This could be a case of haemorrhoids with concomitant anal fissure.initial treatment will include:-
A. Syp Lactulose 15-20 ml at bedtime
B. T. naproxen 500 twice daily for 5 days( for pain relief)
C. T. Rablet 20 dsr once daily before breakfast for 10 days
D. Oint. Osil (apply before and after defecation and twice daily)
E. Sitz bath with betadine solution. Symptoms will decrease by 2 weeks.
If symptoms persist, it's better to visit a rectal surgeon for further management. Certain types of operation maybe required such as stapler hemmoroidectomy/ laser surgery (based on surgeon's preferance)
Answered2025-02-01 09:41:56
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