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Anal fissure
I am mother of 2 months old baby. I have fissure since 6 months. Though I use duphalac 15 ml daily since 6 months fissure is not completely cured. Once in a while it repeats and then I used to take 30 ml duphalac that day and bleeding used to stop. But from past 2 weeks continuous bleeding and pain though I take 30 ml and make dietary changes. Can I increase dosage to 40 ml? Please suggest
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As per u r complains it seems to be chronic fissure in Ano
High fibre diet
More green leafy veggies in u r diet
More oral fluids
Syp Cremaffin plus 15 ml at night
Hemolit ointment local application twice daily
And dont stress while passing stools
Next Steps
Wen u r feasible visit clinic for check up
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Duphalac causes osmotic diarrhoea.
It is generally used in hepatic encephalopathy.
It can also be used in constipation.
For anal fissure follow these:
1.Dietary Changes:
Increase fiber intake through fruits, vegetables, and whole grains to soften stools.
Drink plenty of fluids to stay hydrated.
2.Stool Softeners:
Over-the-counter stool softeners can help make bowel movements less painful.
3.Warm Sitz Baths:
Soaking the anal area in warm water for 10-15 minutes several times a day can promote healing and reduce pain
For detailed discussion connect via practo video consult.
For further queries or guidance whatsapp nine three seven zero two eight four three seven six.
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Mam dhuphlac is not a medicine for fissure. It's remove constipation. Prevent hard stool so fissure will not agrevate.
You must take plenty of liquid n water sakes lamonade buttermilk coconut water,etc with two big bowl of salad with high fibre diet, fruits.
Treatment.
Locally apply,
Anovate,shield, oxyurate any one in anus with index finger two times a day for two to three weeks. Throw out applicator. Fissure is your diagnosis, u have not mentioned the complaints
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Pain, hard stool off n on, blood drop by drop after stool. Or with stool so I don't know.
Cream definitely help.
Ointment to take on index finger before defication first apply on butthole than gently push inside anus n rotate the finger so anul verge is filled with oint helps smooth passage for stool.
After defication clean the part n apply again.
Same to repeat in evening session.
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Connect please
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Need few more details
Kindly consult
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
Kindly book a proper consultation for better evaluation treatment.
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Dr. Chaithra H
General Physician
4 yrs exp
Bangalore
Fibre rich diet.
Sitz bath.
Let the pain reduce.
Take pain killers after consultation with doctor.
And have physical examination with nearby qualified surgeon.
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Dr. Jyoti Singh
General Physician
6 yrs exp
Meerut
Yes you can ...
Apply ano metrogyl ointment at the affected area .
• Take rest 2-3 days
Stay hydrated, drink plenty of water.
• take more fibre in diet , (green leafy vegetables and fruits).
• avoid beverages like tea coffee and drinks.l
•Do not strain too much while passing stool.
• watch for bleeding, if bleeding is too much consult a general surgeon for physical examination and evaluation.
• take a Sitz bath with betadine .
• inform sos
Next Steps
connect with general surgeon for physical examination and evaluation.
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