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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
Answers (4)
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As the other docs gave the medication already
My advice would be the diet mainly which should include high fibre diet like leafy vegetables,fruits like bananas atleast 2 daily
Keep yourself hydrated(3 L of water minimum/day)
Along with sitz bath
It usually subsides...if problem persists you can consult me for further help.
Hope this helps
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Go for proctoscopy examination as suggested by your doctor, because It will be much helpful for arriving at a clinical diagnosis and further management of your problem..
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Please meet a general surgeon for further advice and evaluation. Don’t be scared of getting examined. Surgeons take the necessary precautions. Also there is an option to get examined under anesthesia if there is pain and you resist the examination.
Next Steps
Visit general surgeon
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Use betaine tub bath regularly
With betaine and metrogyl oint
Take plenty of fibre
Isapgol.husk 4tsf with warm water
Anti inflammatory tab like trypod brd
Antibiotic if required
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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.