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Suggest Treatment For Fissure-in-ano
Posted on
Sat, 22 Nov 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 22 Nov 2014
Answered on
Mon, 8 Dec 2014
Last reviewed on
Question : im 27 years old. when I was pregnant 3 years ago I had a problem of constipation which led to piles..It didnt create any issue then so I didnt took any treatment. However, after a year or so, I had some pain and it went away after couple of days. Then it reappeared for another 4 times. During the pain, my body becomes completely weak and I feel feverish. There isnt any bruise but I could feel some bulginess around the anal. I'm shy to get this consulted, so seeking for some medication that would help to cure this.
Brief Answer:
Fissure-in-ano.
Detailed Answer:
HI.
Thanks for your query and an elucidate history.
I have read the history and understood the following points:
Pregnancy has caused constipation and piles (?) / Fissure. Pile is always painless unless it is prolapsed (comes out of anus and stays there causing thrombosis).
Repeated attacks of painful anal condition, which resolve in couple of days and with bulkiness around the anal is most pf the times indicative of a condition called ''fissure-in-ano''.
I would advise you the following and if you strictly adhere to the principals, you may be permanently cured without surgical procedure::
High fiber diet.
Avoid all the foods and beverages and stress-like conditions which gives constipation.
Laxative for softening the stool- never allow the dose too much to cause liquid stools.
Sitz bath- very important- just before passing a stool and after passing a stool.
Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean.
You can apply liquid povidone iodine locally. Apply nothing else.
5 day course of an antibiotic on prescription of a local Doctor.
Add probiotics and multivitamins.
Avoid stress and mental tensions at any cost; this is a very important factor.
Continue this for 3 weeks and most probably you may not need surgery.
If the results are positive you have to continue doing all this and take proper care.
You may need to see a General Surgeon id there is a recurrence.
I hope this answer helps you.
You may rate this answer if you liked it.
Thanks
Fissure-in-ano.
Detailed Answer:
HI.
Thanks for your query and an elucidate history.
I have read the history and understood the following points:
Pregnancy has caused constipation and piles (?) / Fissure. Pile is always painless unless it is prolapsed (comes out of anus and stays there causing thrombosis).
Repeated attacks of painful anal condition, which resolve in couple of days and with bulkiness around the anal is most pf the times indicative of a condition called ''fissure-in-ano''.
I would advise you the following and if you strictly adhere to the principals, you may be permanently cured without surgical procedure::
High fiber diet.
Avoid all the foods and beverages and stress-like conditions which gives constipation.
Laxative for softening the stool- never allow the dose too much to cause liquid stools.
Sitz bath- very important- just before passing a stool and after passing a stool.
Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean.
You can apply liquid povidone iodine locally. Apply nothing else.
5 day course of an antibiotic on prescription of a local Doctor.
Add probiotics and multivitamins.
Avoid stress and mental tensions at any cost; this is a very important factor.
Continue this for 3 weeks and most probably you may not need surgery.
If the results are positive you have to continue doing all this and take proper care.
You may need to see a General Surgeon id there is a recurrence.
I hope this answer helps you.
You may rate this answer if you liked it.
Thanks
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Answered by
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