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"Hello. I understand how distressing these symptoms can be. Based on your description of severe burning pain that lasts for hours after a bowel movement, it is very likely that you are dealing with an **Anal Fissure**, possibly accompanied by a **sentinel pile** (the 'skin tag' you mentioned). While external hemorrhoids can cause discomfort, the prolonged 'burning' after pooping is a hallmark sign of a fissure. **Immediate Management & Advice:** * **Sitz Bath:** Sit in a tub of warm water for 10–15 minutes, 2–3 times a day. This helps relax the anal sphincter muscle and reduces pain. * **High Fiber Diet:** Increase intake of green leafy vegetables and fruits to ensure stools are soft. Hard stools will worsen the tear. * **Hydration:** Drink at least 3 liters of water daily. * **Avoid Straining:** Do not spend long periods on the toilet or strain during movements. **Suggested Treatment Direction:** You may require a topical ointment containing a calcium channel blocker (like Diltiazem) or Lidocaine to help the area heal and manage pain. However, since you mentioned bleeding and severe pain, it is crucial to rule out other conditions. I strongly recommend you consult a **General Surgeon or a Proctologist** for a physical examination. They can provide a definitive diagnosis and prescribe the appropriate medicated creams or stool softeners. If you prefer Ayurvedic treatment, a consultation with a **Proctologist (Kshara Sutra specialist)** would be appropriate to discuss 'Arshas' or 'Parikartika' (fissure) management." ### **Important Notes for the User** * **Bleeding:** Any instance of rectal bleeding should be evaluated by a doctor to confirm the source. * **Medicine:** Avoid self-medicating with over-the-counter creams before a diagnosis, as some treatments for hemorrhoids can irritate a fissure. * **Chronic vs. Acute:** If this is not treated early, it can become chronic, making it harder to heal with just medicine.

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Hi As u discribe , it seems to be anal fissure , is there any constipation, avoid spicy food specially red chilli powder and take fibre rich food and plenty of fluids. If not relieved kindly consult to a surgeon

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Your symptoms could be due to anal fissure , rather than external hemorrhoids.pain could last longer depending on the depth of tear.You can try sitz bath,apply anobliss cream twice daily for a few days, consult a surgeon to determine the exact cause

This needs proper treatment , dont ignore it as a temporary problem.

This sounds more like an anal fissure with a small skin tag, which explains the severe burning and pain after passing stools. It’s quite common and treatable with the right care. You don’t have to worry, but since it’s causing significant discomfort, proper treatment will help you heal faster and prevent recurrence. I can guide you step by step to settle this feel free to consult.

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

Its anal fissure.i am already answered in detail in previous question of yours. Isabgol 1 tbsp with  curd . Sitz bath . Anovate gel for healing

Severe burning pain that lasts for hours after passing stool, accompanied by bright red blood, is highly characteristic of an Anal Fissure (a small tear in the lining of the anus). While you have identified a 'skin tag,' this is often a 'Sentinel Pile,' which is a secondary skin growth that forms at the edge of a chronic fissure. This pain-bleeding-tag triad suggests the condition has progressed beyond the initial stage and requires active medical management to prevent the need for surgery."

Sitz baths Lingo gel

Kindly do connect and consult

Please consult

Need few more details Kindly consult

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

Do consult

Take lignocaine gel

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

Pilex

Based on your symptoms — severe burning pain after passing stool, bleeding, and pain lasting for hours — this is more suggestive of an anal fissure rather than just a simple skin tag or hemorrhoid. A skin tag around the anus is often a sentinel tag, which commonly develops with a chronic fissure. Important: * Do not rely only on self-diagnosis or OTC/Ayurvedic meds without evaluation * If symptoms persist >1–2 weeks, you should consult a surgeon for proper examination * Chronic fissures may require advanced treatment (laser or minor surgery) Most cases improve with proper treatment — but correct diagnosis is key.

Kindly consult a surgeon who will examined and diaganosed Xylocain ointment locally to relieve pain