Anal fissure

2025-10-18 16:15:52
Continuous pain while sitting and passing stool. Subsides with enzoflam tablet after 1.5hrs. causing burning sensation with crema gel ointment and sucral ano ointment as well as escot ointment. Mild pain releive with sitz bath and heating pad compress. Taking cremaffin plus and duphalac for constipation. Continuing treatment for 3 weeks but no improvement. Used softovac for some time but bulky stool causes more pain. Started sitcom forte tablet since 3 days.
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Fissure is present at 7 o' clock Position,better go for surgical intervention after trial of Conservative management Consult General surgeon
Next Steps
Consult General surgeon for lateral anal spinterotomy
Health Tips
As of now continue conservative management with Sitz bath, Cremaffin syrup 15ml HS,OINT SMOOTH ATAROUND ANAL OPENING, More fluids

Answered2025-11-02 16:15:06

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Continue the treatment for fissure. Dietary changes - high fibre with 4-5 L liquids/day and avoid oily/spicy foods. Consult surgeon for surgical intervention - Chronic fissure.
Next Steps
Consult surgeon for surgical treatment.
Health Tips
Chronic fissure needs surgery.

Answered2025-10-19 22:12:34

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