Use continue water aneama regular

Do sitz bath with triphala kwatha churna Do he is diabetic then it takes much long to cure do control his diabetec

You're on the right track. The monthly burning is likely due to incomplete mucosal healing and Vata sensitivity. Try switching to Triphala + ghee, use Jatyadi oil, and add Abhayarishta or Sukumara Ghrita internally. Long-term healing needs 3–6 months of consistent care even after relief. It's curable—no need for surgery. Please consult me for a customised plan to taper safely.

Use Chirabilwadi kashaya twice daily with 20ml of water before food and Triphala guggulu thrice daily with water after food. Along with that stress control meditation is required.

Fissure is recurrent in nature. Frequency of this can be diminished by ayurveda treatment and lifestyle change with dietry improvements Ksharsutra can be helpful

It's very easy to cure fissures and try to consult any ayurvedic surgeon near your house , tell him to use more cushion while sitting or driving , tell him to practice two finger anal dilation with his own , he can learn this from any ayurvedic consultant , keep proper hygiene with hot sitz bath regularly , he will feel better then before

Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine

Greetings !! First you need to understand that if one has a fissure in ano for more than a month it is considered a chronic fissure. What I have understood from ur history is that, he is suffering from fissure for a year now and it's recurring. This must be  because,  he must be having internal hemorrhoids along with fissure. If the patient is having a skin tag near his fissure bed then, only with the conservative treatment will not be helpful. I understand the patient is not ready to undergo surgery but if the piles is in 2nd grade or above and if the fissure is in chronic condition, then only medication won't be enough for a permanent cure.

Hi, unlike piles ,fissures are little time consuming to treat as there is breakage of anal tract and being an area of pressure point for defecation and sitting etc .if he can consult any qualified ayurvedic doctor for internal medicines there is a possibility of healing He is already 49 years hence laser therapy will also help in this case as he is suffering since a long time

You are just addressing the symptoms  and not finding the root cause. One cause could be liver dysfunction and dysbiosis . Which can only be analysed after multi parameter blood report analysis and medical symptoms analysis. To begin with Switch to HAIP DIET and consult for proper guidance. 

Thank you for the detailed history — it’s clear your husband has made serious efforts, and it’s understandable to feel frustrated when such persistent care still leads to flare-ups. Let’s break it down clearly and gently: **no, the condition is *not* incurable** — but in chronic fissures, especially those that have lasted more than 6 months, even after healing, **the area remains vulnerable**. What you’re seeing (burning/poking after stool once a month) is a **sign of incomplete mucosal resilience**, not necessarily recurrence of the full fissure. --- ### 🔍 Possible Reasons for Recurrence Despite Ongoing Care 1. **Local tissue weakness or fibrosis:** * Chronic fissures often lead to fibrosis (hard scar-like tissue), which doesn’t stretch well during defecation, especially at the posterior commissure. * Even with soft stools, slight overstretching can cause a micro-tear or irritation, resulting in the poking/burning sensation. 2. **Overdependence on laxatives:** * Lax powder (commonly Isabgol-based) and Ayurvedic tablets like Sunrroids (which are mild aperients and anti-inflammatory) **help symptomatically**, but prolonged use may **weaken natural defecation reflex**. * If even 1 day of stopping triggers discomfort, it suggests **bowel regularity is drug-dependent** — which isn’t ideal. 3. **Subtle diet/lifestyle triggers:** * Even with high fibre, **certain vegetables (like brinjal, cabbage, cauliflower, beans)** cause bloating, gas, and increase rectal pressure — not suitable for fissure-prone individuals. * Long gaps between meals, spicy food, irregular sleep, or travel stress may worsen Vata, which governs elimination and is key in fissure recurrence. --- ### 🪔 Ayurvedic Perspective Chronic fissures are primarily a **Vata + Pitta disorder** in the Guda marma area (anal region). Once Pitta/Vata aggravation occurs (due to constipation, dryness, travel stress, emotional anxiety, diet slips), the sensitive mucosa gets inflamed again. --- ### ✅ Suggestions for Stronger, More Lasting Relief Here’s how to build resilience instead of just managing symptoms: #### 1. 🌿 **Internal Healing for Tissue Strengthening** * **Use *****Rasayan** – 250 mg twice daily after food with ghee and warm water for 6–8 weeks. Heals mucosa and improves immunity of the region. * **Take *****Ghrita** – 1 tsp at bedtime with warm water or milk. Helps with natural bowel movement and softens stools without dependency. * ********** (if mild loose motions occur sometimes) – can help balance between softness and form in stools. #### 2. 🛁 **Local Treatment – Refined** * Continue **sitz bath**, but **add a pinch of turmeric and rock salt** to warm water — it improves healing and reduces inflammation. * Apply *****Taila** or ******oil** (better for long-term fibrosis management) post-bath and before sleep instead of Ropyathi if burning is persistent. #### 3. 🍽️ **Diet Adjustments** * Avoid: brinjal, cabbage, potato, fermented food, chillies, garlic, onion (nightshade veg and heat-producing items aggravate fissure). * Include: cooked bottle gourd, pumpkin, parwal, soaked raisins, ripe banana, soaked fig or prunes (for mild bowel stimulation naturally). * Avoid *over-fibrous bran foods* or excessive raw salads — they can irritate intestines and worsen fissure. #### 4. 🧘‍♂️ **Lifestyle Tips** * If travel is needed, use ***** capsules + *****Ghrita** combo — helps during routine change. * Avoid long sitting or straining; practice light walking post meals. * *******Arishta** or ********** 10 ml twice after meals can help reduce systemic Vata and inflammation (especially during flare-ups). --- ### 📌 When to Reconsider the Plan If: * The pain starts lasting more than 3–4 days per episode again, * Or bleeding recurs, * Or there's persistent skin tag swelling or sentinel pile… 👉 then **Ksharasutra** or **Guda-pichu with *****-bala taila or ****** Taila** under supervision may help **permanently heal the area**, especially if fibrosis is the issue. --- ### 🌿 Final Summary: Your husband is **not doing anything majorly wrong**, but: * May be over-reliant on laxatives, * Possibly eating veggies or foods that worsen Vata/Pitta, * And may benefit from **mucosal strengthening and natural motility** support over symptomatic relief. Let me know: * His exact laxative name, * His digestion (any bloating, gas?), * Any symptoms beyond fissure — then I can tailor more. 💚 Healing is possible — the right combination of patience + correct strengthening can avoid surgery in most chronic fissure cases. Advice- self medication is hazardous, always consult ayurvedic doctor before taking ayurvedic medicine. Consult me personally for details.

Consult with ayurvedic kharsutra expert.

It just means conservative isn't working now consult ayurveda ksharsutra expert

Consult for prescription and guidance

Only laxatives will not work. Proper medication which improves metabolism are necessary.  What is weight and bmi? Generally in overweight conditions due to santarpan this conditions get recurrent.

As an Ayurveda doctor, I recognize the challenge and emotional toll of managing a chronic fissure, especially when the symptoms persist despite committed therapy and lifestyle adjustments. Ayurvedic Perspective on Chronic Anal Fissure A fissure represents a break in the ano-rectal tissue, generally arising from repeated straining, hard stools, or chronic irritation. Ayurveda views it as a Parikartika, often resulting from aggravated Vata and Pitta doshas—leading to dryness, fissuring, burning, and frequent recurrence. Your husband’s regimen (pichu, laxatives, topical oils, sitz baths) is typical and effective for fissure management, but the lingering sensitivity and episodes suggest that deeper tissue healing and dosha pacification may still be incomplete. Key Points & Recommendations 1. Stool Softeners & Laxatives Long-Term Laxative Use: While they ensure soft stools (critical for fissure healing), overreliance can sometimes lead to sluggish natural bowel function. The need to continue daily and rapid recurrence on missing a dose suggests that his underlying digestive fire (Agni) and peristalsis require further balancing. 2. Diet Insights Very High Fibre Intake: While fiber is important, excessive fiber may cause increased stool bulk and frequent urge, sometimes irritating a healing fissure—especially if fiber is of the insoluble type (e.g., rough raw veggies, bran). Balance with soothing, cooked foods and avoid overdoing raw salads or cruciferous, gassy vegetables (cabbage, cauliflower, radish). Adequate Water: 2.5–3L is sufficient, but avoid overhydration, which may increase stool frequency without benefit. 3. Routine Disruption while Traveling Aggravation on Deviation: Ayurveda emphasizes rutucharya (seasonal adaptation) and dinacharya (daily routine). Bowel irregularity or stress during travel can increase Vata and hinder healing. Carrying oils (for topical use or pichu) and a mild laxative while traveling is advisable. 4. Burning/Poking Sensation After Passing Stool Persistent tenderness in the anal region may suggest microtrauma, new micro-fissuring, or incomplete mucosal healing. Possible issues: Overzealous cleaning or hard tissue/fiber scraping. Occasional formation of small hemorrhoids triggering these sensations. Mild infection or dryness post-defecation. Targeted Ayurvedic Interventions A. Continue: Sitz baths (preferably lukewarm, briefly, with a pinch of rock salt and Triphala or neem decoction). Ropyathi taila or prescribed oil—applied gently post-cleansing. Pichu: Occasional application if prescribed but balance with days of rest to prevent local irritation. Laxatives: If stools become too soft, reduce the dose very gradually—not abruptly. B. Adjustments to Try Shift to more cooked, gentle, and mucilaginous vegetables (e.g., bottle gourd, pumpkin, ridge gourd, well-cooked spinach), and moderate insoluble fiber. Include ghee in the diet (e.g., 1–2tsp daily) to lubricate the colon and aid healing. Triphala Churna at bedtime (with lukewarm water or ghee) can both soften stools and gently heal the gut lining. Avoid foods that aggravate Pitta (spicy, very sour, deep-fried). C. Rejuvenation After acute healing, focus on tissue rejuvenation (Rasayana): Yashtimadhu ghruta (licorice-infused ghee) or similar, if advised by an Ayurveda physician, for mucosal healing. Gentle internal oleation (>with a doctor’s advice) and seasonal Panchakarma (if feasible). D. Bowel Habits Never avoid the urge nor strain. Practice gentle cleansing—avoid hard or scented tissue. E. Mind-Body Aspects Stress greatly worsens Vata imbalance and fissure recurrence. Abhyanga (self-massage) with warm oil and deep breathing before bed can help. Is It Not Curable? How Long to Continue? Chronic fissures can take months—even a year or more—to fully heal and stabilize, especially if the tissue is sensitive. The fact that his acute symptoms (bleeding, clots) have resolved is positive, but some maintenance is often needed. Success lies in consistency and gradual retraining of the bowel and tissue. Complete cessation of laxatives should be attempted only when stools are reliably soft on their own, and after a slow, phased reduction. Surgical options (like lateral internal sphincterotomy) generally reserved for recurrent, non-healing fissures, severe pain, or ongoing bleeding despite optimal care. When Should We Worry? If symptoms change (persistent pain, pus, swelling, or blood), a recheck by a proctologist is needed to rule out infection or fistula. Where Might You Be Going Wrong? Possibly: Too much raw or insoluble fiber, over-cleansing, insufficient healthy fats, or abrupt changes in regimen. Maintaining a gentle, warm, easily digestible, and unctuous (slightly oily) diet, with slow reduction—not abrupt stopping—of soothing treatments, works best. Summary Your husband’s condition is not “incurable”—it simply requires patience, gentle and persistent support, and sometimes lifelong attention to bowel habits and diet. With periodic review, possible dose adjustment, and adaptation to travel, most people achieve long-term remission without surgery. Please consult your Ayurveda doctor before making significant changes, especially regarding medications or new therapies. Wishing you continued healing and comfort.

If your husband is having any constipation issues try to include more fibre content food in the diet because constipation can worsen the fissure, laxative alone cannot help in relieving constipation, try not to sit too long in a same place

Can help you, kindly consult and provide detailed history for proper diagnosis and further management.

Stop bike riding and consultant Ayurvedic Ksharsutra expert for proper diagnosis because chronic fissure is sometimes converted  to fistula or abscess

Tell me his diet plan What he eat Does your husband have constipation? How is his bowel moment