HELLO SIR/MADAM MY NAME IS XXXXXXX AGE 43 MARRIED WITH

Posted on Thu, 8 Aug 2019

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

Thu, 8 Aug 2019 Answered on

Last reviewed on

Question : HELLO SIR/MADAM
MY NAME IS XXXXXXX AGE 43 MARRIED WITH 2 KIDS , I LIVE IN AUSTRALIA , FROM LAST 6 MONTHS I HAVE BEEN FACING PROBLEM OF CONSTIPATION
DURING LAST 3 MONTHS , THE PROBLEM GOT MORE SEVERE ... AS I USED TO FELT ...BURNING FEELING WHILE POPPING/POTTY.......IT GOT MORE SERIOUS OVERTIME ....
SOMETIMES IT BLEED ALSO .....BLEEDING IS MORE NOW A DAYS .........
PRESENT SITUATION IS .....I FEEL BURNING AT ANUS ALL THE TIME ....NOT ONLY WHILE POTTY BUT 24 HRS THAT SOMETIMES I COULDNT SLEEP.......
THREE MONTHS BEFORE ...................I VISITED DOCTOR .............HE TOLD ME THAT I HAVE " ANUS FISSURE ".....AND GAVE ME A CREAM CALLED AS " RECTOGESIC OINTMENT -GLYCERYL TRINIRATE .2% W/W ".........WHEN I USED TO APPLY THAT I USED TO GET SOME RELIEF

BUT NOW A DAYS NO RELIEF EVEN FROM..........THAT CREAM ................
NO OTHER MEDICATION IS PRESCRIBED BY DOC ,,.....

NOW DOCTOR TOLD ME TO GO FOR SURGERY ....................BUT I AM NOT SURE .........
PLEASE HELP ME ..

Answered by Dr. Dr.P.Ratnakar Kini (53 minutes later)

Brief Answer:
Constipation /Anal Fissure

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Yes, you have constipation and anal fissure.
For relief -
1. Take High fiber diet - Include lot of fruits & vegetables in your diet
2. Drink enough fluids
3. Increase your physical activity - At least 30 minutes of brisk walking every day
4. Sitz Bath for 10 minutes twice a day (sitting in a tub of warm water)
5. Apply Anovate to the anal verge twice a day after sitz bath
6. Take Stool softeners/laxatives ( Like Colace/Lactulose)

Surgery is only the last option.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Yogesh D