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Piles and fissures
Suffering from fissure since last one year. Severe pain after passing stool,bloating. No bleeding, anal prolapse, part has to be pushed back .
Answers (6)
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Fissure is nothing but crack at the anal skin
Needed to be addressed
Use stool softener, Fibre diet and give spincter less stress
This will help healing
Next Steps
consult General Surgeon for direct examination
Health Tips
Sitz bath, Syp Cremaffin 15ml po H/s
Oint Anobliss for Local application 5min before passing stools,
Drink atleast 4litper day,Have more Fibre diet
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Hi sir . It seems u have acute on chronic fissure may be with a sentinel pile also known as skin tag . More than medication u need to change diet habits . Take plenty of fibre food I.e green leafy vegetables and vegetables . Avoid spicy and non-veg food for few weeks. Do a sits bath daily for 5 times . Coming to medication u can use Syr lactilose 15 mL at bed time which helps as a stool softener and decreases straining at stool. For pain u can use ultra st tablet if needed. Use ointment ANOBLISS , apply a peanut size ointment over the fissure . Get your thyroid profile done .
Next Steps
Use for 2 weeks . For more details please contact me in chat . Hope u will recover soon . Thankyou . Dr Vijay consultant general and laparoscopic surgeon and proctologist .
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If you have tight stool then start taking stool softener or increase water intake
If stool consistency is ok then avoid excessive straining ,use western seat .
Take Bhalatak avleh with butter milk twice a day after meal
Next Steps
Do Kegal's Exercise
Health Tips
while sitting try to do false holding back exercises like imagine you have to control your stool or pee and you are in public place
try doing this for 20-30 seconds
Repeat this exercise 5-6 times a day
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Needs a proper general surgery assessment as the history is too merky to infer anything.
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get checked by general surgeon
If it's chronic anal fissure , surgical management is best option - lateral anal sphincterotomy
For anal prolapse -will need further evaluation to find out if it is haemorrhoids or rectal prolapse
Next Steps
consult a general surgeon or proctologist
continue high fibre diet
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Pt needs laxative .....sos surgery for hemorrhoids
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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.