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Fissures pain
Hi
I have pain full day after morning poop and feel swelling in anal area,
Cannot sit properly.
No blood seen.
Kindly help
Answers (25)
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Good morning . The history given above isn't adequate to diagnose .
History should be even more proper which includes the duration of symptoms , your dietary lifestyle and some more .
Next Steps
kindly reach out to a doctor and do an examination .
Health Tips
until you do an examination ,
hydrate yourself , eat dietary fibres ( more fruits and vegetables)
AVOID ALCOHOL , MEAT , OILY AND SPICY FOOD !
Answered
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1) eat high fiber diet eg isabgol,salads,muskmelon,papaya
2)avoid sugary and high protein foods like chicken complex carbs like chana/rajma
3)swap to brown rice
4) eat overnight soaked figs 4-5 early morning empty stomach
5)keep hydrated 5-6 glasses of water per day
6)2-3k steps
7)sitz bath with betadine ointment
8)apply piles go cream before and after using restroom
9) if u feel stools are hard drink 10-15 ml of cremaffin syrup(stool softber at night
10) place a table under feet when using reat room to increase anorectal angle and avoid strain.
11)exercise to bust stress
12)get a short course of antibiotic
For more consult me for medication
Answered
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Please make sure you consume a lot of fibres in your diet, avoid spicy and oily food, drink adequate amount of water, avoid straining during defecation. Try sitz bath (warm water along with betadine solution and sit in it for about 10min.) Syp. Cremaffin 10ml before bed if your are constipated. Consult if the symptoms persist.
Next Steps
General surgery opinion
Answered
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Z Seitz bath Sit in a tub filled with hot to warm water add betadine solution 5to 7 min two times.
Zerodol sp three times a day after food for five days. Oz tab two times a day after food for five days.
Oxyurate ointment locally by index finger first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication two times for 3 weeks for complete healing.
High fiber diet as oat, salad add plenty of liquid n water.
Answered
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Your symptoms — pain after defecation, swelling in the anal area, and difficulty sitting — are likely due to either:
Acute thrombosed external hemorrhoid, or
Anal fissure with sentinel skin tag/swelling.
These conditions are common even without visible bleeding.
Next Steps
Avoid straining during stools. Take a high-fiber diet, plenty of water (2.5–3L/day).
Consider a stool softener (like lactulose or isabgol) at bedtime.
Apply lidocaine + anti-inflammatory ointment (e.g., Shield, Anovate) locally 2–3 times daily.
Sit in warm water sitz baths 2–3 times a day to relieve pain/swelling.
If pain/swelling worsens or persists >5–7 days, consult a general surgeon or proctologist for a local examination.
Helpful Tips
Avoid spicy food, prolonged sitting, and dry toilet paper. Do not delay medical consultation if the pain worsens, fever develops, or swelling increases — it could suggest an abscess or thrombosis needing urgent care.
Answered
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Kindly upload pic of local site to rule out any abcess
Is there any history of fever/pus discharge?
For pain management
Syp lactulose 15ml hs
Sitz bath 3/4 times for 15mins each
T Zerodol sp BD
Oint lignocaine 2% in anal canal via applicator or gloved finger before and after passing stools
Oint nifedipine 0.2% in anal canal overnight via applicator/gloved finger
Answered
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Did you experience constipation, if yes,it's due to anal fissue.
It's an injury caused by constipation at the side of anal canal,
Next Steps
its get relieved after taking medication and follow up some dietary modification
Health Tips
need to alter some life style modification
take high fiber diet to avoid constipation
Answered
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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
Answered
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Zerodol sp for pain
Sitz bath
Fill a bathtub or sitz bath basin with warm water: The water should be warm, not hot, and cover the hips and buttocks.
Soak in the water for 15-20 minutes: Relax and allow the water to soothe the area.
Clean and dry: After the bath, gently pat the area dry with a clean towel.
Apply lidocaine ointment night time before bed
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