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How Is Anal Fissure Treated?
hello,
my wife is having an anal fissure from the last 1 month. She had been taking purgative and applying smooth ointment. As the bleeding had stopped from the last 10 days she stopped the purgative. Today again it bleed ed. Which doctor should we consult and how much time it may take . Thanks
my wife is having an anal fissure from the last 1 month. She had been taking purgative and applying smooth ointment. As the bleeding had stopped from the last 10 days she stopped the purgative. Today again it bleed ed. Which doctor should we consult and how much time it may take . Thanks
Wed, 7 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Noted the history about your wife and understood the concerns:
One month of anal fissure is a long time to suffer indicative that it has become long-term (chronic) now.
I would advise her following:
Consult a general surgeon for clinical evaluation, actual examination per-rectal digital examination, and proctoscopy if the pain allows. This will give the most proper diagnosis and give the plan of further management.
• Sitz bath in a tub with warm water.
• Continue laxatives and not purgatives, she needs soft stools not loose.
• Antibiotics and other medications as would be advised by her surgeon.
If the medical management fails to give complete relief she will need a surgical procedure like Lord's dilatation or internal sphincterotomy for complete cure and yet to continue with Sitz bath and laxatives. Control of stress and anxiety is a part of management.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
I have reviewed your query and here is my advice.
Noted the history about your wife and understood the concerns:
One month of anal fissure is a long time to suffer indicative that it has become long-term (chronic) now.
I would advise her following:
Consult a general surgeon for clinical evaluation, actual examination per-rectal digital examination, and proctoscopy if the pain allows. This will give the most proper diagnosis and give the plan of further management.
• Sitz bath in a tub with warm water.
• Continue laxatives and not purgatives, she needs soft stools not loose.
• Antibiotics and other medications as would be advised by her surgeon.
If the medical management fails to give complete relief she will need a surgical procedure like Lord's dilatation or internal sphincterotomy for complete cure and yet to continue with Sitz bath and laxatives. Control of stress and anxiety is a part of management.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
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