Abstract

OPEN RANDOMIZED COMPARATIVE CLINICAL STUDY OF JATYADI TAIL AND DURVADYA TAIL IN PARIKARTIKA (FISSURE-IN-ANO)

Dr. Jitendra Pandey*, Dr. Mandar Dattatray Taru, Dr. Tejaswini Jagannath Haryan, Dr. Kumari Nidhi Shree Bibhuti

ABSTRACT

Fissure - in - ano is one of the most troubling and painful condition that affects majority of the population in the world. It is a linear tear in the squamous epithelial lining of anal canal distal to dentate line. It affects both men and women and are common in all age groups especially young people.[1] Usually, it is located in the posterior midline or anterior midline. It can extend from dentate line proximally to anal verge distally. The etiopathogenesis of fissure-in-ano is not well understood.[2] Internal anal sphincter hypertonia and local ischemia are the proposed pathology of anal fissures due to the association of these factors with painful fissures. Passage of hard stools, poor anal hygiene, intake of spicy food, and iatrogenic causes are the documented causes for fissure-in-ano.[3],[4] Due to improper dietary habits and faulty food preferences, lifestyle has been changed a lot. Everyone is running behind precooked food, packed food and dependency on bakery is increased now. Consumption of refined flour is also increased due to influence of western culture, resulting low fiber intake. Other concerning factors are reduced physical activities, white collar jobs, elevators everywhere, using vehicles even for small distances, prolong sitting leads to sedentary life style resulting constipation and irregular bowel habits.

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