I have grade 2 hammeroid and fissure, I take daflon 1000 mg daily 1 at bed time and ibuprofen together. But still I have lot of pain after passing stool slowly increasing to extreme pain. Can I continue.

Dr. S K Singh, Sushruta Ano Rectal Institute Piles And Fistula TreatmentGeneral Surgeon35yrs exp

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Your pain after passing stool is because of fissure. Anal fissure can be conveniently treated without surgery by graded kshar karma treatment. In this treatment; graded kshar - a specialized ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Usually 3-5 graded kshar karma sittings are required for complete healing of fissure at weekly intervals. This is an opd procedure and no hospitalization or bed rest is required in this treatment. Now you should take sitz bath (hot water tub bath) followed by application of some soothing ointment or coconut oil in anal region. For easy evacuation of bowel; you should take some stool softening medicine like haritaki powder etc. For further support you may contact sushruta ano rectal institute. 

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