I have rectal pain from the past 10 days and it was severe pain while passing stool and bleeding. I have consulted a doctor and he prescribed some Amoxicillin antibiotic and zerodol tablet along with one stool softener syrup freelex. After 3 days also it wasn't reduced and he gave me another antibiotic with more power along with zerodol. Now it is a bit okay. He says it's fissure and needs surgery. Does it really required? Around 3 years back the same situation has come and I have used drotin tablet along with flagyl 400 based on the prescription by another doctor n it got cured in 4-5 days. Can you please suggest the permanent solution for this problem?

Dr. SapanGeneral Surgeon18yrs exp

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Permanent cure for chronic Fissure in Ano is Surgery.  

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Dr. Saket GoelGastroenterologist25yrs exp

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High fibre diet, plenty of liquiyds, sit in warm water, apply diltigesic ointment, syp looz 20 ml at night. 

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Dr. Bhagyesh PatelGeneral Surgeon16yrs exp

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Hello dear lybrate-user, Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Currently there is no need of surgery.* First of all, primary care has to be done with conservative management, when there is no recovery from that (which is very rare) then and then only surgery is mandatory.* Primary guidelines for better recovery. Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxativesas Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400 mg) after meals morning and evening after meals for control of pain, burning if no history of drug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming.* And for your knowledge, fissure can again and again return after full recovery with surgery or without surgery, there is no permanent solution of that anywhere in any pathy of the universe. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care. 

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