*If u do not have severe stenosis with incomplete evacuation of stools
*unable to insert dilators due to pain or stenosis
If above mentioned conditions are not present
“I would suggest continuing serial anal dilatation using gradually increasing sizes of dilators for the next four weeks, along with regular sitz baths and application of Loxheal cream.”
Next Steps
SITZ BATH
LOXHEAL CREAM
SERIAL ANAL DILATORS
REVIEW AFTER 4 WEEKS IF SYMPTOMS ARE MILD TO MODERATE
IF SEVERE I WOULD SUGGEST ANOPLASTY PROCEDURE AT EARLIEST