Internal: Anal fissure

What is anal fissure?

Fig. 1. Anal fissure is a split in the anal wall as shown here.
Fig. 1. Anal fissure is a split in the anal wall as shown here.

What causes anal fissure?

There are various reasons why fissures develop, such as constipation, hard bowel motions, diarrhea, inflammation, reduced blood flow to the anal region, poor bowel habits and even ‘spicy’ foods such as peanuts. However, many fissure patients do not suffer constipation, and, some babies are born with a fissure.

More likely, the fissure occurs first and constipation follows. In other words, constipation is caused by anal fissure – not the other way round as is often thought. Possibly, one of the most important factors leading to fissure, is stress – physical, emotional etc. Many patients have been under stress when their symptoms began.

So, the aim should be to fix the fissure, not the constipation. Wheatgrass extract, as I have discovered, can accomplish this.

What are the symptoms of anal fissure?

  • Pain, which can be severe, during and after bowel movements
  • Bright red blood in the stool (blood on the toilet paper)
  • Constipation – due to pain caused by passing stool
  • Anal itchiness, burning
  • Difficulty in passing urine

Why is there so much pain?

The anal rim, where fissures occur is supplied by numerous highly senstive nerve endings. Even a tiny split can be very painful, particularly when anal muscles are stretched during a bowel motion.

Who gets anal fissure?

Fissure is very common, occurring in newborns, across the age spectrum to old age, and affecting both sexes equally. Pregnancy and childbirth can aggravate or initiate the condition.

Approximately 50-60% of anal fissures will heal spontaneously. However it can recur or become chronic (sometimes lasting for years) in the other 40-50%.

How is fissure diagnosed?

Symptoms of pain and rectal bleeding will require examination of the anal opening to see if a fissure is present. Usually, it is a small tear in the back side of the anus. (See Fig. 1.) Long-standing fissures have thickened edges which is called a “sentinel pile”. This can sometimes be mistaken for a painful hemorrhoid.

How is anal fissure treated?

There are many "treatments" available, but some can cause  side effects such as headaches. My method though, is to  smear a small amount of wheatgrass extract over the fissure with a cotton bud/Q-tip, just twice weekly – and persevere. This often relieves pain and assists healing of the fissure, when other treatments fail. Wheatgrass can also stop anal fissure bleeding.

Changing diet, drinking large amounts of water, stool softening etc., is unnecessary.

Why wheatgrass should be tried for fissure

Because of its remarkable healing and anti-inflammatory properties wheatgrass can significantly assist fissure recovery by stopping bleeding, easing pain and accelerating the healing process.

An example of how effectively wheatgrass can heal wounds is shown in the following pictures.

This skin graft had been treated using orthodox medical methods for six weeks. The wound is healing very slowly and looks unhealthy due to poor blood supply. (Fig. 1)

Fig. 1. Skin graft before wheatgrass
Fig. 1. Skin graft before wheatgrass

Wheatgrass extract was then applied to the wound. Just 2 days later, the graft is beginning to recover because blood supply to the wound has improved.

Fig. 2. Two days later. Note healthy appearance
Fig. 2. Two days later. Note healthy appearance
Fig. 3. Graft completely healed in 3 weeks.
Fig. 3. Graft completely healed in 3 weeks.

Seeing how rapidly this wound has healed, it would be not be unreasonable to expect accelerated healing of an anal fissure also. So, apply just a small amount, twice weekly and persevere.

Because the fissure itself is not a life-threatening condition, the aim should be to eliminate the pain, not heal the fissure, although both can occur.

Read more about anal fissure. (Wikipedia)

>> Anal fissure testimonials

>> Read more about wheatgrass for wound healing.

Dr. Chris Reynolds.

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