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Anal Fissure or Piles
I have pain in my anus for past three days. It pains full day. I don't have bleeding but it has more pain..
I can't able to do my day to day activities, can't able to sit and walk comfortably.
Please say is it Fissure or Piles complaint.
What medicine can i take.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Lignocaine 5% ointment application inside anal area after passing stool
Consult general surgery doctor for rectal examination
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Tab zerodol sp three times a day after food for five days for pain
Seitz bath
Fill a tub with hot to warm water sit in it7-10 min two times.
Locally apply oxyurate ointment in anus with index finger first on buthole than gently push inside the finger in anus rotate it to cover anal mucosa completely before n after defication .
Two times for Teo weeks.
Non spicy bland diet.
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Kindly connect
Will help you.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Zerodol sp when you have pain.
Fibre rich diet.
Drink plenty of water.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Zerodol sp
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Physical examination is required
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
**Dear Patient,**
Your symptoms of **severe anal pain without bleeding**, which is affecting your daily activities, could indicate either an **anal fissure** or **thrombosed hemorrhoids (piles)**. Both conditions require prompt attention to relieve discomfort and prevent complications.
Key Assessment:**
1. **Anal Fissure:**
- Sharp, tearing pain during bowel movements (may persist afterward).
- Often caused by constipation or hard stools.
2. **Thrombosed Hemorrhoids:**
- Intense, constant pain with a palpable lump near the anus.
- No bleeding unless the hemorrhoid ruptures.
Immediate Relief Measures:**
1. **Sitz Baths:**
- Soak in warm water for 15–20 minutes, 2–3 times daily.
2. **Topical Ointments:**
- Use a **lidocaine-based cream** (for pain) or **nitroglycerin ointment** (for fissures).
3. **Stool Softeners:**
- Take **psyllium husk (e.g., Isabgol)** or **lactulose** to avoid straining.
Medication (Temporary Relief Only):**
- **Pain Management:**
- Tab. Zerodol SP (1–2 times daily for 3–5 days).
- **Anti-inflammatory:**
- Tab. Deflazacort 6 mg (once daily for 5 days, if prescribed).
Why Consultation is Necessary:**
- A **physical examination** (proctoscopy if needed) is crucial to confirm the diagnosis.
- Untreated fissures can become chronic, and thrombosed hemorrhoids may require minor surgical intervention.
**Contact me on WhatsApp for an urgent consultation:**
**Eight Zero Zero Nine Eight Two One Three Three Two**
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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