uncomfortable symptoms of fissures. For example Chamomilla assists with painful fissures and Calendula officinalis is a remarkable healing agent.* H-Fissures Formula contains anti-inflammatory and antibacterial constituents. When used as directed, it will help reduce swelling associated with anal fissures. In addition, the analgesic component in the formula helps to alleviate the extreme pain that often accompanies anal fissures so that you can once again have a bowel movement without any discomfort or fear of pain

    Water, Water, Water …


    It’s incredibly important to drink lots of fluids. I know it is very difficult consuming water (at least for me), so if you can’t consume water, consume a liquid that you do like such as Fruit Juice even if it is unhealthy for now. Try to consume more health conscience liquids if you can, but bottom line, consume as much liquid in a day as possible, this can be Water, Soup, Juice, Smoothies, avoid things like alcohol as it dehydrates your body or takes in moderation just like anything else.


    Water Infographic


    Stool Softeners and Liquid Intake

    *This is important to understand & read*

    Let’s talk about stool softeners and if they are harmful to you long term. The risk of problems from long-term use of stool softeners such as docusate sodium (Colace, Regulax SS, other brands) really isn’t the issue. The question is whether they do much good. Studies have cast doubt on the effectiveness of preparations taken expressly for stool softening. Besides, there are plenty of other ways to accomplish the same thing. The difference between a hard stool and a soft one is its water content.

    I personally felt stool softeners did not work well at all, when I initially took them, they worked for the first little while and then stopped work. They expensive and personally I think not healthy to take long time. It also does not help your chronic anal fissure recover if you constantly taking stool softeners, avoid. But if you need to take them, then use some initially and then stop.

    Increasing your fiber intake can help soften stool because fiber pulls water into the intestine. Many of us get only a small fraction of the 20 to 35 grams of fiber we’re supposed to eat each day. Fruit, vegetables, and whole grains are good sources. Fiber can produce abdominal cramps, bloating, and flatulence, so it’s best to increase your intake nice and gradually.

    You body will get climatized to stool softeners and they really aren’t effective for longer than a week or so. This is the important part and took me a very LONG time to realize this. The secret to soft stool is drinking lots and lots of liquids, this can be water or this can just be liquids that you enjoy. I found it difficult to drink 8 glasses of water a day. I tried various things to try remind me to drink water. I put a water bottle on the desk and even though it was in front of me, I still didn’t feel like drinking it. It really doesn’t matter what liquids you drink, just drink liquids.

    Water Lightbulb


    Some examples of liquids are

    • Milk with your cereal
    • Water (keep it to half a glass, you don’t have to force yourself to drink a whole glass, this will make it easier, but do try drink at least 3 glasses or a more a day if possible but break it up in smaller doses)
    • Fruit Juice
    • Healthy Fruit Smoothies
    • Tea (Herbal / Caffeine free is best)
    • Coffee (try avoid too much coffee as it has caffeine and is supposedly not good for chronic anal fissures). 1 – 2 Cups a day in moderation should be fine. 

    All of these will ultimately help your stool soften. Bear in mind it takes while to become climatized to liquids, but stick with it, try drink as much liquid as you possibly can. This is what I typically do, but try drink more if you can, at minimum you should be drinking in the Morning, Noon and Dinner.

    My liquid schedule and this made things a lot better for me

    • Wake up in the morning before breakfast (Drink half a glass of water). I leave a glass on the kitchen counter to remind me to drink water when I see the glass.
    • Eat Cereal (Filled with half a glass of milk or more)
    • Lunch I have a glass of Happy Planet Smoothie (find something you enjoy drinking even if it is not water)
    • Drink half a glass of water in the afternoonHappy Planet Green Smoothie
    • Dinner I have a glass of the Happy Planet Smoothie or Soup
    • After dinner, I have a cup of Tea before bedtime
    • After I wash my teeth, I have another half a glass of water and just before bed, I may have some more water.


    I found if I broke up the routine of forcing myself to drink liquids it was easier to consume. The main point here is to make sure you drink LOTS and LOTS of liquids and I promise you, if you do and keep it consistent, it will keep your stool soft and things will run smoothly and become easier over time.

    Anal Fissure Presentation


    Are You Exercising? It Can Help You ‘Go’

    We’ve covered the importance of nourishing a healthy gut environment with beneficial bacteria, fermented foods, and sugar avoidance, while eating plenty of fiber-rich vegetables. This is a large part of the picture, but it’s not the whole thing. Exercise is also important for regularity, in part because your abdominal and intestinal muscles work together to help move your bowels. If these muscles are weak, you’ll have a harder time with bowel movements. In addition, movement helps stimulate circulation and intestinal function, causing your bowels to move properly.


    I know you are probably saying to yourself, “Exercise?  Does he know just how much pain I am in?” Or something along those lines.  I have to tell you though, it was probably the lack of exercise that caused my own health problems in the first place.Walking Exercise

    What I have learned is that it is never to late to start exercising and it really does benefit your overall health, both physically and mentally.  Now, since you have an chronic anal fissure your options when it comes to exercising are somewhat limited, but there are still plenty of exercises you can do that will aid your body in the healing process.

    Exercise promotes better cardiovascular health, which helps your heart pump more blood to your bodily organs.  This is so important as your anus is one area of your body that does not get as much blood flow as other areas.

    The reason doctors prescribe Nitroglycerin is because it helps draw blood to your anus when applied, which in return is supposed to help your body heal faster.  I can tell you from my experience using Nitroglycerin ointment that it did ABSOLUTELY NOTHING but give me a headache each time I used it!

    It is important to note that not all forms of exercise are advisable while having an Chronic Anal Fissure.  Here is a list of some recommended exercises and those that you want to avoid.  As with any form of exercise, it is always important for you to check with your doctor before starting any exercise program, especially under these circumstances.

    Good exercises for you while healing from your chronic anal fissure:

    • Walking
    • Yoga
    • Kayaking/Canoeing
    • Stretching
    • Doing some light housework or gardening

    Exercises to avoid while healing from your chronic anal fissure:

    • Biking
    • Heavy weight lifting
    • Contact sports or ones that require a lot of running
    • Any form of exercise that will cause you to strain in performing the exercise


    Table Mountain, Cape Town, South Africa

    The Table Method (important)

    One thing that help me a lot, when I would sit for long periods of time, I would feel my butt feel like there is a lot of pressure on it and cause additional pain. Probably because you suffocating all the blood vessels. Try not let your buttocks tighten up whenever you sitting pull your checks apart. Initially this is going to be painful, but you need to treat your butt like a plateau or table. It MUST be flat and spread out, over time if you continue doing this, it will strength your muscles, the idea is to get your buttocks back to normal.

    Body Sitting Down Green Arrows pointing outwards

    Pull your butt cheeks apart in the opposite direction from your body. Left cheek to the left and right cheek to the right. Keep them stretched the entire time while you sitting.

    How to do this ? Wear lose clothing when at home, this method doesn’t work well with jeans, but I have done it with jeans either by shifting around or reaching in with my hands and pulling my left cheek to the left and my right cheek to the right. Do this every time you sit down, you will feel it stretching, and just think about keeping your butt flat like a table, sit up straight. If you in a little bit of agony, you doing it right. Keep it stretched. If you in public and can’t put your hands in your pants, then just shift you butt on the chair and use your butt to pull your cheeks apart, this works with jeans.

    Round Medical Seat Cushion Also consider getting additional pillows or a ring cushion to sit on when you are sitting if you still in pain, this will also help. I personally sit on a pillow even today and it does make a huge difference. Avoid sitting on a hard chair if possible and always sit on something soft when you are at home. Even though my couch is relatively soft, I still find it hard to sit on for long periods of time. If you have a nice soft couch or chair, you may not need it, but if not either use a regular pillow or a ring cushion to avoid too much pressure.

    Squishy Stress Reliever Ball The other thing you can do is place two softballs just under your buttocks where your legs join your butt to elevate them a bit to relieve some pressure while sitting.


    Squatting Can Help if You’re Constipated

    The last thing most people think about when using the bathroom is position, but this can significantly impact the ease with which you eliminate and even increase your risk of bowel and pelvic problems, including constipation, hemorrhoids, and more. Most of you reading this probably sit to evacuate your bowel, but this requires you to apply additional force (straining), which has some unwanted biological effects, including a temporary disruption in cardiac flow.

    Sitting on a modern toilet is designed to place your knees at a 90-degree angle to your abdomen. However, the time-honored natural squat position (which is still used by the majority of the world’s population) places your knees much closer to your torso, and this position actually changes the spatial relationships of your intestinal organs and musculature, optimizing the forces involved in defecation.

    Squatting straightens your rectum, relaxes your puborectalis muscle, and allows for complete emptying of your cecum and appendix without straining, which prevents fecal stagnation and the accumulation of toxins in your intestinal tract. It is instructive that non-westernized societies, in which people squat, do not have the high prevalence of bowel disease seen in developed nations; in some cultures with traditional lifestyles, these diseases are uncommon or almost unknown.

    If you have trouble with bowel movements, especially constipation, I urge you to give the squat position a try. Squatting does involve strength and flexibility that adults tend to lose over time (but children have naturally). Special toilets and stools that get your body into a more “squatty” position can help you get closer to the ideal even if you’ve been sitting for decades.

    Food Allergies


    Another interesting perspective is that chronic anal fissures are related to food allergies. Here is some information I got from my doctor which I will share with you. If nothing is working and you want to try cutting back, another suggestion is to do the following. You should do this consistently for 12 weeks for it to be effective.


    Anal Skin Care

    The following instructions will help reduce or eliminate anal pain, soreness and itching. These instructions are directly from my Proctologist. If you use them, it will only work if you follow them exactly without any short cuts for 12 weeks.


    1. Take 1/2 teaspoon (only) per day of Metamucil or a similar product to start for one week and then increase to 1 teaspoon  per day. Metamucil is available without prescription at most pharmacies. Try to drink some extra water daily
    2. Eliminate the following items from your diet for at least 12 weeks
      • Coffee (including decaffeinated)
      • (you may have to taper gradually) in order to avoid headaches if you a heavy coffee drinker)
      • Tea (decaffeinated teas are permitted, avoid “mint” teas and green teas)
      • Chocolate 
      • Cola Beverages (Coke/Pepsi)
      • Alcohol – Of any kind
      • Citrus fruits and juices, especially grapefruits. Oranges, lemons, limes are not quite as bad
      • Avoid Grapes and grape juice. Do not take prune juice.
      • Apple and cranberry are ok
      • Chronic anal fissures and irritation are more common in summer as patients consume large amounts of seasonal fruits / berries / cherries etc. Please limit these items.
      • Milk, ice cream, yogurt. Cheeses seem less of a problem
      • Vitamin C tablets
    3. Do not use soap or a washcloth to clean the anal skin
    4. When wiping the anus after a bowel movement be extremely gentle.  No vigorous wiping
    5. keep tissue paper (Kleenex) in between the buttocks up against the anus and change it every few hours to keep the anal skin dry
    6. Avoid hot baths and showers. Take a lukewarm (5 minutes only) bath or shower daily.
    7. Wear 100% cotton underwear. Do not wear tight-fitting clothing


    Your symptoms will not resolve overnight. Be Patient. Two to three months may be required before symptoms resolve.




    Sphincterotomy (Surgery)

    This should be done as a last resort and all other alternatives should be tried. This is a painful procedure and not done without considerable thought. You will be in pain for a few days after the surgery.


    A Chronic Anal Fissure is a tear in the skin of the anus, usually caused when a large, hard stool overstretches the anal opening and damages the fragile skin. It is often associated with constipation, and less frequently, with chronic diarrhea, inflammatory bowel disease or sexually transmitted diseases (STDs) that involve the anus and rectum. Sometimes, the cause is unknown.

    Anal fissures can be acute or chronic. An acute fissure is a superficial tear and a short-term condition. A chronic anal fissure is deeper and may expose underlying muscle. When lifestyle and diet changes and medication fail, and the condition becomes chronic, surgery is recommended. A lateral internal sphincterotomy is a surgical procedure most commonly used to repair a fissure.

    Sphincterotomy Surgical Procedure

    A lateral internal sphincterotomy involves stretching or cutting the internal sphincter, the muscle that restricts and relaxes when stool passes from the body. Cutting the muscle prevents spasm and temporarily weakens the muscles, and this in turn helps the area to heal. The surgeon removes the chronic anal fissure and any underlying scar tissue.
    The surgery can be performed under local anesthesia, which involves injecting the immediate area with a numbing agent similar to that used at the dentist’s office, or spinal anesthesia, which numbs the entire lower body. In some cases, general anesthesia may be used, which renders the patient unconscious. The choice of anesthesia depends on patient and physician preference, the patient’s health, and the standard practice of the particular facility.Anal Fissure Header

    The patient is positioned on the table so that the anus and rectal area are exposed. This can be done face down, with the buttocks slightly elevated, or supine (on the back) with the legs held up in stirrups. After anesthesia is administered, the area is cleaned with an antiseptic solution.

    The operation takes about 20 to 30 minutes. The wound is then sutured closed, usually with stitches that dissolve in time. Most patients can go home the same day.

    Sphincterotomy Postoperative Complications

    The risk of complications from this procedure is very low, but they do develop occasionally. Most common are:

    • Excessive bleeding
    • Fecal incontinence, which is the loss of the ability to control bowel movements
    • Inability to urinate
    • Infection
    • Problems resulting from anesthesia
    • Risk of abscess or fistula

    Infographic Remedies for Colon Cleansing


    How to take a Sitz Bath?

    A sitz bath is one in which you sit in warm water to ease pain or swelling to the anus or vaginal opening. Your doctor might recommend a sitz bath to you if you’re suffering from hemorrhoids or chronic anal fissure, or if you’ve recently given vaginal birth that resulted in tissue damage. Regardless of which area needs treatment, drawing a sitz bath is an effective and soothing way to soothe the injury. Although there are specialized tools that you can use, you can just use your regular old bathtub. This article will tell you how to draw a sitz bath either way Carex Sitz Bath

    They are part and parcel of good health care. If taken regularly, circulation is stimulated, which in turn will benefit the abdominal organs and health in general.

    Sitz baths increase the blood circulation and eliminate congestions, stagnations, irritations and any initial stages of inflammation of the ovaries. Take them for hemorrhoids, urinary tract complaints, vaginal thrush, fibroids, pelvic congestion, painful menstruation and infection in the genital area. Regular sitz baths will have a great influence on your mental and emotional disposition and attitude. Medpro Sitz Bath

    A herbal sitz bath may speed up your body’s natural healing process. A sitz bath is a small tub that fits over your toilet and allows you to sit in warm water up to your hips. You can buy a sitz bath at your local medical supply store or from here. Fill the sitz bath three-fourths of the way with warm water. Add the ingredients listed below and soak for 20 minutes. If you choose to use your bathtub instead of a sitz bath, you can double or triple the recipe. Herbal baths can help you relax, speed up healing and help with hemorrhoids.

    Here are the ingredients you will need for your herbal sitz bath:

    • 1/2 cup Epsom salt
    • 2 tablespoons baking soda
    • 2 tablespoons witch hazel
    • 1 tablespoon olive oil
    • 8 drops lavender essential oil
    • 8 drops chamomile essential oil


    Check this site for additional Sitz Bath Recipe’s.

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