Hello sir I am 27 year old medical student From last 4 days I have constant pain in my anal area. It's very irritating and nonstop. Just one day before of this, I got fever with chills and continued for last 4 days which comes only in evening and get easily suppressed with simple paracetamol tablet. First I thought it is hemorrhoids but there is no bleeding or some outpouching neither something else on which I feel it like haemorrhoids The anal is very tensed and it's even paining on resting state as well Just last evening I used Hedensa cream used for piles having topical anaesthetic and some other contents But not much sign of relief I noticed that the pain subsides with paracetamol tablets. Please help 7.

Dr. Vaibhav Kapoor'sGeneral Surgeon7yrs exp

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Hi piles and fissure can be painful and troublesome. please consult a surgeon who after examination would confirm the diagnosis and advice further treatment of piles and fissure. I think you are having fanal fissure and abscess. Conservative measures like taking laxatives ,taking certain medications either allopathic or Ayurvedic and eating high-fibre diet will relieve your problem temporarily .you can use these measures to get imediate relief. Definitely treatment for fissure is surgical management. Laser treatment for fissure is definite treatment .it is a 10 minute painless procedure, no dressing is required post surgery. Post surgery you will be on proper diet chart and certain pelvic floor exercises will be taught to you which will help you avoid constipation in long run. you can contact through Lybrate for further details.  

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