Among anorectal diseases, Parikarthika (Fissure in ano) is considered one of the most painful diseases. Now a days the incidence rate of this disease became more due to the irregular food habits as well as unproper modern life style changes. Due to this its recent occurrence in all types of age groups irrespective of gender. This case study described the effective management of acute fissure in ano which was managed with ayurvedic treatment modalities. A 33-year female patient came with symptoms of pain and burning during and after defecation and also having the presence of blood streak while passing of stool. The patient was diagnosed as acute fissure due to the presence of a cut longitudinal ulcer in lower part of anal canal at the 12 o’clock position. Ayurvedic treatment approach both internally and externally were followed. Yahtimadhu taila matra basti and Jatyadi Ghritham application followed by a lukewarm water sitz bath was advised as external treatment. The complete improvement was found in this within 7 days of treatment. No reoccurrence was noted even after 3rd month of follow up.
2Dr. Srinivas Turlapati 1*Dr. Prerana Santosh Bandekar (2026) studied this question.