General Surgery

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Recurrent Anal Fissure

I’ve been dealing with a recurrent anal fissure for 1.6 years. It reoccurs every 2 to 3 months, always at the 12 o’clock position, with a small. Till now i used ayurvedic oil. Currently, my bowel movements are soft. For the past 3 months, I’ve been using Cremagel (diltiazem) at night & Smuth cream occasionally in the morning, applied inside the anus with an applicator. 3 weeks ago, after diarrhea, a redness appeared on the outer skin near 1 o’clock. It looked like peeled skin with fresh new skin underneath, causing discomfort for one day & healed nxt day. The fissure cut at 12oclock is no longer visible externally, and my only symptom is mild burning for 2–3 minutes after motion. Is it safe to continue these creams longer? How long can I use them? Could there be longterm side effects? healing takes around 6 months but my doctor insists proctoscopy examination, saying he cannot provide further advice without physically examining me. I'm scared to put that tool as it may reopen fissure
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Heavy bust

A few years back, i observed abnormal growth and pain in my breast. In consultation, i was diagnosed with Fibroadenosis. Later on i started its treatment to dissolve the lumps but the size of my breast kept growing. Now the number of lumps in my breast has reduced but my breast size kept increasing. I'm also suffering from hypothyroidism. My breast  is too heavy now and it looks too bad whenever i wear something good and i have to face a lot of embarrassment too . I'm gaining weight also. What should be done for reducing my breast size?
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Lumps in body

Having lumps in different body part Like extra body mass or rasoli Having lumps in different body part Like extra body mass or rasoli Having lumps in different body part Like extra body mass or rasoli
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Irregular period

I am not married I usually get my periods in 19th day from 7th day of last period and in 1st day no bleeding only spotting occur it's normal
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Pigeon in water tank

Recently found out that there was a dead pigeon in the water tank of the water that we have been using. Kind of scared about any of the repercussions or infections that could have been caused by using that water. I used it for 2-3 days max and do we have an RO. We did use the water in the washrooms in to clean our private, so I need to know. What test or any precautions that I can get to prevent any sort of infections that could've happened because of this contaminated water being used
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Bladder diverticulum

Attached is abdomen USG report of 5 year old...request you to pls check the report and guide me further..
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Perianal abscess 12 o clock position

Hello doctors, I'm a 31-year-old male. Two weeks ago, I had a small lump at the 12 o'clock position, just above the anal opening (between anus and penis). It was painful to touch but no fever or sitting discomfort. A general surgeon advised an MRI Fistulogram, which showed a tiny 5.6 mm perianal abscess, no fistula, no anal canal communication, and no tract formation. He vaguely said, “whatever the report, continue antibiotics” for 5 days. After completing the course, the pain is gone, the lump is smaller, and when I pressed it, a small hard white pimple-like substance came out. Still the surgeon insists on laser surgery without any post-report consultation or explanation only said he’ll process cashless approval. My questions: 1. Is surgery really required now? 2. Can this heal fully on its own? 3. Will it become a fistula later? 4.Are sitz baths  required Mri report attached for your reference
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Bomp on side neck

Sir I have a bomp on my side neck 2 weeks ago pic attached. I can still pea size bomp. What should I do kindly guide.
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Liver Screening

My LFT tests are always normal. But I am 100kgs struggling for fat loss. I drink 3 beer everyweek. Should I do liver/abdominal ultrasound.
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Advise on reports

Hello Doctors,. Please find the attached MRCP test report done today for my mother aged 70 years. Kindly suggest what is the report saying in layman language. Is this report ok or something to worry about? What should be done next? Please advise in detail! Thanks a lot.
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