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Anal.fissure
I have pain during and after passing stool and also bleeding during passing the stool
It is since 2 days
Answers (17)
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Hello. I have reviewed your symptoms regarding the pain and bleeding you are experiencing during bowel movements.
Given that your symptoms have started recently (2 days ago), this is likely an acute anal fissure. This condition usually occurs when passing large or hard stools, which stretches and tears the anal lining.
1. Primary Management (Home Care)
Sitz Baths: Sitting in plain warm water for 10–15 minutes several times a day, especially after a bowel movement, is the most effective way to relax the anal sphincter muscle and promote healing.
Fiber Intake: Increase your dietary fiber by eating more fruits, vegetables, and whole grains to soften the stool.
Hydration: Drink plenty of fluids (at least 2–3 liters a day) to prevent constipation, which is the leading cause of fissure irritation.
2. Medications for Symptom Relief
A doctor may prescribe the following to help the area heal:
Topical Anesthetics: Creams containing Lidocaine can be applied before bowel movements to numb the area and reduce pain.
Nitroglycerin or Calcium Channel Blocker Ointments: These help increase blood flow to the tear and relax the anal muscle to speed up healing.
Stool Softeners: If dietary changes aren't enough, a mild stool softener may be recommended for a short period.
3. When to Seek Further Evaluation
If the bleeding is heavy, or if the pain does not improve significantly within a week of starting these home treatments, an in-person examination by a General Surgeon or Proctologist is necessary to confirm the diagnosis and rule out other conditions like internal hemorrhoids.
Summary Advice:
Focus on keeping your stools very soft and start warm sitz baths immediately. Most acute fissures heal on their own within a few weeks with these simple measures.
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Hi.. I can understand your query.. needs some more information..
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you can consult here in practo or you can text me on nine7476zero8386 for further assistance.. I can help you.. Even am working near warangal
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It could be Anal fissure (not sure) needs to be examined
It needs medical attention
Next Steps
Consult a surgeon, till thn these may help
Lactulose
High fiber diet
Lidocaine 2% jelly/ointment
Sitz bath 2-3 times for 10-20 mins
Health Tips
Avoids spicy food
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Need more history
More information
Next Steps
connect and book consultation
Health Tips
Over-the-counter syrups like Dexorange can cause gastric irritation or constipation in some individuals. If you decide to start them, monitor for any digestive discomfort. If your fatigue is accompanied by shortness of breath or chest pain, seek immediate medical consultation to rule out any cardiac or pulmonary issues."
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Pain with bleeding is commonly due to an anal fissure, which is usually manageable without surgery in early stages.
You can start with sitting in Warm water tub 15 min, 3 times daily, Drink Plenty of fluids and a high fiber diet include psyllium husk.Avoid straining during passing stools
These measures often give relief within a day or two.
If symptoms do not improve or pain is severe, medications may be required , book a consultation so I can guide you with the right treatment.
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Tab zerodol sp three times a day after food for five days.
Trenexa 500 three times after food for five days.
Anovate ointment by index finger first on buthole than gently push inside anus rotate the finger to cover anal mucosa completely before n after defication two times for two weeks for complete.
Use softovac powder two tsf two times for 20 days which activate healing.
But for three days duphalac syr10 ml at night.
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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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Its due to anal fissure .common cause is severe and chronic constipation. Constipation make stool hard and this hard stool rupture the anal wall during defecation. Its manageable completely. You need to change your dietary habits and shifted to fibrous diet.isabgol 1 tbsp after dinner.anovet gel after defecation and 2 to 3 time a day.also sitz bath is mandatory. Please consult me on practo for further management and evaluation .
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Hllo , understood your question , May be it’s anal fissure .. firstly take high fibre diet , plenty of fluids (2/3 litre per day ), avoid straining during Defecation, sits bath ( warm water ) 10 to 15 mins , 2/3 times a day .
Next Steps
Medical treatment - stool softener ( syp lactulose 15-30 mL at night ) , topical treatment apply lidocaine ( for pain relief ) before defecation . Take pcm for pain relief ..
Health Tips
If bleeding persists for then 2 week do consult to near by hospital .. or consult with me ..
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Need PR examination. Needs surgeon consultation
Next Steps
Surgeon consultation
Health Tips
Plenty of water and high fibre diet
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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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. Sumit Verma
General Physician
4 yrs exp
Kanpur
Apply Anovate ointment
For more discussion you can contact me directly on practo
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Zerodol p when in pain
Take laxative syp
Sits bath
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.