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Anal Fissure Questions

Sir, I had anal fissure shall I use piles ointment I had bleeding and sharp pain doing passing stool.

Dr. Anuj Sharma 85% (466 ratings)
MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Sitz bath, soft diet, ointment like cremagel and plenty of fluids orally will help in acute fissure for chronic fissure you need surgery.
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I had anal fistula. I have operated the fistula. Its been 2.5 months the wounded area is 85-90% healed and some amount of pus is still coming. Is this normal?

Dr. Adnan Mattoo 92% (255 ratings)
MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy
General Surgeon, Srinagar
A fistula takes time to heal depending upon the extent of the problem and how extensive the surgery was. You can wait and watch for one more month. But if it persists then have a second opinion as perianal fistulas are notorious for recurrance. Regards.
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Sir I am suffering from annul fissure from 2 years at 11 'o clock position of the rectum. Some times it is bleeding when stool become harder. I have to take almost regular lactulose solution to keep soft my stool. I regularly use Sucral Anno cream and Diltiazem gel before bowl movement and after having sits bath with worm water adding povidone iodine solution. But have their any side effect to use those drugs? And I know as soon as I stop using them my stool become harder and its started bleeding. How can I get rid off from these? I am 27 years old man. Please help Sir.

Dr. S K Singh 95% (743 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal fissure problem can be conveniently treated by Graded Kshar Karma. In this treatment a specialized Ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Graded Kshar Karma sittings are repeated at week or 10 days interval till fissure heals completely. Pain associated with Anal Fissure usually subsides a week or 10 days time period while for complete healing of fissure 3-5 Graded Kshar Karma sittings might be necessary. Now you should continue Sitz bath 2-4 times a day followed by application of anesthetic gel and then Sushruta ointment and Lekhan Powder in anal canal. Put 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel; you should take 1 tea spoon of Sushruta Churna with warm water in night. To get these medicines and for further support and appointment; you may call reception at Sushruta Ano rectal Institute.
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Hi, I have a problem I have some skin in shape of pimple on the perineum (around anus. I have no pain over there but sometimes it feels itchy. I have this from almost 1.5 year. Is there something to worry.

Dr. G.R. Agrawal 97% (22432 ratings)
DHMS (Hons.)
Homeopath, Patna
Hi, Lybrate user, Take, plenty of water to hydrate your body. Your diet be easily digestible on time. Tk,homoeopathic medicine:@ AzadirechtaQ -10 drops, thrice with little water. Avoid, junk food, alcohol and Nicotine. Take care.
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Blood came from anus when I excreted. It was painless. And after I did I do not feel any pain. I never suffered from constipation or fever before this day. I am still feeling healthy and nothing disease.

Dr. Jayvirsinh Chauhan 97% (16610 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Hello Rajat.. Usually internal piles are not painful initally... You can consult me at lybrate for homoeopathic treatment.
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I have re-current of anal fissure that is very painful. If I miss 1 day of bowel movement the I have anal fissures the next day. What should I do?

Dr. S K Singh 95% (743 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
You should start taking Sitz bath (hot water tub bath) followed by application of Sushruta ointment and Lekhan powder in anal canal. Put 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel movement you should take 1 tea spoon of Sushruta churna with warm water in night. To get these medicines and for further support and appointment; you may call reception at Sushruta Ano Rectal Institute.
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HI, I am suffering from anal fissure for last 8 days. At present I use a cream named diltigesic organogel please suggest a better medical care.

Dr. S K Singh 95% (743 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
You should take Sitz Bath (Hot water tub bath) 2-4 times daily followed by application of Sushruta ointment and Lekhan Powder in anal canal. Put 5 ml of Sushruta oil in anal passage in anal passage in night. For easy evacuation of bowel movement you should take 1 tea spoon of Sushruta Churna with warm water in night. To get these medicines and for further support and appointment you may call reception at Sushruta Ano Rectal Institute.
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Doctors tell that chronic constipation is the cause of anal fissure. But I have no chronic constipation. I go to pass stool two times in a day and sometimes three times. But problem is suddenly one day stool becomes hard and then anal fissure occurs. Why for only one time hard stool leads to fissure in my case? It is impossible to avoid one time hard stool because sometimes it is common. It has no permanent cure? LIS surgery already done.

Dr. S K Singh 95% (743 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Occasional hard stool can also result in anal fissure. Surgery is not the right choice for Anal Fissure for the reason of recurrence of problem after surgery and other complications like stool incontinence (inability to hold stool) etc. However fissure can be completely treated by Graded Kshar Karma Treatment. In this treatment; a specialized Ayurvedic medicine is applied in fissure region which debrides the fissure and induces healing. Pain associated with fissure subsides in a week or 10 days time period but for complete healing of Anal Fissure usually 3-5 Graded Kshar Karma sittings may be required at weekly interval. 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) 2-4 times daily followed by application of Sushruta ointment and Lekhan powder. Put 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel movement; you should take 1 tea spoon of Sushruta Churna with warm water in night. To get these medicines and for further support and appointment you may call reception at Sushruta Ano Rectal Institute.
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Hi, I have fissure since a year. 3 days before I see a small lump on my anus near fissure. What is this? Is this external hemorrhoid?

Dr. S K Singh 95% (743 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Most likely you are suffering from Sentinel tag which appears when Anal Fissure is not treated in time. This problem can be successfully treated by Graded Ksharsutra. In this treatment; Graded Ksharsutra - a specialized medicated thread is ligated at the root of sentinel tag and as a result it sheds off in a week or 10 days time period. No hospitalization or bed rest is required in this treatment. Patient can continue his normal routine activities as usual during this treatment. In the mean time you should start taking sitz bath (Hot water tub bath) followed by application of Sushruta ointment and Lekhan Powder in anal canal. Put 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel movement; you should take 1 tea spoon of Sushruta Churna in night with warm water. To get these medicines and for further support and appointment; you may call reception at Sushruta Ano Rectal Institute.
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