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Tight sphinchtor
A few months ago I had anal fissure and after a lot of medications and efforts, 2 weeks ago Dr. Said now it is healed. I also feel no scratch or tear while applying ointment but from last 3 days my anus has become so much tight that even I can't apply ointment easily and cannot defecate my bowels easily, though there is no tear and scratch in the area. I also feel pressure in anus. What should I do now?
I'm doing sitz bath 2 times daily and GTN+ Xylocaine 2 times daily but anus is still very tight.
Answers (3)
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If there is no relief then you may have to go for surgery.
Next Steps
you may try some alternative medications in the meantime. consult for further advice
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Physical examination is required to assess the peri-anal muscles tone and then decision can be done regarding the management.
If you are having no relief with Sitz bath and GTN ointment, then you have to undergo surgical management.
Next Steps
Consult a General Surgeon or Proctologist for better evaluation and management
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Dr. Mohammed Jameel Ahmed
General Surgeon
28 yrs exp
Nagpur
U can try applying ointment more frequently
Take good analgesics
Continue Sitz bath frequently
Continue laxatives
Next Steps
if no improvement then visit a surgeon
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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.