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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Anal Fissures ?

This is babu , male 28 years old. i recently met senior cosultant doctor (FRCS), he said that you have fissures problem and given 5 days medicine course and asked me come down after 5 days, so during these 5 days pain is coming (medium pain at morning and evening ) and light pain in night timings and after completion of 5 days i went to hospital for next treatment checkup. while checkuping next time i was getting full pain , he said that you have fissures problem and you need surgery and given 5 days medicines and course is completed for yesterday but still pain is coming while in toilet which is very hard morning time and others time is medium hard i.e. combination of hard and soft. Can anyone please advice what i have to do i.e. needs to go surgery or is there remedy mothods for it, please advice? and also can you please let me know whom should i contact in hyderabad?
posted on Fri, 19 Aug 2011
Twitter Fri, 19 Aug 2011 Answered on
Twitter Wed, 22 Feb 2012 Last reviewed on
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General & Family Physician,  's  Response
hi,thanks for query.You might be having acute fissure.This at times takes time to heal,fissure is a kind of tear in the mucosa which is very painful.Normally if the fissure is not deep it responds to medicines and diet control.Avoid junk food,take more of liquids and take laxative to avoid constipation.You can wait for one week more with medicines and after that still you have pain and problem surgery is the only answer.
Any general surgeon can take care of this problem.wishing you good health.
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Orthopaedic Surgeon,  Dr. Aashish Raghu's  Response
Welcome to Healthcare Magic
You could be having this problem more than few months which means chronic fissure. In such cases only surgery will cure. You have to eat plenty of fresh fruits and green leafy vegetables. Drink plenty of water. You can have stool softener as well because if stool is soft then very less pain but hard stools means less healing of the fissure and lot of pain. For relief you can sit in warm water in shallow tub 2-3 times a day called Sitz bath. Also application of Xylocaine gel will work for reducing pain. But only cure is surgery to widen the opening to prevent tightness of the anal sphincter. Nothing to worry. It is relatively safe and you will be more comfortable after the surgery.
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What Is The Treatment For Anal Fissures ?

hi,thanks for query.You might be having acute fissure.This at times takes time to heal,fissure is a kind of tear in the mucosa which is very painful.Normally if the fissure is not deep it responds to medicines and diet control.Avoid junk food,take more of liquids and take laxative to avoid constipation.You can wait for one week more with medicines and after that still you have pain and problem surgery is the only answer. Any general surgeon can take care of this problem.wishing you good health.