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Chronic Anal Fissure
I have been having a cyclic history of an anal fissure. There is a skin tag which has recently gotten a little inflamed. It is however better now, I am following a better diet from a few days, but one doctor on practo scared me saying it can become a fistula and what not. I am extremely worried. Please advise.
Answers (6)
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Anal fissure does not lead to fistula.High likely hood to become chronic anal fissure.
Sitz bath ,High fiber diet may help to prevent and decrease the risk of recurrence.
You can apply locally anobliss cream it's a combination of lidocaine and nifedipine
Next Steps
if conservation management doesn't show results , there's option for botulinum toxn injection for resistant fissure
surgery is the last option
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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Fissure will not lead to fistula most of the times. Perianal abscess will lead to fistula usually.
Next Steps
Dietary modifications can easily cure fissure disease to some extend. You also need to take seitz bath for 10 mins in the morning and evening for 1 month atleast. Apply lignocaine gelly 10 mins before passing stools each time. Stools consistency should be soft. Take stool softener agent if needed
Health Tips
If you follow this routine for atleast 1 month, it may heal upto 90-100%. Kindly consult for further management.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide me detailed history for proper diagnosis and further management
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Dr. Valli Ponsing
General Physician
11 yrs exp
Chennai
Only peri anal abscess will lead to fistula
Next Steps
general surgeon opinion
Health Tips
fissurectomy
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Dr. Rajiva Gupta
Internal Medicine
46 yrs exp
Delhi
Best course is to consult a surgeon for in person examination
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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.