Anal Fissure is a tear, ulcer or cut in the lower part of anal canal with severe pain while defecation. Anal fissure is called as ‘Parikartika’ in Ayurveda. The earliest refrence of parikartika is available from Sushruta Samhita.

Fissure-in-Ano is very commonly encountered in current day to day practice. Though now a days, Parikartika (Anal Fissure) is considered a separate disease. But in the history, it was mentioned as a complication of some other diseases or some ayurvedic procedures like Basti or enema.

Types of Anal Fissure

1. Acute anal fissure :- it presents with severe pain during and after defecation, constipation and drop by drop bleeding per anus.
2. Chronic anal fissure :- it is less painful than acute and presents with sentinal tag (pile mass) at anal verge and hypertrophied papilla inside the anal canal at the base of fissure.

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