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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 Fissure And Rectal Pain?

I have extremely and severe rectal pain due to a fissure. I also have abdominal pain on my right side that is sharp; seems like when my rectum hurts is when i ll feel a sharp pain in my side/same time. i have had several uti s this past year, and it seems i may have a bladder that has dropped which may be putting pressure on my rectum, will this cause the severe pain on my left side too? not so sure who to go to see; as i am scheduled to see a urologists for the dropped bladder; then a colon/rectal surgeon for the fissure. i don t know what to do.
Mon, 1 Sep 2014
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General Surgeon,  's  Response
The pain in anal region is due to fissure in ano. And the pain on right side can be due to colitis - which may be the original reason for anal fissure.
Recurrent UTI s should be well investigated by ultrasonography and IVP that is intravenous pyelography.
The treatment of the anal fissure is as follow:
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.

This may help to relieve your UTI to some extent
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What Is The Treatment For Anal Fissure And Rectal Pain?

The pain in anal region is due to fissure in ano. And the pain on right side can be due to colitis - which may be the original reason for anal fissure. Recurrent UTI s should be well investigated by ultrasonography and IVP that is intravenous pyelography. The treatment of the anal fissure is as follow: 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. This may help to relieve your UTI to some extent