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Suffering from fissure and Constipation
Patient History & Symptoms (Student):
History: Final-year student suffering for 6 years from a chronic anal fissure/pain condition.
Surgeries: Had an injection (3 years ago), laser surgery (3 years ago), and Ksharsutra (2 years ago). All failed.
Current Pain: Persistent, sharp pain in the exact same spot (half a finger deep) inside the anus.
Bowel Pattern: Incomplete emptying. First pass
clears 70-80%. The rest only clears after eating later, or by holding the bowel until severe, natural internal rectal pressure builds up to clear it automatically: Ready for hospitalization/extended treatment if required to resolve this permanently. Please provide contact number so I can call you I do not have much money to contact directly on practo apointment video call.Please consider
request.
Do I need to have biofeedback therapy for complete bowel in one go?
Answers (15)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Your diagnosis is Chronic anal fissure and you have undergone surgery without relief. Continuous spasms of anal sphincter decreases blood supply and causes pain. So, immediate symptom relief is with topical vasodilators like 0.4% Nitroglycerin (Rectiv) or 2% Diltiazem / Nifedipine. Applied directly to the anal canal to decrease resting pressure and improve healing blood flow. Remember, Nitroglycerin can cause headaches as a side effect.
Soaking your anus area in a shallow, warm water bath for 15–20 minutes 2 to 3 times a day. This relaxes the spasming sphincter muscle and safely eases sharp post-defecation pain.
Daily use of bulk-forming fiber supplements (like psyllium) paired with osmotic stool softeners (like MiraLAX or docusate). This prevents straining, which is essential to prevent tearing the fragile, healing tissue.
For severe pain, apply Lidocaine around anus. This can ease bowel movements.
Avoid codeine-based painkillers, as they cause severe constipation.
Next Steps
Advanced Non-Surgical Treatments are available like Botox Injections. A gastroenterologist or colorectal surgeon can inject Botulinum toxin (Botox) directly into the internal anal sphincter muscle. This temporarily paralyzes the muscle for 2 to 3 months, completely breaking the spasm cycle and allowing blood flow to repair the tissue. It is highly effective.
Health Tips
Medical treatments fail when the original cause—constipation and straining—is not addressed.
Drink 2 to 3 liters (8 to 10 glasses) of water daily so your body can adequately soften stools.
A diet of whole grains, leafy vegetables, and fresh fruits (like papayas and prunes).
Use a toilet step stool to lift your knees into a natural squatting position. This straightens the rectum and allows stool to pass with minimal effort.
Avoid dry, rough toilet paper. Use a bidet or alcohol-free wet wipes, and gently pat the area dry without rubbing.
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Kindly do connect and consult with me for better treatment plan and advice on your case
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Yes, biofeedback therapy should be considered if anorectal manometry confirms dyssynergic defecation.
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This is a lifestyle related disease. Correct your self & it will not create so much problem.
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Consult with general surgeon
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Consult with general surgeon locally.
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Consult
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices.
9 # Keep vaccinations up to date
Vaccines help prevent many serious infections.
10 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
11 # Take medications only as prescribed
Avoid self-medicating, especially with antibiotics.
12 # Protect yourself from excessive sun exposure
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult to surgeon
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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