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Postpartum Anal Fissure
I've developed anal fissure during postpartum and was recommended stool softener, sitz bath and Cremagel to treat it. This has helped in reducing pain and burning sensation but if I pass hard stools the painful condition returns. Is there any treatment that can give me permanent healing or will this relapse continue to happen?
I'm a BF mother, can I take painkillers for immediate relief from anal fissure pain? If yes, please suggest BF-safe painkillers.
Answers (5)
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As u r breast feeding mother..better treat this conservative ly..Use cremaffin syp atleast once for 2days and have smooth passage of stools than straining.
High fibre diet advised
Avoid nonveg and spicy foods for atleast 3months
Next Steps
Visit Surgeon for proctoscopy as review and progress atleast once month
Health Tips
Anobliss ointment before passing stools advised
If intolerable use Paracetamol 650mg sos
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Kindly take fibre rich diet & use stool softener
Diclofenac is generally safe durning BF
Next Steps
Fibre Rich diet
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Why It Keeps Coming Back:
1. Anal fissures commonly recur due to:
2. Passing hard or large stools
3. Inconsistent stool habits
4. Poor fluid or fiber intake
Long-Term Management:
1.To promote healing and prevent relapse:
2.High-fiber diet: Whole grains, fruits, vegetables
3.Hydration: Aim for 2–3 liters of water/day
4. Regular stool habits: Avoid straining
5. Continue sitz baths: 2–3 times daily, especially after bowel movements
6. Topical treatments: Nitroglycerin or nifedipine ointments (consult a General surgeon before use during BF)
For Pain Relief (BF-safe options):
1. Paracetamol (acetaminophen) – Safe during breastfeeding
2. Ibuprofen – Generally safe during BF and effective for pain/inflammation
3. Diclofenac – Also considered safe by many guidelines, but should be used under medical supervision
Next Steps
You’re managing it well, but consistency with diet, hydration, and avoiding hard stools is crucial. For pain relief, Paracetamol or Ibuprofen are likely safest during breastfeeding.
Health Tips
If symptoms persist >6 weeks or are severely impacting daily life, consult a colorectal surgeon. Botox injections or lateral internal sphincterotomy (minor surgery) are options for chronic fissures.
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Dr. Vedant Suresh Wankhede
General Surgeon
9 yrs exp
Surat
Avoid hot ,spicy and fried food.
Eat fibre rich diet and plenty of water during day time.
Continue your stool softener.
Then creamagel ointment used just before going to pass stool and after passing stool.
Pain killers generally safe during BF.
Next Steps
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Dr. Manjeet Singh Sandhu
General Physician
38 yrs exp
Faridkot
Please do following
Sits bath warm water bath after stool
Polyethylene glycol laxative
Take fruits and salad
Use xylocaine jelly before you go toilet
Use Nitroglycerin jelly after toilet
Drink more water about 1.5 lt to 2 Lt per day
Dr Sandhu
Associate Physician Alberta Canada
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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.