For last 6 days I am bleeding while passing stool, with sharp pain near anus region.
I have problem even while sitting or standing,
Even in night I keep changing my sides to find a comfortable position.
Answers (19)
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Most likely you have anal fissure. Consult a general surgeon physically.
Meanwhile you can take voveran 50mg one every 8 hours, after meals, for pain for 2 to 3 days, tab Ethamyslate 250mg one every 8 hours to stop bleeding.
Next Steps
Avoid constipation. Take more of fresh green vegetables and fruits, particularly papaya. Drink more water, drink warm water before sleeping and after getting up in morning.
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Most likely due to anal fissure.Bleeding and pain is according to the severity.Consult a surgeon in your area for a clinical examination and appropriate treatment.
Could be hemorrhoids,anal fissure or proctitis ..
Zerodol p, cremaffin plus syrup,smuth ointment will be helpful ..(to be taken after local examination by ur nearby surgeon)
Next Steps
increase dietary fibre in ur diet ,
increased fluid intake
warm sitz bath
Needs assessment- could be a problem in anal region inside or outside. Have you seen a surgeon ?
It could also be fracture of coccyx etc.
Please make an appointment
Next Steps
Please make an appointment in my Doctors hub clinic in Gurugram or Dwarka sector 109 or a video consultation in Your Pain Clinic Mayapuri
Fissure ,external piles.
Tab zerodol sp three times a day after food for five days.
Tab Oz two times a day after food for five days.
Tab trenexa 500 three times a day after food for five days.
Oxyurate ointment locally by index finger first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication. Two times a day for three weeks for complete healing.
Apply locally anovate cream over affected area to relieve itching pain from temporary relief
Visit nearby hospital for proper examination and further management general surgeon opinion
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.
You’re mostly suffering from an anal fissure which is a small tear in the mucosa of the anal canal, commonly causing pain and bleeding during defecation along with Blood during defecation.
The evaluation involves history, examination, and in selected cases, further investigations to rule out secondary causes of your condition so visit a Surgery OPD and get yourself examined to check for the extent of the disease you’re suffering from and the grade of your ailment and whether the diagnosis we are suspecting is right
1. Tell me about your History properly
Key Symptoms that you can relate in cases of fissure are
• Sharp, burning pain during and after defecation
• Bright red blood on toilet paper or surface of stool
• Avoidance of defecation due to pain
• Constipation or hard stools
• Chronic cases: itching, discharge, skin tag (sentinel pile)
Also tell us more about the
• Duration: Acute (6 weeks)
• Bowel habits: constipation, diarrhea
• History of trauma or long sitting hours
• Any anal surgery that you got done recently
So my Next advice would be consult a Good General surgeon in the OPD
Till the time you can get these symptoms under control by taking
High-fiber diet- it will Soften stools
Plenty of water (2–3L/day)- Prevent constipation
Avoid straining during passing stools in morning - Reduces trauma
Sitz baths (you have to sit in warm water for 10–15 min, 2–3 times/day With buttocks submerged under water ) - it’s the most effective way to decrease the fissures as it relaxes your anal sphincter and preventing further damage and bleed
If you want I can consult and tell you about the proper technique and what to use for the media for Sitz Bath for proper treatment
You can also apply local creams like
A) 2% Diltiazem or 0.3% Nifedipine gel - which will work as a Smooth muscle relaxant and thus reduces sphincter spasm
(Use for atleast 6–8 weeks regularly)
B) 0.2–0.4% Nitroglycerin ointment - Increases blood flow, heals fissure which is very effective but may cause headache and avoid if hypertensive
C) Lidocaine 5% ointment - it’s a Local anaesthetic agent and get decrease the pain caused due to fissure
D) Calcium Dobesilate 500mg once a day after meals - which is a vasoprotective drug with anti-inflammatory, anti-edematous, and antioxidant properties. It improves microcirculation and capillary permeability thus can be used here bút take regularly for 2-4 weeks if tolerated - avoid if you develop diarrhoea headache or stomach upset after taking this
E) High Fiber Diet
F) Syrup Duphalac 15ml at night to soften stools
Ayurvedic Endocrinologist & Internal Medicine SpecialistNew Delhi
Hi it looks like a anal fissure prima-facie but you need a physical examination . Kindly visit surgery dept OPD of any hospital.
Health Tips
Increase fibre content in diet
Drink lots of water / fluids
start lactulose 30 Ml at night ( stools will be soft)
also if the pain is very excruciating you can use lidocaine gel before defecation that area .
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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