Anal fissure is caused when the thin tissue tears up, this tissue is known as mucosa. Basically, it heals itself within 4 weeks but if it extends, this can be considered chronic and should be diagnosed by a doctor. There are medical conditions like constipation, hard stools, inflammatory bowel disease can cause a small crack in the lining which will lead to bleeding during or after bowel movements which is accompanied by an intense pain. If you consume a proper anal fissure diet will relieve the pain and help the tear quickly and this will avoid the surgery. But if the anal fissure is getting out of hand then the only solution is going for anal fissure surgery.
The main element in your diet should be fibres. Eating foods rich in fibre can help to improve the constipation and will smoothen the bowel movements. Besides fibre, the diet should also include fluids because it can avoid the risk of fissure in the future. Fluids will help in keeping the stools soft which leads to the smooth passage, protecting the anal canal. Consuming 8-10 glasses of water and drinking fruit juices, vegetable soups, lentils soups can serve the purpose.
So, here is the diet chart for anal fissure
| Sunday | |
| Breakfast | 5 idli with ½ cup of sambhar, 1 tsp of coconut chutney, 1 glass milk |
| Mid-meal | 1 glass of apple juice |
| Lunch | 1.5 cup rice with fish curry, potato and carrot sabzi |
| Evening | 2 slices of white bread toast with 1 glass milk |
| Dinner | 1 cup of rice, ½ cup of cauliflower, 1 glass of buttermilk |
| Monday | |
| Breakfast | ½ cup of oats with 1 glass of milk |
| Mid-meal | 1 strawberry milkshake |
| Lunch | 1.5 cup rice, ½ sambhar, ½ cup methi sabzi, 1 glass of buttermilk |
| Evening | 1 cup of chivda, 1 cup of green tea |
| Dinner | 1 cup of rice, ½ cup of bhindi curry, with 1 glass of buttermilk |
| Tuesday | |
| Breakfast | 3 dosa, ½ cup of sambhar, 1 tsp methi chutney, 1 glass milk |
| Mid-meal | 20 green grapes |
| Lunch | 1.5 cup rice, aloo brinjal sabzi, ½ tomato dal with 1 glass of buttermilk |
| Evening | ½ cup of cornflakes with milk |
| Dinner | 1 cup of rice, lauki curry, with 1 glass of buttermilk |
| Wednesday | |
| Breakfast | 2 slices of toasted bread with jam, 1 glass of milk |
| Mid-meal | 1 glass of banana milkshake |
| Lunch | 1.5 cup rice, ½ cup rasam, ½ cup of arbi, 1 glass of buttermilk |
| Evening | 3-4 marie biscuits, 1 glass of milk |
| Dinner | 1 cup of rice, ½ palak curry, 1 glass of buttermilk |
| Thursday | |
| Breakfast | 1.5 cup of lemon rice, 2 tsp of tomato chutney, 1 glass milk |
| Mid-meal | 1 glass of musk melon juice |
| Lunch | 1.5 cup rice, 1 portion grilled fish, ½ cup capsicum curry |
| Evening | 2 slices of bread omlette |
| Dinner | 1 cup of rice, ½ cup of thori, 1 glass of buttermilk |
| Friday | |
| Breakfast | 2 aloo paratha with chutney, 1 glass of milk |
| Mid-meal | 1 glass of pomegranate juice |
| Lunch | 1.5 cup rice, ½ cup meethi buttermilk, ½ cup yellow cucumber sabji |
| Evening | 1 glass of avocado milk shake |
| Dinner | 1 cup of rice, ½ cup of raw banana, 1 glass of buttermilk |
| Saturday | |
| Breakfast | Egg sandwich with 4 white bread slices, 2 boiled eggs, 1 glass of milk |
| Mid-meal | 1 glass of watermelon juice |
| Lunch | 1.5 cup rice, ½ cup of skin out chicken, ½ cup of parmal sabji, 1 glass of buttermilk |
| Evening | 1 cup of murmura, 1 glass of milk |
| Dinner | 1 cup of rice, ½ cup of tinda sabji |
These are some food items which you should limit:
- Raw mango: Raw green mango can increase inflammation which can make your condition even worse. Reducing green raw mangoes from your diet will help to cure fissures easily
- Red chillies: The compounds which are present in red chilli react with the enzymes of the digestive system and it results in the production of a lot more stomach acid, which will increase the pain
- Garlic: Garlic is also known for increasing the temperature of the body. This will have bad effects on piles. When you have fissures, it’s good to stay from garlic
- Mixed pulses: Mixed dal, which contains grain like rajma dal, sabu dal or urad dal are bad for fissure. If you consume them, they will increase the pain.
author name: Dr. Nikhil Narain
author bio: Specialist in Laser Proctology(Piles, Fissure, Fistula) and 3D Laparoscopy
