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Sir, I am suffering from anal pain in right side of rectum since 8 years. I have been treated by many Doctors. They checked me and almost every doctor said there is not any major problem. I did tests as well its test did a surgeon doctor at his clinic with an instrument with a small bulb attached and checked my anal rectum and he said me that you have an anal fissure. I take antibiotics too almost every doctor gave me antibiotics and said me the same statement, (anal fissure). In previous year I met a consultant doctor at state hospital srinagar he advised me to do a colonoscopy. I did the same and produced to the same consultant and he said me that there is nothing any serious problem. A small hemorrhoid was in report. He gave me ointment namely dobesoft and Dilgel. After that everything was right. But couple of weeks again I am suffering from same. One doctor said me take lot of fluid and don't smoke. Consultant too advise me the same. And unfortunately I am a chain smoker. Now please advise me what to do I am tense and confused. Please sir again please give the suggestion as well as advise please. That will be your kindness.

2 Doctors Answered
Your problem is anal fissure and a small pile as diagnosed. Antibiotics have no role to play. Yes too much of smoking is not good. Cut it down. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Surgery may be required if above measures do not help over a period of time.
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Respected lybrate-user hi if you don't quit smoking never expect of any recovery from any doctor on the earth. You have to take decision right away if you want to continue to suffer with smoking or you want a better life with good health. Take plenty of liquids green leafy veg fiber fruits curd for better digestion & avoid hard stools. Avoid all oily spicy nonveg stuffs totally. Apply xylocaine (5) jelly over anal part after passing stool & having sitz bath (sitting in tub filled with leuk warm water for 10-10 min mor & eve). Isabgul powder 3 teaspoonful at night with glass of leuk warm water for 15 days. Can consult after 15 days if stopped smoking totally dear thanks regards.
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