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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Using Lidocaine Ointment In The Anus For A Fissure. Have Bleeding And Burning Sensation. Advice?

dear sir,
i am 36 year old man,about 5.7ft in height and 60 kg weight, for last 5 years i am using lidocaine 5 % ointment at bed time on my anus as i have a fissure there and it sometimes bleeds,i am very conscious to avoid constipation ,and now a days i have not constipation ,
now for last 4 months lidocaine 5% is not availabe,and i am not using ,for two days there are blood stains ,and also i can observe blood when i touch the fissure on my posterior end of my anus on my fingure tip,and also there is burning sensation for about 10 minutes after ejaculation .what is your advice
posted on Wed, 8 May 2013
Twitter Wed, 8 May 2013 Answered on
Twitter Thu, 9 May 2013 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for posting your query.
With the available describes symptoms, there appears to be high possibility of decreased gastrointestinal motility.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, blood sugar, serum electrolytes, and thyroid profile.
You should take plenty of water, high fibre diet and laxatives containing lactitol and isapgula.
You should perform increased physical activity to maintain gastrointestinal mobility.
You should also take proton pump inhibitors along with prokinetics.
Applying lignocaine is just like putting water on fire; you should apply diltiazem ointment for better relief.
Take care,
Dr. Mayank Bhargava
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Using Lidocaine Ointment In The Anus For A Fissure. Have Bleeding And Burning Sensation. Advice?

Hi, Thanks for posting your query. With the available describes symptoms, there appears to be high possibility of decreased gastrointestinal motility. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, blood sugar, serum electrolytes, and thyroid profile. You should take plenty of water, high fibre diet and laxatives containing lactitol and isapgula. You should perform increased physical activity to maintain gastrointestinal mobility. You should also take proton pump inhibitors along with prokinetics. Applying lignocaine is just like putting water on fire; you should apply diltiazem ointment for better relief. Take care, Dr. Mayank Bhargava