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Anal fissure
Im facing problem of anal fissure since 3 days as it's becoming difficult to sit. I'm doing sitz bath and applying proctosedyl ointment since 3 days. Still there is pain. I want to have better medication please help me out.
Answers (22)
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I can understand you, its a very painful condition it would be better if you go see a surgeon in person
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Consult general surgeon
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kindly consult a surgeon
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Based on your symptoms and short duration (3 days), this sounds like an acute anal fissure, not a chronic one.
• Pain while sitting and after passing stools is typical
• Sitz bath + Proctosedyl helps inflammation, but it does NOT relax the anal sphincter, which is the main reason pain persists
• In the first 7–10 days, pain can remain significant even with ointments if stool remains hard or sphincter spasm continues
Health Tips
• High-fiber diet: fruits (papaya, pear), vegetables, oats
• Drink 2.5–3 L water/day
• Use a soft cushion while sitting
• Avoid spicy food & alcohol temporarily
• Do not overuse steroid creams (Proctosedyl should be limited)
Anal fissure pain can feel unbearable, but the good news is: acute fissures heal very well with the right combination of medicines—usually within 2–3 weeks. If pain is still severe after 7–10 days despite proper treatment, a short online consultation can help fine-tune therapy and prevent it from becoming chronic.
You don’t need to suffer through this—help is very much possible.
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Continue doing sitz bath with savlon / dettol 2-3 times dialy and apply nifedepine - xylocaine 2 percent combination 2-3 times / day on the pain area till the pain subside without wearing the area.
Next Steps
you should consult a general surgeon for local examination and avoid constipation if u are having and take 1 cup of syrup cremaffin at night before going to bed for constipation.
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Consult a General Surgeon to evaluate ur Condition
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Hello sir
Good that you are doing sitz bath
Make sure the water is luke warm.
I would also suggest you to increase Fibre in your diet
Drink a lot of water ,juices coconut water .
Don't strain while passing stools
Avoid spicy food
Also advised to use western toilets.
If you are passing hard stools still use stool softeners stop those if you pass loose stools.
Please Don't neglect
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How u apply proctored ointment?
Method
Use i dex finger(nails cut) put ointment first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication two times for two weeks for complete healing.
Tab zerodol sp three times a day after food for five days.
Oz two times after food for five days.
If stool is hard
Cremafin pink 10 ml at night.
Continue Seitz bath.
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Proper examination by a surgeon is needed, consult in-person
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It takes time to heal...you need proper treatment for it...need few changes in medication
Consult for better and further management
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Need few more questions for proper understanding of u r problem . You can consult me online
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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. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient
What you should do
• Continue warm sitz bath 3 to 4 times daily for 10 to 15 minutes
• Apply Proctosedyl after cleaning area and before sleep
• Start stool softener like Lactulose syrup 15 to 20 ml at bedtime or Cremaffin Plus at night to keep stool soft
• Take pain relief such as Tablet Zerodol SP or Combiflam after food if pain is severe (if no medical contraindication)
• High fiber diet fruits vegetables oats and 2 to 3 liters water daily
Better healing medicines often used
• Topical Nitroglycerin 0.2% ointment or Nifedipine + Lidocaine gel helps relax sphincter and reduces pain faster
• Stool softener is most important part of treatment
Healing time within 7 to 14 days if stool remains soft.
Consult me
• Severe pain persists beyond 7 to 10 days
• Bleeding increases
• Constipation continues
• You notice swelling (possible sentinel pile)
Early proper treatment prevents chronic fissure and surgery.
For detailed prescription and guidance you can text me on Practo anytime.
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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 free discussion
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evalauted
Do consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult to Surgeon
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need physical examination with a general surgeon
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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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Dr. Aniket Kirtankar
General Physician
2 yrs exp
Washim
This suggestive of acute anal fissure
Continue the site bath
Better to consult to surgeon in person to examine
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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. Rohit Bakshi
General Physician
11 yrs exp
Jammu
⸻
3 din se pain ho raha hai to most likely acute anal fissure hai — isme main problem muscle spasm hota hai, sirf ointment lagane se turant relief nahi milta.
Treatment ka focus stool soft rakhna + spasm relax karna hota hai:
• Continue warm sitz bath 10–15 min, 2–3 times/day
• Stool softener (lactulose/ispaghula husk) daily night — strain bilkul na karein
• Apply lignocaine + nifedipine/diltiazem ointment before and after passing stool ( SMUTH CREAM)
• Pain relief tablet after meals if required ( Tab Spasmodart/Spasmonil )
Proctosedyl sirf soothing deta hai, healing ke liye fissure-specific ointment zyada effective hota hai.
Usually 1–2 weeks mein significant relief milta hai.
Agar bleeding zyada ho, swelling aaye ya 3–4 weeks mein relief na mile to surgical evaluation required hota hai.
High-fibre diet + water intake maintain rakhein.
Aap chahein to detailed prescription ke liye consult kar sakte
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Take tab pilex himalaya
Apply annovate cream
Take tab brufen
Consult online will guide you
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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.