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Consultation ,Anal Fissure Hemorrhoids
It was 3 months ago that I went to doctor here , he said it's hemorrhoids, so then I started eating more fiber and less spicy foods and then week back I ate pizza and drank wine It was a 3 day trip so , and then suddenly again I feel very hard to go pooping ( bathroom) when I was going to bathroom the blood came with the poop and after releasing also and then again I went to doctor here there said anal fissure, he gave one medicine and ointment. The doctor here we're are seriously regarding this !!! They will not take care when it's in the beginning stage they will not take seriously that the problem in another countries I am speaking from Europe.
I WANTED TO KNOW WHAT IS THE PROBLEM??
WHY ITS WAS LIKE THAT
I FEEL VERY PAIN WHEN I WAS GOING TO BATHROOM AND LITTLE BURN TYPE
Answers (21)
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Use lidocaine 2% jelly before defecation
Then after defecation do sitz bath for 15 min and also do it at evening also
Then apply Diltiazem 2% ointment 2 times a day
Take lactulose 30 ml before sleep at night
If still pain exist after defecation take tab PCM or Anaspas sos
Change your diet habit take high fiber diet, planty of fluids
Next Steps
if it's non heal even after 6 weeks or not tolerable take surgery consultation
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Untreated Hemorrhoids with straining on stools is common cause for anal fissure. Anal fissure is a painful condition and requires immediate surgical management. If left untreated tract may form, causing constant bleeding, fistula formation and recurrent infections. So early treatment is of utmost importance.
Next Steps
Consult a General Surgeon, and plan for further management. Various surgical procedures are available for hemorrhoids and also for fissure.
Health Tips
for time being consume lot of fibres and adequate fluids. Avoid straining on stools, u can use laxatives. Avoid spicy foods.
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If you want to discuss your problems, pls text me on whatsapp on seven two seven eight nine two seven six three eight, i will guide you step by step.
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Consult general surgeon
Take sitz batch and fibre and less spicy foods continously
But u need to consult surgeon and it may require surgery to relieve and then food
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Pain and bleeding while passing the stool is typically due to anal fissure.However the exact cause is determined by the surgeon during clinical examination.Avoiding constipation,high fibre diet ,rectogesic ointment may help in the healing
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Symptoms are suggestive of anal fissure due to constipation.
Next Steps
kindly consult a general surgeon for more detailed examination and further treatment.
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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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TO KNOW THE NATURE OF LESION U NEED TO CONSULT SUPERSPECIALIST LIKE
GENERAL SURGEON. HE WILL EXAMINE U IN OPD WITH PROCTOSCOPE.
LISTEN TILL U DON'T CHANGE LIFE STYLE N DIET PLAN DRASTICALLY THIS PROBLEM IS RECURRENT.
LOCALLY APPLY ANOVATE OINTMENT BY INDEX FINGER FIRST ON BUTHOLE THAN GENTLY PUSH INSIDE THE ANUS ROTATE THE FINGER TO COVER ANAL MUCOSA COMPLETELY BEFORE N AFTER DEFICATION TWO TIMES FOR 3 WEEKS FOR COMPLETE HEALING.
SOFTOVAC POWDER TWO TSF TWO TIMES FOR 25 DAYS TO SOFTEN THE STOOL.
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Symptoms are suggestive of an anal fissure due to constipation, causing pain, burning, and fresh bleeding during stools.
Next Steps
Please consult for proper examination and treatment; early management usually gives good relief.
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Based on your symptoms severe pain during passing stool fresh bleeding and burning sensation the current problem is most consistent with an anal fissure rather than hemorrhoids. An anal fissure is a small cut in the anal skin that usually occurs after passing hard stool.
Why this happened
During your trip intake of low fiber food alcohol and possible dehydration likely caused constipation and hard stool. When hard stool passes it creates a tear in the anal canal leading to pain and bleeding. Once a fissure forms pain causes spasm of the anal muscle which further worsens difficulty in passing stool creating a cycle.
This is a very common condition and not dangerous but it can be very painful.
What you should do
Take high fiber diet fruits vegetables whole grains oats
Drink 2.5 to 3 liters water daily
Avoid constipation and straining
Warm sitz bath in lukewarm water 10 to 15 minutes 2 to 3 times daily
Continue ointment given by doctor regularly
Medicines commonly helpful
Stool softener like lactulose or polyethylene glycol at night
Topical anesthetic or fissure ointment as prescribed
Paracetamol for pain if required
When to consult doctor urgently
Bleeding is heavy or continuous
Pain does not improve in 10 to 14 days
Fever swelling or pus discharge occurs
Constipation persists despite treatment
Most acute fissures heal within 2 to 4 weeks with proper stool softening and local care. Consistency in diet and hydration is the key to recovery.
For further guidance or treatment adjustment you may consult anytime.
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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. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Physical examination is needed
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Drink plenty of water
Syp cremaffin 10 mL during night
Drink plenty of water
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Divyansh Gupta
General Physician
3 yrs exp
Jabalpur
IT IS BETTER TO CONSULT IN PERSON FOR BETTER MANAGEMENT OF YOUR SYMPTOMS
STEPS OF MANAGEMENT WILL INCLUDE PER RECTAL EXAMINATION FOLLOWED BY PROCTOSCOPY.
MEANWHILE YOU CAN TAKE ANOBLISS OINTMENT FOR PER RECTAL LOCAL APPLICATION, SYRUP LACTULOSE 5 ML AT NIGHT
AND ZERODOL SP TWICE DAILY.ALSO INCREASE YOUR WATER AND FIBRE DIET.
FOR FURTHER QUERY YOU CAN ALWAYS COMSULT.
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Dr. Ram Brahma Reddy
General Physician
6 yrs exp
Hyderabad
Kindly consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
May Anal fissure
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
You need to consult with general surgeon or proctologist to evaluate this properly.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and 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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