Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Severe Pain In Anus Due To Fissures. On Combiflam And Isapgold. Any Advice?
Posted on
Fri, 14 Dec 2012
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 14 Dec 2012
Answered on
Fri, 4 Jan 2013
Last reviewed on
Question : Iam having severe pain in the anus due to fissures. i have been taking Combiflam & isapgold. The pain persits though of a lower vdegree. your advise please ? tks.
Hi XXXXXXX,
Welcome to XXXXXXX forum.
Are you taking any other medication apart from mentioned drugs?
Anal fissure is due to passage of hard stool through tightly closed anus.
Although you are suffering from hypothyroidism and your thyroid profile is within normal limits, still there are multiple causes of constipation.
With age motility of intestine progressively decreased and transit time from intestine is increased. As s result, stool gets hard.
This process is also aggravated by less water intake and associated medicines such as diuretics, calcium and iron tablets.
You should consult with XXXXXXX medicine specialist/ general surgeon and should go for thorough check up.
Combiflam (combination of NSAIDs) is meant for giving pain relief in anal fissure cases.
You should take stool softener which increases gut motility also.
You should take high fibrous diet along with plenty of water.
You should also apply smooth muscle relaxants at anal site.
You should also perform hot sitz bath 3 times in day.
Your blood pressure and thyroid profile is within normal range and you should continue treatment for the concerned disease.
Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava
Welcome to XXXXXXX forum.
Are you taking any other medication apart from mentioned drugs?
Anal fissure is due to passage of hard stool through tightly closed anus.
Although you are suffering from hypothyroidism and your thyroid profile is within normal limits, still there are multiple causes of constipation.
With age motility of intestine progressively decreased and transit time from intestine is increased. As s result, stool gets hard.
This process is also aggravated by less water intake and associated medicines such as diuretics, calcium and iron tablets.
You should consult with XXXXXXX medicine specialist/ general surgeon and should go for thorough check up.
Combiflam (combination of NSAIDs) is meant for giving pain relief in anal fissure cases.
You should take stool softener which increases gut motility also.
You should take high fibrous diet along with plenty of water.
You should also apply smooth muscle relaxants at anal site.
You should also perform hot sitz bath 3 times in day.
Your blood pressure and thyroid profile is within normal range and you should continue treatment for the concerned disease.
Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
