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Recurrent anal fissure
I’ve been dealing with an anal fissure for the past 1.7 years. It tends to recur every 3 months, always in the 12 o’clock position, and usually appears as a small cut that heals within a week. I drink around 2–2.5 liters of water daily, and my stools are generally soft.
Initially, I used Ayurvedic oils daily, and for the past 1 year, and from last 5months I’ve been applying Cremagel (diltiazem) twice daily and occasionally Smuth cream in the morning. This has helped with healing, but the fissure reoccurred again yesterday after I had one episode of loose motion the day before. Like a very small cut.
Most of the time, I experience a burning sensation for about 5 minutes after passing stool.
Could you please advise on how I can heal this fissure permanently without surgery and recommend an ointment for long term use or any fibre supplement?
Answers (3)
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Definitely we can try conservative management for one more time maybe. But in your case the best option is for surgical correction. Fissure surgeries are not major surgery, they are only minor surgeries which can be done on day care basis. So no need to be afraid of surgery
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Don't worry..Its diagnosis is Acute on Chronic Fissure..
By diet modification itself u can happily feel comfortable
But usually trigger factor elimination maybe difficult to follow and so permanent treatment is to be given
Lateral internal spinterotomy is to be done
Next Steps
Consult General Surgery consultant for proctoscopy and further management
Health Tips
Fluids upto 4-5 lit/day, green leafy vegetables atleast 4times per week
Crenaffin syrup..
Ointment Anobliss 5min before passing stools, Sitz bath 20min a day..
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Hello welcome madam
You have crossed the conservative mangement
You have tried all the modalities
Better you consult a surgeon at your locality
Next Steps
high fibre diet
Health Tips
avoid constipation
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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.