1. due to push and straining during childbirth, increased pressure is put on the muscles,which sometimes causes the lining of anus to tear, resulting in fissure.
2. any pain/bleeding associated with fissure?
3. you haven't mentioned the duration, since how long has been this problem after post delivery?
4. has your general surgeon looked into the pathology, whether acute or chronic fissure??
5. any complaint of constipation, depression,hypothyroidism, physical inactivity??
6. high fiber diet ( fruits,legumes,vegetables,whole grains) and adequate fluid intake with regular sitz bath.
7. Don't suppress the natural urge, as it will only add up to the problem.
8. consult with your gynecologist for further evaluation and management.

Hello,

Welcome to HCM.

Anal Fissures are tears in the anal mucosa (lining of the anus), post repeated injury mostly caused due to hard and large stools. During delivery, perineal (area between the vagina and the anus) trauma may cause a tear that extends into the anus . The anal sphincters that are responsible for opening and closing of the anus may go into a spasm due to the tear and hence may causing the difficult stools thus causing pain. Hemorrhoids or piles are a frequent accompaniment to fissure and have similar causes.

Treatment measures must address stool consistency, improve anal mucosal lining other than relieving pain. It is important that the patient takes up dietary modifications to include fibrous fruits and vegetables.

Homeopathy offers remarkable relief and may clear up the disorder. Although, diet and a healthy lifestyle is a must to follow. It is advised that one follows up regularly, notify of the changes in symptoms, any new findings as in piles and thereby receive appropriate change of remedies. 2-3 months would give adequate relief.

Wish you good health!