Anal Stricture / Anorectal Stricture / Anal Stenosis / Anal Contracture

Homeopathic treatment

The goal of homeopathic treatment is to alleviate the underlying cause. For example, if inflammation is the cause of stricture, correction of the underlying inflammatory process is necessary. If laxative abuse is the cause, this habit must be corrected to prevent recurrence.

Surgical removal of scar tissue is usually the most effective treatment in conventional system. Digital or instrumental dilatation may be beneficial; however, it may cause additional tears and splits of the anal mucosa. The mainstay of surgery is to produce cuts in the muscles surrounding the anus to reduce anal spasms. The same goal can be achieved with homeopathy without using knife.

Homeopathic medicines are basically aimed at softening the stricture. They facilitate healing, improve blood circulation to the affected parts, relieve the anal spasm, alleviate pain, prevent infection, relieve constipation and treat all the symptoms related to anal stricture in totality. This goes a long way to prevent recurrence of the condition.

It is always better to take homeopathic treatment and remedies for problems like anal fissure, hemorrhoids, and fistula, because these are the conditions for which patients go for surgery and do not realize the bad effect of surgery. In most cases surgery is the ultimate cause for stricture of rectum or anal stenosis or contracture.

Anal stricture is an uncommon but well recognized complication following hemorrhoidectomy. Twenty-seven (3.8%) out of 704 (500 elective and 204 emergency) cases of hemorrhoidectomy performed at the Singapore General Hospital over a 24 month period had clinical evidence of anal stricture post hemorrhoidectomy.

Ninety percent of anal stenosis cases are caused by hemorrhoidectomy. Removal of large areas of anoderm and hemorrhoidal rectal mucosa, without sparing of adequate muco-cutaneous bridges, leads to scarring and a progressive chronic stricture.

Usually this problem recurs following allopathic treatment. But in homeopathic therapy chances of recurrence are rare. The treatment is based upon individual study and evaluation of the each particular case of anal stricture or anorectal stenosis.

Homeopathic medicines help in:

  • reducing pain and discomfort during stool.
  • regulating bowel movement.
  • alleviating constipation.

There are 119 remedies which give great relief in anal stricture / anorectal stricture or stenosis / anal contracture. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the physician. The treatment is decided after thorough case taking of the patient. Thus remedies are designer made unlike allopathy in which all patients receive the same surgery or drugs although trade name may be different.

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*DISCLAIMER: There is no guarantee of specific results and the results can vary. None of the remedies mentioned including services, mentioned at, should be used without clearance from your physician or healthcare provider. We do not claim to cure any disease which is considered 'incurable' on the basis of scientific facts by modern medicine. We assure you of the best possible efforts for those who apply for online treatment. However, please note that we do not claim to cure each and every case, nor do we guarantee any magical cure. The website’s content is not a substitute for direct, personal, professional medical care and diagnosis.

What is anal stricture

Anal stenosis or anorectal stricture is an uncommon disabling condition. It is a narrowing of the anal canal. This narrowing may result from a true anatomic stricture or a muscular and functional stenosis. This narrowing comprises of a tight band of scar tissue that constricts the anal opening, interfering with the ability to pass stool comfortably.

Anal strictures or contracture can be caused by radiation treatment for cancers located near the anal area, some sexually transmitted diseases, and direct trauma to the anus or sometimes surgery to remove hemorrhoids.


  • Discomfort or pain during bowel movements.
  • Difficulty in passing stool because the anal opening feels too tight or too small.
  • The patient typically reports a history of anorectal surgery, radiation to the pelvic area, or laxative abuse.
  • He may describe excessive straining to have a bowel movement and a feeling of incomplete bowel evacuation.
  • Other clinical features are pain, bleeding, and pruritus.


  • Sepsis, ischemia (lack of blood supply) from occlusion of lower mesenteric artery or upper rectal artery
  • AIDS
  • Venereal lymphogranuloma
  • Gonorrhea
  • Amoebiasis
  • Anorectal congenital disease may lead to anal stenosis
  • Rectal trauma
  • Chronic abuse of ergotamine tartrate for the treatment of migraine headache attack may sometimes lead to anorectal stricture.
  • Radiation causes : Radiotherapy treatment for pelvic tumors like uterine carcinoma, prostatic carcinoma promotes anal stenosis formation
  • Surgical procedure complication like hemorrhoidectomy
  • Infectious disorders like lymphogranuloma venereum
  • Anal fistula
  • Neoplastic disorders like anal carcinoma
  • Autoimmune disorder
  • Inflammatory bowel disease
  • Tuberculosis
  • Damage or degeneration of nerves


Diagnosis of anal stricture or anorectal stenosis or contracture is straightforward. The patient usually reports difficult or painful bowel movements. The patient may also have rectal bleeding and narrow stools.

The fear of fecal impaction or pain usually causes the patient to rely on daily laxatives or enemas.

Suspicion of anal stenosis is heightened by a history of hemorrhoidectomy, Crohns’ disease, or excessive laxative use.

Physical examination confirms the diagnosis. Visual examination of the anal canal and perianal skin, along with a digital rectal examination, is usually sufficed to establish the presence of anal stenosis. Occasionally the patient is too anxious or the anal canal too painful to allow an adequate examination. In this situation, anesthesia is needed to perform a proper examination of the anal canal. Visual inspection and digital examination are used to confirm the diagnosis.

No specific diagnostic tests are performed for this disorder. Inspection reveals narrowing of the anal canal; digital examination discloses anal tenderness and tightness.


Diabetes, alcohol, anticonvulsant drugs for epilepsy and liver disease can all increase the risk of developing anal stricture or anorectal stenosis. Avoiding excessive intakes of alcohol may help to reduce the risk of developing it in susceptible individuals.

It is always better to take homoeopathic treatment for problems like anal fissure, haemorroids, and fistula, because these are the conditions for which patients go for surgery and do not realize the bad effect of surgery. Surgery is the ultimate cause for stricture in the rectum.

Anal stricture is an uncommon but well recognized complication following hemorrhoidectomy. Twenty-seven (3.8%) out of 704 (500 elective and 204 emergency) cases of hemorrhoidectomy performed at the Singapore General Hospital over a 24 month period had clinical evidence of anal stricture post hemorrhoidectomy.


Dr. Rohit Jain

He is a consultant homeopathy doctor with more than 18 years of clinical experience.


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Could you email me the detail of the medication. I have this problem due to radiation. Thanks.

Apr 7, 2018 8:09 pm Reply

Need results

Collin Dominguez
Mar 10, 2018 1:01 am Reply

Dear Dr Rohit Jain, My wife is having Crohn's disease and recently found in MRI a 2cm Small Intestine Stricture. If you don't mind could you please suggest Homeopathic Treatment. We live in Australia but Indian origin. We would like have treatment option and cost please

Ve Lakkoju
Mar 9, 2018 7:27 pm Reply

I have developed anal stenosis after using laxatives continuously for three years. I do not want surgery. Is it possible to treat stenosis complete with homeopathic medicine?

Feb 20, 2018 9:05 pm Reply

I had 4th degree tears from childbirth. I was given stitches, they became infected and burst. I lived with it since 1979. In 2011 I had an operation. they made a sling . It was supposed to help. I got anal stricture as a result. The same Dr did a house flap . It worked for about 6 weeks. I use dialators every day. I am a slave to the bathroom. the dr. who did the operation is of no help. He will not do another house flap because he is afraid of more scar tissue. I am in agony from this condition. I dont have a normal life

Janice Kobis
Feb 20, 2018 9:17 am Reply

Sir, i have been suffering from burning, itching and pain after stool. Insufficient evacuation and straining. I tried some home, Ayurveda and Allopathy doctors but they could not cure. I am of opinion that I am suffering from Anal stenosis as stool coming in small size. Pl suggest good home medicines. Regards.

Jan 31, 2018 12:19 am Reply

After hemorrhoid surgery I have anal stricture and I am gone from 4 surgery but reoccurs Is there permanent solution or not??

Dec 9, 2017 11:59 am Reply

Doc I ha fissurectomy and sphincterectomy operation in 2012.but still there is scar tissue from my spinter operation is causing me day long pain.specially when I sit.I am very tired of it.please advise .

Adil Randeria
Oct 17, 2017 10:35 am Reply

Sir,during the treatment of severe constipation to my father aged 76 years,the Doctor has diagnosed "Severe Stenosis In Anal Canal". Sir can you suggest effective treatment in Homeopathy , please? . If yes,then what I have to do ?

Rajesh Yadav
Aug 7, 2017 12:52 am Reply

Hi I suffer from chronic constipation every single day of my life. The problem is I never ever get the urge to go so everything builds up and I get bloated, uncomfortable almost to the point I look 6 months pregnant. I have to use glycerine supposotries twice a day and even then I get hardly any result. My stool are narrow and small and never feel emo. So then I have to take 2 x ducolax and even after taking them everything is just sitting on my stomach and refusing to move. I am at the end of my tether as what to do and is ruining my quality of life. The ducolax just results in diarrhoea and makes me uncomfortable and cramps as usually I need a whole morning on and off the loo which is difficult when I have to work full time. I am vegetarian and have a healthy diet. I drink plenty of water and otherwise fit and healthy. Please help my dibilitating condition!

Jun 7, 2017 3:59 pm Reply

Violent vomiting episode led to anal fissure (got infected) and septic shock. Now dealing with anal stenosis and want to avoid surgery. Need homeopathic treatment options. Thank you.

Bruce Pettit
Jan 10, 2017 4:35 am Reply

4 times got operated for piles & fistula , with tht i developed anal stricture n such a way tht i can't clear my bowel n single sitting , sometimes I need to go for 15 to 20 times to clear my bowel, or else i don't feel hungry n afternoon & by evening will get temperature with head ache, gases will reach my head & feel dizzy, feel like committing suicide with this recurring everyday trouble, can u pls help out to get over my problem..!

A.Madhusudhan Reddy
Nov 1, 2016 8:37 pm Reply

Sometimes I feel the anus tightening and the stools are narrow. There is also bleeding & a feeling of incomplete bowel evacuation. There is also itching

Oct 28, 2016 3:06 pm Reply

Hello, I had Ca, cervix stage 1b discovered in 2014 september, total hysterectomy done in october followed by 25 sessions of radiotherapy and 2 sessions that ended in january 2015. had abdominal pains and obstructed in small intestines..two surgeries done in august 2015. then started having pains and bleeding while passing stools, did colonoscopy, mri, pet ct...radiation proctitis and cystitis concluded and pet was clear of cancer, showed post radiation effects..given medication in december 2015. but april 2016, pains still continued and i developed a RVF and a colostomy was done..anal pain cleared. july 2016 did EUA to check and doctor said rectal stenosis and RVF. Recently this month, i did pet scan and it was clear of disease, cystoscopy and RVF and Stenosis. Am desperate, can your treatment help? Betty, Kenya

Betty Rotich
Sep 27, 2016 11:00 am Reply