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Fissure in ano  Causes
Most common cause of the fissure-in-ano is constipation. Chronic constipation due to any reason (such as habitual, drug induced, pregnancy, etc.) leads to recurring abrasion or forceful rubbing of the anal mucosa, which leads to a fissure. The current theory also suggests that sphincter spasm and accompanying ischaemia may precipitate the development of fissures and prevent them from healing in some people. The other less common causes can be
- Following bout of diarrhea or following passage of bulky stools very quickly (especially in children)
- Multiple pregnancies
- Chronic use of laxatives
- Rarely, a fissure may be the manifestation of underlying disease e.g. Crohn's disease, ulcerative colitis, sexually transmitted disease, or cancer.
- Incorrectly performed operation for piles
When choosing the homeopathic remedy for fissure, the causative factors are always evaluated, and homeopathic medicine encompassing this cause is chosen. Remedy chosen in such way not only heals the fissure, but also does not allow the problem to recur.
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