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Post fistula surgery prob
Hi there! I had fistula surgery 3 years back;since then, when I push my hard stools my anus starts bleeding in dropped form.i am worried, can you please guide me regarding my further steps for treatment ?
Answers (9)
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You already had fistula surgery.
Avoid straining.
Do sitz bath regularly thrice with lukewarm water.
Use laxatives whenever constipated.
Ointment diltiazem will be helpful
Next Steps
Eat plenty of fluids.
Eat fibre rich diet.
Health Tips
Restrict mutton consumption.
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Can be due to fissure or hemorrhoids get checked done by general surgeon
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U can try Conservative management for 1-2 months with stool softener, sitz bath, ointments,drinking water and by avoiding meat.
If it is still the same u can go for radiological investigations to rule out other pathology for proceeding for another operation.
Next Steps
Visit a general surgeon for proper examination.
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There might be any residual fissure or recurrent fistula
Next Steps
Get consultation
Health Tips
Aviod hard stool
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Is there pain associated with bleeding
Is it streak of blood or alot of blood
Is there peri anal itching
Is there recent onset constipation
Answer to these change the diagnosis and treatment little by little
Next Steps
Consult a general surgeon for further advise and checkup if required
Health Tips
have lot of fibre and drink lot of fluids, avoid Spicy food
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Bleeding could be due to fissure in ano.
Next Steps
Get evaluated by a General Surgeon thoroughly.
Health Tips
Consume soft, high fibre diet. Take stool softners. Avoid straining while passing stools.
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Treatment is same as above as my fellow doctors advised
Only thing i want to tell you is how to do SITZ Bath, which is very helpful in treating fissure
Next Steps
Take a tub, on it put some lukewarm water and 20ml betadine and sit on it for 15-20 min thrice daily.
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Hard stools generally cause a tiny wound called as “fissure” that causes pain and some bleeding. It should heal on its own provided the stools remain soft. A simple laxative and local ointment should help
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Dr. Raiba Deshmukh
General Surgeon
10 yrs exp
Pune
Sitz bath
Maintain hygiene
Maintain Hydration
Avoid oily and spicy food
High fibre diet
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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.