The incidence decreases rapidly with age, and fissures are uncommon by school age.It is thought that fissures may occur from excessive wiping, constipation with large hard stools,irritation from stool in the diaper, and from scratching caused by conditions such as pinworms.
Preventive measures are frequent diaper changes, wiping with soft materials or a moistened cloth or cotton ball, correction of any constipation problems, treatment of other contributing conditions such as pinworms or eczema.
Symptoms are pain while having a bowel movement, blood on the surface of stool (not mixed in with stool), blood on toilet tissue or wipes, a visible fissure when the anus is stretched slightly, the fissure is often in the midline, constipation often secondary to painful bowel movements
Treatment for fissure is stool softeners for constipation, more gentle cleansingpetroleum jelly, dietary adjustment (addition of bulk - substances that absorb water while in the intestinal tract).
In homoeopathy medicine like Nux vomica, graphitis, ratania are used for the treatment. The proper analysis of the case with the qualified homoeopathic physician will give the better results.