Diagnosed With Anual Fissure And External Hemroid. Prescribed Cortisone Cream. Normal?

Posted on Fri, 4 Oct 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 5 Oct 2013 Answered on

Wed, 23 Oct 2013 Last reviewed on

Question : I was diagnosed with an anual fissure and external hemroid and given perscription cortisone cream to use. Still having discomfort. Is this normal?

Answered by Dr. Jorge Brenes-Salazar (5 hours later)

Brief Answer:
Perhaps

Detailed Answer:
Dear patient,

Indeed, it takes several days for the inflammation to be controlled and go away, in the mean time there are other creams like preparation H that contains an anesthetic and a vasocosntrictor to help relief.

Yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Jorge Brenes-Salazar (15 minutes later)

I am already using a perscription cortisone cream and it seemed to get better for a couple of days and now having discomfort again. Is this normal for the discomfort to come and go when you have ananal fissure and external hemroids?

Answered by Dr. Jorge Brenes-Salazar (49 minutes later)

Brief Answer:
Rule out thrombosed hemorrhoid

Detailed Answer:
It may be the course if some inciting factor, such as constipation continues to be present, but if that is not the issue, thrombosis of the hemorrhoids must be ruled out since it is a cause of exacerbation of pain. It would be advisable to have your provider take another look.

Yours truly,

Dr B

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar