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Constipation and fissure
Im suffering from constipation since 2 days along with burning and itchiness around the anal part. I also get tight stools and sometimes nausea and headache too. Before one month also this same problem had occurred to me so when I went to a physician she said that its a fissure after checking. But still after the course of medicines was over there wasnt much improvement seen. So please help me treat this condition. I also feel sleeplessness and anxiety due to it.
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Your symptoms strongly suggest an Anal Fissure that hasn’t healed yet
You have:
• Hard/tight stools
• Burning around anus
• Itching
• Pain on passing stool
• Constipation repeating every few weeks
• Sleeplessness and anxiety due to anticipatory pain
All of this is classic fissure.
Anal fissures heal slowly because:
• Constipation keeps re-tearing
• Anal sphincter becomes very tight
• Stress worsens bowel movement
• Ointments were not used long enough
Most fissures need 4–6 weeks of continuous treatment.
Next Steps
This is the exact treatment surgeons prescribe.
Follow it for at least 4–6 weeks, not just a few days.
A. Stool Softening – The MOST important part
Your fissure will not heal unless your stool becomes soft daily.
Start one of these:
• Lactulose syrup 15–20 ml at night
• Cremaffin Plus 1–2 teaspoon at night
• Softovac pouch at bedtime
• Isabgol 2 teaspoons in warm water nightly
Do this every night for 4 weeks.
B. Warm Sitz Bath (Twice a day)
Sit in warm water for 10 minutes:
• Relaxes the anal muscle
• Reduces pain
• Allows ointment to work better
Do this morning and night.
C. Fissure-healing ointment (Essential)
Use ONE of the following twice daily:
• Diltiazem 2% ointment
• Nitroglycerin 0.2% ointment
• Nifedipine 0.3% ointment
How to use:
Apply a pea-sized amount just inside the anal opening using your finger.
This relaxes the tight muscle and allows healing.
Use for minimum 4 weeks.
If you only used local anesthetic gel previously (like lignocaine), it won’t heal the fissure — you need Diltiazem or Nifedipine.
D. Pain relief (if burning is too much)
Use Lignocaine gel before passing stool.
This numbs the area temporarily.
E. Diet changes
For next 4–6 weeks:
• Eat papaya daily
• 1–2 bananas at night
• Oats, dal, sabzi, whole fruits
• Drink 2.5–3 litres water
• Avoid spicy food for 2 weeks
• Avoid tea/coffee on empty stomach
• Avoid sitting long on toilet
Health Tips
When to see a doctor urgently
• Severe bleeding
• Pain lasting many hours
• Fever
• Pus
• Lump becoming bigger
• New swelling
These may indicate infection or abscess.
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Do connect and consult
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You can consult me directly on Practo, or reach out via WhatsApp:
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Early consultation helps avoid complications — feel free to connect.
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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
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If there is a fissure, you need sitz bath and local application of medicines. Kindly take an instant consult or contact me at miracle health centre, Shalimar bagh
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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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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