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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Dilators Advisable After Having An Anal Dilatation?

my problem is i have done kshara sutra for piles he has do esurgery after two months i am not able to pass the stool properly i went to surgeon he said there is a fissure in ano deeply inside and anus hole become small and narrow he made surgery and told he taken out fissure and dilated anal hole with two fingures and i have to use dilators of three sizes for two months. my doubt is after dilation in how many days my anus hole become properly set. and once the dilation is done why again we use dilators.and im facing lot of pain after passing stool.please do needfull.
Tue, 1 Oct 2019
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General Surgeon 's  Response
Hi,

Noted your typical history of a condition called fissure in ano wherein anal dilatation has been done and advised you to continue with 3 numbers of dilators.
Yes, having manual anal dilatation with anal dilators helps to relax the muscles and allows scar tissue to settle well for anal dilation to be effective.
It takes about a few weeks for good result which can be benefiting you permanently.
Also take care to keep the stools soft.
Have Sitz bath regularly with warm water.
A course of an antibiotic, metronidazole and probiotics may help early healing but needs a prescription of your Doctor/Surgeon.
Adjust foods and beverages that suit you and stop the ones that cause any gastrointestinal problems.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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Are Dilators Advisable After Having An Anal Dilatation?

Hi, Noted your typical history of a condition called fissure in ano wherein anal dilatation has been done and advised you to continue with 3 numbers of dilators. Yes, having manual anal dilatation with anal dilators helps to relax the muscles and allows scar tissue to settle well for anal dilation to be effective. It takes about a few weeks for good result which can be benefiting you permanently. Also take care to keep the stools soft. Have Sitz bath regularly with warm water. A course of an antibiotic, metronidazole and probiotics may help early healing but needs a prescription of your Doctor/Surgeon. Adjust foods and beverages that suit you and stop the ones that cause any gastrointestinal problems. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon