Could Slight After A Bowel Movement Be Related To My Prior Fissure?

Brief Answer:
Very likely can be hemorrhoids this time.Very likel;y its not related to your fissures problem.To be sure get yourself examined by a proctoscope from MD.

Detailed Answer:

Hello and thanks for your query,

I have seen your details and i appreciate your concerns.

As per the history given by you most likely cause of your problem is Hemorrhoids. Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated especially when you poop.
According to standard texts Hemorrhoids are classified as-
Grade 1:hemorrhoid bulges into the canal but does not prolapse or fall completely into it. These may bleed.
Grade 2: hemorrhoid protrudes past the anal verge with straining for a bowel movement or passage of flatus, but spontaneously return to their original internal position once the straining has subsided.
Grade 3: the hemorrhoid may protrude past the anal verge without any straining and requires the patient to push them inside manually.
Grade 4: the internal hemorrhoid always stays protruded or prolapsed and is at risk for thrombosis or strangulation should the anal muscles go into spasm.
Your case is grade 1 hemorrhoid very likely.

Firstly visit a MD and get a proctoscopic examination of your anal canal done by him/her.
Once confirmed that the little growth is hemorrhoid start with conservative management for at least 3 months-
Suggestion for conservative management are-

Start taking Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Using laxative would prevent straining while defecating.

-Secondly, start using Prepration H (a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc.) locally over the prolapsed hemorrhoids.

Thirdly, request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% cases.It was demonstrated that calcium dobesilate decreased capillary permeability, inhibited platelet aggregation and improved blood viscosity; thus resulting in reduction of tissue edema.

Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.Take it 2 tsf twice daily with half cup of XXXXXXX warm milk.


Hope I provided you with the information you wanted.
In case you need further advice feel free to ask.

Regards

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Brief Answer:
Less likely.

Detailed Answer:
Hi,
Anal cancer is usually associated with Pain or a feeling of fullness in the anal area along with narrowing of stool or other changes in bowel movements,abnormal discharge from the anus and Swollen lymph nodes in the anal or groin areas.However again first possibility first. Protoscopy is the baseline test for you whether we are ruling out anal cancer or hemorrhoid.

Thanks

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