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Chronic fissure with sentinel tag
I had sentinel tag in June in one week old fissure after taking medicine sitz bath fissure healed in one month but tag remained in October due to constipation I got fissure again doctor said surgery for severe spasm and sentinel tag but after medicine I not get pain but every month I get fissure it gets healed in one two days now there is no spasm just little pain while examining is this curable without surgery
Answers (9)
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Yes, can be managed without surgery.Non surgical treatment aims at breaking the cycle of constipation and irritation.
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First of all its all happen s due to chronic constipation. Maintain and regulate your dietary habits and lifestyle modifications is a major key.use isabgol before sleep .
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TILL U DON'T CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST NO THERAPY GIVES U PROPER RESULT.
AS SUCH FISSURE IS A RECURRENT CONDITION.
ADD SOFTOVAC POWDER TWO TSF TWO TIMES FOR20 DAYS . ITS HERBAL PRODUCT SANUF FLAVORED ISABGOL HUSK NON HABIT FORMING ANTI CONSTIPATING AGENT.
DEFLON500 TWO TIMES AFTER FOOD FOR 15 DAYS FOR SENTINEL TAG.
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This is a case of recurrent Anal Fissure with a sentinel tag.
Next Steps
Focus should be on preventing recurrence, not surgery:
• Stool regulation (MOST IMPORTANT):
– High-fiber diet
– Stool softener if needed (e.g., lactulose/isabgol)
• Local treatment during episodes:
– Sitz bath (warm water)
– Apply fissure ointment (like diltiazem/nitroglycerin if prescribed)
• Hydration:
– 2.5–3 liters/day
Health Tips
• Avoid straining during passing stool
• Do not delay urge for motion
• Regular bowel habit (same time daily)
• Avoid very spicy/junk food if it worsens symptoms
• Sentinel tag itself is harmless and doesn’t require removal unless very bothersome
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Dr. Amarnath A
Gastroenterologist
12 yrs exp
Bangalore
You can consult me at ANAYA LIVER AND GASTRO CARE, BTM LAYOUT 2nd stage for further evaluation.
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
If you have anal tag, get it removed surgically, it is a small surgery and control constipation.
Take syp lactulose 10m.l morning and evening,
Take more of green leafy vegetables, fruits like pappaya, orange.
Drink more water , hot water before sleeping and after getting up.
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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. 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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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.