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Multiple Issues: Anal Fissure, Groin Ras
Doctor, please advise on multiple issues:
1. Digestive/Anal: Recurring bleeding anal tear (fissure) causing severe sitting pain. Anal crease skin is raw, cracked, peeling, and itching after cleaning buildup. History of drinking almost no water (1 glass in 3 days), now jumped to 2L+ daily, causing internal vibrations/bloating. I skip breakfast for college bus & cut out sugar. Taking Duphalac 15mL & Anovate.
2. Groin Rash: White layer/film in inner thigh crease; peeling it reveals red skin with bad odor. Have Clocip-B cream at home.
3. Vaginal & Body: Liquid, foul-smelling vaginal discharge. Persistent itching in pubic and underarm areas. Have unopened old vaginal cream.
4. Mental Health: Struggling with severe emotional numbness, burnout, feeling aimless, and mental distress from chronic pain.
Questions:
- How to heal raw anal crease skin & fissure safely?
- Is Clocip-B safe for groin fold rash?
- Need fresh prescription for discharge/itching?
- How to adjust diet/waterwithoutbloat
Answers (15)
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Your central problem is a chronic anal fissure, and it will not heal until the stools stay soft, so continue Duphalac, add isabgol at night, keep water at 2-2.5 litres and eat fruit, salad and whole grains daily.
Warm sitz baths for 10 minutes twice a day, Anovate applied after the bath, no straining and not more than 5 minutes on the toilet will settle the pain and the raw crease.
Please stop Clocip-B on the groin; the steroid in it makes a fungal rash spread and thins the skin, so a plain antifungal cream twice daily for 3-4 weeks with loose cotton clothing and a dry crease is the correct treatment.
The foul-smelling discharge with itching needs an examination and a fresh prescription, not an old tube, so a gynaecological check is important.
Increase water and fibre gradually over a week and do not skip breakfast; the bloating usually settles as the gut adapts.
The exhaustion and low mood from chronic pain are genuine and very treatable, so do book a consultation with me on Practo and we will tackle these one by one.
Next Steps
Keep stools soft with Duphalac plus isabgol and twice-daily sitz baths, stop the steroid cream on the groin, and see a gynaecologist for the discharge; review in 2 weeks if the fissure pain persists.
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Hi
I can imagine how difficult it is to go through all these at once. anal fissure and groin rash can extend into vagina and urethral opening leading to vaginal and urine infections. i see some amount of need for responsibility from your side. drinking 1 glass of water in 3 days is not right. you should take care of yourself.
you are still a college going girl. focus on your health 1st.
i would suggest you to meet a general surgeon in person for anal fissure. anal fissure will take time to heal and there is a chance of recurrence as well. so meet a general surgeon and see what treatment options you have.
second ....seek opinion for vaginal foul smelling discharge and itching.
more than anything else follow their advise. i see the major issue is you know whats wrong with you, you very well know medication, you have the medicine with you as well....but still you are hesitant to take them,. don't know why. doctors can only diagnose and write medicine, suggest whets good for you. if you neglect, then it will lead to chronic irreparable damage. please take care of yourself
Next Steps
feel free to consult me on practo for further evaluation and personalized management
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U can write me or consult with me on practo pro.
I will help you and suggest you medication for every symptoms.
Next Steps
Clocip-B is steroid containing cream. Do not use it without prescription.
High caloric and high fibre diet is must.
Sitz bath at least 15 minutes thrice a day.
Do not sit in toilet more than 10-15 minutes.
Don't apply too much pressure while toileting.
Cream Sitcom LD LA/BD
Health Tips
Every disease has a cure, there is no need to panic or think too much about it. Just chill
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1. Lifestyle modifications and dietary habits required first ,increase fibre in diet and drink lot of water .for treatment anovate gel and isabgol 2 tbsp daily .sitz bath 3 times a day.
2.yes
3.you need to consult for this ,because without evaluation, prescription is not possible.
4.take fibrous diet like papaya,prunes,pears,cucumber and most important is keep away from constipation otherwise recurrence is high.
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I understand you are dealing with several uncomfortable symptoms, and it is better to address each one properly. For the anal fissure, keep your stools soft, avoid straining, drink water regularly, increase fibre gradually, and take warm sitz baths for 10-15 minutes after bowel movements. Since the fissure is recurring and painful, please see a General Surgeon for proper examination and treatment. For the groin rash, avoid using Clocip-B on your own, as steroid-containing creams can sometimes make fungal rashes worse. For the foul-smelling vaginal discharge and itching, please see a Gynecologist rather than using an old cream; you may need a simple examination and appropriate treatment. Also, the emotional stress and exhaustion you are experiencing are important and should not be ignored- please discuss them with a doctor or counsellor. If you develop severe pain, fever, heavy bleeding, or worsening discharge, please feel free consult me
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You need to through an examination hence visit a general surgeon nearby, with a psychiatrist opinion...
Next Steps
visit a psychiatrist and general surgeon
Health Tips
lifestyle modifications - increase water intake and fiber in diet .
if overweight - reduce weight , start exercising...
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