I am 21 years old and living in the United States and from September 2016, I've been suffering from rectal bleeding and pain. It's recurring, sometimes stays for 3-4 weeks or even more, sometimes for 2-3 days. II've started eating fibrous food so my stool isn't even hard anymore, but still the rectal bleeding keeps back coming after every other week. The doctors here gave an external rectal exam and found no external hemorrhoids, and suggested that either they're internal or it could be a fissure. They gave an ointment, Hydrocortisone Acetate Pramoxine HCI cream, which didn't work for me. When I pass stool during these times, it pains a lot, almost unbearable. And on the tissue paper, there's bright red blood. I take warm showers and eat fibrous food, but the pain remains for at least 12-14 hours.

Dr. Prasad BansodGeneral Surgeon11yrs exp

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Dear lybrate-user, You might be suffering from a fissure in ano. This may not be an acute fissure, as the doctors were able to do per rectal examination, suggests you don't have anal spasm. I suggest you to start SITZ BATH for 10-15 minutes for 3-4 times a day. To reduce the anal sphincter tone NIFEDIPINE ointment is usually prescribed with LIGNOCAINE. I suggest you to get a prescription for the same. Apply them after SITZ BATH after drying the area. Don't forget to put a little inside Also avoid fried, fatty, spicy, masala foods. Green leafy vegetables, fruits and grains with husks which have high fibre content are encouraged. Do not forget to drink plenty of water. Ease continue this for a minimum period of 2-3 weeks. I hope this helps. Do not hesitate to get a consult. Hope to see you relieved soon Thanks. 

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