I got anal fissure after delivery with a sentinel tag. I took homeo treatment with no access then a laparoscopic surgeon suggested me anometrogyl along with chymoral plus (twice a day) with softovac once at night, sitz bath twice a day. I did all this and was cured in around 10 days. Stopped chymoral plus after that but still continuing sits bath, softovac and anometrogyl and have been taking fibre in my diet, chewing my food properly and water intake is 2.5 litres per day. I have to rejoin office next week. So my question is for how long do I continue sits bath and anometrogyl. And is softovac a habit forming as I haven't been constipated but i'm of recurrence due to sentinel pile and god forbid if ever I pass hard stools after leaving softovac. I don't wanna go for any surgery. Any suggestions are welcome.
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hello and greetings you have a fissure and a sentinel tag which happens after pregnancy. A fissure will increase and cause pain of you have constipation. So it is important to prevent it. This can be done by dietary modifications. Have plenty of water 3 to 4 litres per day, include high fibre by having vegetables and fruits , sprouts, pulses . Yoghurt is good. Avoid refined foods like breads , sweets, cakes , spices and oils. You can start Kegals exercise . Continue sitz bath and cream for 10 days. Gradually stop softvac by tappering and reducing the dose over two weeks. Then the body will not be dependant on it. Lastly maintain good local hygiene. I am sure that you will recover fully and go back to your routine life. Regards
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Hello lybrate-user. Fissure is a disease with recurrence nature. As you have taken allopathic medicine its suppresses fissure for some while it may be 15 days a month 2 month or may be 6 month but it will surely recurred with time. You may stop sitz bath just take high fibre diet to avoid hard stool .fissure and tag will never go with medicine. With time your condition may go worsen. Its only permanent cure is surgery but it may lead to loosening of anal ring. You should go through laser procedure it will relief you for nearly may be 1 yr. Actually in laser procedure laser numbs the nerve which supplied towards fissure. I personally cured ma y chronic fissure and tags with my own thread ligation procedure but it is a little bit painful and time_taking procedure but your problem will surely eradicate for lifetime.
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Once you will stop softovac and anometrogyl; chances of recurrence are always there due to presence of sentinel tag. Anometrogyl is not recommended for prolonged use. You better; opt for ayurvedic management of anal fissure which is safe and effective. You can apply sushruta ointment and sushruta oil twice daily. Further sentinel tga be removed with minimal surgery by graded ksharsutra treatment. No hospitalization or bed rest is required. You can continue your normal routine activities as usual during this treatment. For further support you may call reception at sushruta ano rectal institute.
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