I Am Having Allot Of Pain After Bowel Movement The

Posted on Mon, 20 Jan 2020

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

Mon, 20 Jan 2020 Answered on

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Question : I am having allot of pain after bowel movement the doctor said its either a fissure or hemorrhoid I was prescribed two different creams nifedipine and diltiazem. which one should I use, the pain is quite severe and lasts 5-6 hours after a bowel for 3 months now. do you recommend anything else or maybe something to numb the pain.
I had a lower colon scan and they said it was clear but might be a small tear or small hemorrhoid. so what do I treat?

Answered by Dr. Dr.P.Ratnakar Kini (32 minutes later)

Brief Answer:
Anal fissure

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr. R. K and I am pleased to assist you.
You are having symptoms of anal fissure.
Nifedipine and diltiazem relieve the anal sphincter spasm. But they do not relieve pain.
For complete relief, you need to do the following.
1. Sitz bath for 10 minutes twice a day.
2. Apply topical nifedpine or topical diltiazem twice a day at the anal verge.
3. Apply topical lignocaine twice a day at the anal verge (This relieves pain)
4. Stool softeners (Hard stool causes fissure)
5. High fiber diet and lot of fluids.
Regards,
Dr. R. K

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.P.Ratnakar Kini (2 hours later)

Should i continue with metamucil and stool softeners and is lignocaine and lidocaine the same and do i need a prescription. Should i apply vaseline prior to having a bowel movement to help with the pain

Answered by Dr. Dr.P.Ratnakar Kini (8 minutes later)

Brief Answer:
Answer given below.

Detailed Answer:
Hi,
Thanks for getting back to me with more questions.

1. Yes you need to continue taking metamucil and stool softeners.
2. Yes, lignocaine and lidocaine are the same. No need for any prescription.
3. Vaseline will be helpful but not necessary if you follow the advice I have given in my previous post.
Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Vaishalee Punj