STUDY TO EVALUATE THE EFFECT OF AABZAN OF WARM WATER IN CASES OF INSHEQAQ MAQADHAAD (ACUTE ANAL FISSURE)

Insheqaq Maqadhaad (Acute Anal fissure) is an ulcer in the longitudinal axis of the lower anal canal. Clinical presentation of patients includes Common in middle aged w omen, not in elderly. Constipation, bleeding discharge and stools are hard pellet like and there is drop of blood or streaks of fresh blood. Chronic fissures are characterized by a hypertrophied anal papilla internally and a sentinel tag externally (both consequent upon attempts at healing and breakdown), between which lies the slightly indurated anal ulcer overlying the fibers of the internal sphincter. When chronic, patients may also complain of itching secondary to irritation from the sentinel tag, discharge from the ulcer or discharge from an associated intersphincteric fistula, which has arisen through infection penetrating via the fissure base. In Aabzan Therapy only hips are immersed in medicated water, level of water should not be above navel (umbilicus). This therapy is very common and is used to relieve pain and discomfort of lower and upper limbs. It is indicated in Anal fissure, hemorrhoids, rectal prolapsed, uterine prolapsed, oligomenorrhoea, hysteria, dysentery, diarrhoea, cystitis, uterine cramps, vaginitis, IBS and prostitis. Present study was conducted on 30 Lord's anal dilatation post operative patients of Insheqaq Maqadhaad (Acute Anal fissure) to evaluate the effect of Aabzan of warm water in cases of InsheqaqMaqadhaad(Acute Anal fissure). The significant reduction in various scores was found after the completion of the study.