Kindly consult for proper evaluation and treatment.

As per u r complains it seems to be chronic fissure in Ano High fibre diet More green leafy veggies in u r diet More oral fluids Syp Cremaffin plus 15 ml at night Hemolit ointment local application twice daily And dont stress while passing stools

Duphalac causes osmotic diarrhoea. It is generally used in hepatic encephalopathy. It can also be used in constipation. For anal fissure follow these: 1.Dietary Changes: Increase fiber intake through fruits, vegetables, and whole grains to soften stools. Drink plenty of fluids to stay hydrated. 2.Stool Softeners: Over-the-counter stool softeners can help make bowel movements less painful. 3.Warm Sitz Baths: Soaking the anal area in warm water for 10-15 minutes several times a day can promote healing and reduce pain For detailed discussion connect via practo video consult. For further queries or guidance whatsapp nine three seven zero two eight four three seven six.

Mam dhuphlac is not a medicine for fissure. It's remove constipation. Prevent hard stool so fissure will not agrevate. You must take plenty of liquid n water sakes lamonade buttermilk coconut water,etc with two big bowl of salad with high fibre diet, fruits. Treatment. Locally apply, Anovate,shield, oxyurate any one in anus with index finger two times a day for two to three weeks. Throw out applicator. Fissure is your diagnosis, u have not mentioned the complaints Like Pain, hard stool off n on, blood drop by drop after stool. Or with stool so I don't know. Cream definitely help. Ointment to take on index finger before defication first apply on butthole than gently push inside anus n rotate the finger so anul verge is filled with oint helps smooth passage for stool. After defication clean the part n apply again. Same to repeat in evening session.

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

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Fibre rich diet. Sitz bath. Let the pain reduce. Take pain killers after consultation with doctor. And have physical examination with nearby qualified surgeon.

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Yes you can ... Apply ano metrogyl ointment at the affected area . • Take rest 2-3 days Stay hydrated, drink plenty of water. • take more fibre in diet , (green leafy vegetables and fruits). • avoid beverages like tea coffee and drinks.l •Do not strain too much while passing stool. • watch for bleeding, if bleeding is too much consult a general surgeon for physical examination and evaluation. • take a Sitz bath with betadine . • inform sos