Anal fissure

2026-02-05 04:51:15
Im facing problem of anal fissure since 3 days as it's becoming difficult to sit. I'm doing sitz bath and applying proctosedyl ointment since 3 days. Still there is pain. I want to have better medication please help me out.
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Answered2026-02-08 16:44:29

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I can understand you, its a very painful condition it would be better if you go see a surgeon in person
Next Steps
Consult general surgeon

Answered2026-02-07 06:33:16

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kindly consult a surgeon

Answered2026-02-06 14:38:25

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Based on your symptoms and short duration (3 days), this sounds like an acute anal fissure, not a chronic one. • Pain while sitting and after passing stools is typical • Sitz bath + Proctosedyl helps inflammation, but it does NOT relax the anal sphincter, which is the main reason pain persists • In the first 7–10 days, pain can remain significant even with ointments if stool remains hard or sphincter spasm continues
Health Tips
• High-fiber diet: fruits (papaya, pear), vegetables, oats • Drink 2.5–3 L water/day • Use a soft cushion while sitting • Avoid spicy food & alcohol temporarily • Do not overuse steroid creams (Proctosedyl should be limited) Anal fissure pain can feel unbearable, but the good news is: acute fissures heal very well with the right combination of medicines—usually within 2–3 weeks. If pain is still severe after 7–10 days despite proper treatment, a short online consultation can help fine-tune therapy and prevent it from becoming chronic. You don’t need to suffer through this—help is very much possible.

Answered2026-02-06 12:27:31

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Continue  doing sitz bath with savlon / dettol 2-3 times dialy  and apply nifedepine - xylocaine 2 percent combination  2-3 times / day on the pain area  till the pain subside without wearing the area.
Next Steps
you should consult a general surgeon  for local examination and avoid constipation  if u are having and take 1 cup of syrup cremaffin at night before going to bed for constipation.

Answered2026-02-06 05:53:46

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Consult a General Surgeon to evaluate ur Condition

Answered2026-02-05 16:38:32

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Hello sir Good that you are doing sitz bath Make sure the water is luke warm. I would also suggest you to increase Fibre in your diet Drink a lot of water ,juices coconut water . Don't strain while passing stools Avoid spicy food Also advised to use western toilets. If you are passing hard stools still use stool softeners stop those if you pass loose stools. Please Don't neglect

Answered2026-02-05 15:44:11

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How u apply  proctored ointment? Method Use i dex finger(nails cut) put ointment first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication two times for two weeks for complete healing. Tab zerodol sp three times a day after food for five days. Oz two times after food for five days. If stool is hard Cremafin pink 10 ml at night. Continue Seitz bath.

Answered2026-02-05 11:34:04

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Proper examination by a surgeon is needed, consult in-person

Answered2026-02-05 09:26:54

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It takes time to heal...you need proper treatment for it...need few changes in medication Consult for better and further management

Answered2026-02-05 09:03:05

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Need few more questions for proper understanding of u r problem . You can consult me online

Answered2026-02-05 06:58:13

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Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Answered2026-02-05 06:21:13

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Dear Patient What you should do • Continue warm sitz bath 3 to 4 times daily for 10 to 15 minutes • Apply Proctosedyl after cleaning area and before sleep • Start stool softener like Lactulose syrup 15 to 20 ml at bedtime or Cremaffin Plus at night to keep stool soft • Take pain relief such as Tablet Zerodol SP or Combiflam after food if pain is severe (if no medical contraindication) • High fiber diet fruits vegetables oats and 2 to 3 liters water daily Better healing medicines often used • Topical Nitroglycerin 0.2% ointment or Nifedipine + Lidocaine gel helps relax sphincter and reduces pain faster • Stool softener is most important part of treatment Healing time within 7 to 14 days if stool remains soft. Consult me • Severe pain persists beyond 7 to 10 days • Bleeding increases • Constipation continues • You notice swelling (possible sentinel pile) Early proper treatment prevents chronic fissure and surgery. For detailed prescription and guidance you can text me on Practo anytime.

Answered2026-02-21 16:39:52

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Needs to be evalauted Do consult

Answered2026-02-06 05:50:47

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Consult to Surgeon

Answered2026-02-06 05:33:50

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You need physical examination with a general surgeon

Answered2026-02-06 04:43:14

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

Answered2026-02-05 13:53:36

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This suggestive of acute anal fissure Continue the site bath Better to consult to surgeon in person to examine

Answered2026-02-05 11:50:37

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Need a few more details please consult for further evaluation and treatment

Answered2026-02-05 11:19:56

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⸻ 3 din se pain ho raha hai to most likely acute anal fissure hai — isme main problem muscle spasm hota hai, sirf ointment lagane se turant relief nahi milta. Treatment ka focus stool soft rakhna + spasm relax karna hota hai: • Continue warm sitz bath 10–15 min, 2–3 times/day • Stool softener (lactulose/ispaghula husk) daily night — strain bilkul na karein • Apply lignocaine + nifedipine/diltiazem ointment before and after passing stool ( SMUTH CREAM) • Pain relief tablet after meals if required ( Tab Spasmodart/Spasmonil ) Proctosedyl sirf soothing deta hai, healing ke liye fissure-specific ointment zyada effective hota hai. Usually 1–2 weeks mein significant relief milta hai. Agar bleeding zyada ho, swelling aaye ya 3–4 weeks mein relief na mile to surgical evaluation required hota hai. High-fibre diet + water intake maintain rakhein. Aap chahein to detailed prescription ke liye consult kar sakte

Answered2026-02-05 10:37:13

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Need some more details kindly consult

Answered2026-02-05 08:04:52

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Take tab pilex himalaya Apply annovate cream Take tab brufen Consult online will guide you

Answered2026-02-05 07:16:41

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