Abstract

PARIKARTIKA: FISSURE IN ANO

Dr. Kumar Ravindra*

Abstract

Anal fissures (Parikartika) usually occur in the mid-line as a result of the local anatomy and mechanics of the anus. About 90% of fissures occur posteriorly and less than 1% of patients having fissures in both positions.[1] Anal fissures may be acute or chronic. An acute anal fissure is a deep tear in the epithelium of the anal margin extending into the anal canal. There is accompanying spasm of the anal sphincter, but little inflammatory induration or oedema. A chronic anal fissure is an elongated ulcer with inflamed, indurated margins; often with a tag of oedematous skin inferiorly - a sentinel pile. Pain increases during defecation and persist 2-3 hour after defecation. It is sharp, agonizing, tearing in character. Minor fresh bleeding and a slight discharge may also be present. Periods of remission for days or weeks may occur.Infection, abscess formation and blind external fistula in post anal space are the complication of anal fissure.

Keywords: Parikartika, Jatyadi ghrita, Kutaj, Isabgol.