Avoid caffeine containing foods, excessive use of coffee, tea and chocolates aggravates the symptoms. Limit the intake of such foods to one serving per day. Restrict strong spices and oily food in the diet.
Also they are poor in fibers leading to higher pain issues esp. in perianal disorders. Chips, Wafers, Diary food products like chesse are also strictly not allowed for quicker treatment of fissure. Chocolate & Cocoa based foods intake should be curtailed and limited for better recovery from fissure problem.
Sugary Foods: Foods such as cakes and sweets contain a lot of sugar which can aggravate the condition further if consumed excessively or when already suffering from an anal fissure as they can cause irritation of the lining of the anus and thus worsen your condition.
Tone down your fast food consumption and reduce your intake of recipes made of all-purpose flour (maida) until your symptoms have lessened. Dairy products: Milk, cheese and other heavy cream products should be avoided while you are suffering from symptoms of anal fissure.
Too much pressure, tight anal sphincter muscles, and poor blood supply to your anus may lead to their development and poor healing. Anal fissures don't usually give way to more serious problems.
Eating a good amount of fibre prevents stools from becoming hard, leading to constipation, and soft and easy-to-pass stool will not irritate the fissure further. Top fibre-rich foods include split peas, beans, lentils, wheat bran flakes, high-fibre bran cereal, avocado, artichokes, and pumpkin seeds.
We conclude that a mixture of honey, olive oil, and beeswax is safe and clinically effective in the treatment of hemorrhoids and anal fissure, which paves the way for further randomized double blind studies.
It is advised to avoid food products with caffeine when having fistula as it can lead to dehydration and loss of water from the body. This includes food items such as tea, coffee, chocolates etc.
All types of fibrous foods are ideal for curing fissures. For example, peanuts are a good source of fibre and smoothen bowel movement. It, in turn, reduces the strain that causes fissures. They also contain zinc, which improves wound healing.
According to what has been said, egg yolk as a natural analgesic and anti-inflammatory agent can cure an acute anal fissure more efficiently than nitroglycerin ointment. Not only does it heal the anal fissures better but also it acts more rapidly.
Walking promotes overall good health. It lowers the chances of formation of hard stools and stimulates and promotes blood flow which is helpful if you have a fissure.
Sitting continuously for 5 or more hours a day seems to increase the risk of developing hemorrhoids and/or anal fissure.
“Hot, spicy foods, as well as caffeine, are irritating,” says Leff. “Excess caffeine is probably the major cause of anal itching.”
Once the tear happens, it leads to repeated injury. The exposed internal sphincter muscle beneath the tear goes into spasm. This causes severe pain. The spasm also pulls the edges of the fissure apart, making it difficult for your wound to heal.
Do fissures ever fully heal? Most acute anal fissures heal within a few weeks, similar to other minor wounds or cuts. Even 35% of chronic anal fissures heal, even temporarily. However, it is not uncommon for a fully healed fissure to recur after another injury or hard bowel movement.
Most anal fissures heal with home treatment after a few days or weeks. These are called short-term (acute) anal fissures. If you have an anal fissure that hasn't healed after 8 to 12 weeks, it is considered a long-term (chronic) fissure. A chronic fissure may need medical treatment.
Seeds & Nuts
Recovery from anal fissures could be adversely affected if you are not getting enough calories in your diet. Nuts and seeds are great sources of fiber and other nutrients. Sunflower seeds have 3.9 grams and almonds have 3.5 grams of fiber. Add chopped nuts or seeds to salads or cereals.
How do you know if a fissure is healing? You'll start to notice your symptoms improving as your fissure is healing. Your pain should lessen and if you had any bleeding, this should stop too. You should have a follow-up appointment with your doctor after six to eight weeks.
A strenuous workout may be the last thing on your mind while dealing with the pain of an anal fissure, but exercise can be a huge help in avoiding constipation by improving circulation. Try to get about 30 minutes of moderate physical activity every day, even if it's as simple as going for a walk around your block.
The management of anal fissures
Advise the patient to increase dietary fibre and fluid intake to keep bowel motions soft. The importance of correct anal hygiene and the need to keep the anal area dry should be emphasised. Regular sitz baths (sitting in warm water up to the hips) can help to relax the sphincter.
In addition, stress and psychological disturbances may have a role in the development of chronic anal fissures through causing sympathetic dysfunction manifesting as a tonic pressure rise in the pressure of the anal canal [8]. Stress may be implicated in the formation and development of chronic anal fissures.