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Fissures 12 yrs.now swell

Suffering from fissures for last 12 years. Recently, swelling observed. Is it necessary to undergo surgery or I can maintain with medicines and proper lifestyle. Kindly advice. Regards
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Doctor Answers (2) on Fissures 12 yrs.now swell

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Harisha N L Bangalore | General Physician
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Several lifestyle changes may help relieve discomfort and promote healing of an anal fissure, as well as prevent recurrences: Add fiber to your diet. Eating about 25 to 30 grams of fiber a day can help keep stools soft and improve fissure healing. Fiber-rich foods include fruits, vegetables, nuts and whole grains. You also can take a fiber supplement. Adding fiber may cause gas and bloating, so increase your intake gradually. Drink adequate fluids. Fluids help prevent constipation. Exercise regularly. Engage in 30 minutes or more of moderate physical activity, such as walking, most days of the week. Exercise promotes regular bowel movements and increases blood flow to all parts of your body, which may promote healing of an anal fissure. Avoid straining during bowel movements. Straining creates pressure, which can open a healing tear or cause a new tear. Laxatives are used as needed to maintain regular bowel movements. Mineral oil may be added to facilitate passage of stool without as much stretching or abrasion of the anal mucosa, but it is not recommended for indefinite use. Sitz baths after bowel movements and as needed provide significant symptomatic relief because they relieve some of the painful internal sphincter muscle spasm...other modalities are consists of intra-anal application of 0.4% nitroglycerin (NTG; also called glycerol trinitrate) ointment directly to the internal sphincter..botulinum toxin usage...if no improvements surgery is the choice... Consult nearest surgeon they will help you
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Dr. Arun R Bangalore | Family Physician
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Hi. Surgery is the best option. This permanently reduces the swelling and fissure and you can be risk free. The swelling can be due to infection and this may reccur if not adequately treated. Also medicines help but they are only temporary solution. I suggest you to get examined by a surgeon to know exactly how bad the fissure is and take a call.
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