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Anal Fissure Health Feed

Sir after Fisher operation, dàrd aur jalan permanent bani rehti hai. Har jagha dikha liya sab kehte hai kuch nahi hai, sab theek hai. Testing me bataya aant kamzor ho gayi hai. Kya hoga sir. Kya kiya jaye.

Dr. Shivram Sinwar 93% (7907 ratings)
M.D.(Ayu.) Basic Principles, B.A.M.S., I.P.G.T.& R.A., GAU
Ayurveda, Ajmer
Hi Lybrate user Take Chirubilvadi kashyam 15 ml two times a day empty stomach. Take tab Pilonil two tablets two times a day. Avoid oily spicy fried salty heavy acidic food stuffs and cold drinks etc. Take light easily digestable nutritional protinious fiber rich diet. Tc thanks Regards.
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Hi Sir, I got a lot of wounds on my ass it breaks and blood is coming from it I can not able to sit if its get over and new one is coming what I want to do for it.

Dr. Jayvirsinh Chauhan 97% (8879 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
You need to consult and take proper homoeopathic treatment... it is called abscess... which is recurrent... To stop it recurring homoeopathic treatment is best... You can consult me through lybrate... Till then take Pyrogenium 200 one dose..
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Sir I have been suffering from anal fissure from 2 years. A small tear near bile open. Now i'm using homeopathy medicine from 15 days. Is it cures completely with out surgery.

Dr. Shriganesh Diliprao Deshmukh 94% (1881 ratings)
International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Sulph12c 4tims day for 10days Ars alb 3c 4tims day for 10days Nux v 12c 3tims day for 10days Nit ac 200one dose for 4days
1 person found this helpful
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I have anal fissure from past 1 n half month now m using the prescribed medicines n ointments. Now I feel a different pain when I apply the ointment it dosent hurt but when I walk or pass stools it does hurts for hours but deep inside. What is this did I got a fissure deep inside or I got a fistula? What r symptoms of fistula or is it just my fissures are healing as I regularly take my sitz baths 2-3 times a day.

Dr. Bhagyesh Patel 97% (7401 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. Healing fissures do not give deep internal pain you must consult with all details of medicines and ointments which are being used currently Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
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How Fistula-in-Ano Can Be Treated With Surgery?

MBBS, MS - General Surgery, MCh - Cardio Thoracic Surgery
General Surgeon, Lucknow
How Fistula-in-Ano Can Be Treated With Surgery?

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

  1. Pain- Constant pain which gets worse when sitting down
  2. Irritation around the anus, like swelling, redness and tenderness
  3. Discharge of blood or pus
  4. Constipation or pain while evacuation
  5. Fever

Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

  1. Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
  2. Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.

Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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I'm having anal fissure, often there is bleeding with stool, doctor prescribed dalacin c tablet along with proctosedyl bd. ointment.shall I continue?

Dr. Bhagyesh Patel 97% (7401 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. Have to continue tablet and ointment till total recovery of the fissure along with sitz bath and dietary measures to be practised a lot Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
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Why Ayurveda treatment is better than conventional surgery for anal fissure. Take this Quiz to Find out How??

Dr. S K Singh 91% (166 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Why Ayurveda treatment is better than conventional surgery for anal fissure. Take this Quiz to Find out How??
Why ayurveda treatment is better than conventional surgery for anal fissure. Take this Quiz to Find out How??
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21 people took this quiz

Can GI bleedings may happen from reasons other than hemorrhoids/piles/anal fissure/fistula.

Dr. Praveen Sharma 87% (13 ratings)
MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Can GI bleedings may happen from reasons other than hemorrhoids/piles/anal fissure/fistula.
Yes there are number of other reasons but you need assessment whether bleeding is from upper or lower part of intestine.
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I have asked my father, mother,uncle and many others person that if you get occasional hard stool for one time for one day then you get anal fissure they all told no but I easily get fissure if I get occasional hard stool for one day though my stool is soft and I go toilet two times in a day but anyhow if sudden develop hard stool then anal fissure occur very easily while other person not develop? What is the difference of my anus from other people anus? Is it lifetime curable?

Dr. S K Singh 91% (166 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
In Anal Fissure; there is a linear cut in anal mucosa. With application of some medicines; this cut starts healing. When this cut is about 70% healed; pain is almost nil and patient feels that his fissure is completely healed. If by chance; stool is hard at this time it will further rupture the skin in fissure region. This is what exactly is happening with you and your anus is not different from any body else. For complete healing of anal fissure, Ayurveda recommends Kshar Karma treatment. In this treatment a special Ayurvedic medicine is applied in Anal fissure region. It debrides the fissure and promotes healing. Usually it takes about 4-5 weekly Kshar karma sittings for complete healing of Anal Fissure. Once the fissure is healed completely; occasional hard stool will not cause any problem. Only recurrent hard stool can cause Fissure only. So it is necessary to continue the treatment until doctor checks and confirms that Fissure has healed completely.
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Fistula In Ano - Success Rate In Ayurveda

Dr. Suchit Kumar Singh 89% (28 ratings)
B.A.M.S
Ayurveda, Gorakhpur
Fistula In Ano - Success Rate In Ayurveda

Fistula in ano or bhagandar is very much recurrent disease means, d first thing is when a person have anal fistula then it itself some times look like it is completely gone by time, but suddenly after few days, weeks, months or years it appears with all it's features. And a person with few medications like antibiotics or homoeopathic medications, if case is not taken properly, it again behaves the same. It's very recurrent even after surgeries. Now what I have learned in my practice and in my institutions, the kshar sutra method of ligation of fistula, completely cures the fistula in ano. And also it doesn't harm the rings of anus, so that it doesn't cause any incontinence.

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