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An anal fissure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1743 Questions
User :   I am having a problem with some painful cuts in the anus when I go to the toilet, they seem to be healed during the time Im not going to the bathroom, but as soon as I have to go, seem to reopen. I really am not sure how to treat this. I've been putting triple antibiotic ointment in there and trying to eat salads everyday to create a more softer stool. What can I do or what would a doctor do for this type of problem. I dont want to go to a doctor just for him/her to tell me to change my diet and send me home to endure the same thing. What would a doctor do for this? Surgery has been mentioned, but I just dont understand what they would do if that were the case, I would STILL have to do #2 wouldnt I?
Doctor :   Hi
User :   Hello
Doctor :  
let me read the paragraph
User :   ok
Doctor :  
Since when are you been having these symptoms?\
User :   about a month now
Doctor :   Do you bleeding while passing stools?
User :   yes from the cuts and tears
Doctor :  
May i know what the doctor say it as
User :   but not the stool itself
User :   the bleeding comes from the cuts
Doctor :  
i mean what did the doctor diagnose it as?
User :   No...I have not been to a doctor...
Doctor :   I mean you have not been physically examined.
User :   I said in paragraph above, "I" have been treating it with triple antibiotic cream
User :   No
Doctor :  
Then who suggested the surgery option.
User :   Just from reading it online, surgery is a suggestion
Doctor :  
Ok.
Doctor :  
I shall help you.
User :   I've been researching it on my own trying to find help without going to a doctor
User :   thats why I am here now
Doctor :  
May i know your age and gender?\
User :   30 m
Doctor :  
Ok.
Doctor :  
The most common cause for this problem is anal fissures and they do not need surgery.
Doctor :  
Though the diagnose of this needs a physical examination
User :   yes I have read about anal fissure
Doctor :  
I shall suggest you some measure for this treatment
Doctor :  
1. You can use sits bath using warm water
Doctor :  
this will reduce the pains and inflammation which will help in the better healing
User :   ok, been doing that
Doctor :  
2. You can use lignocaine gel for local application
Doctor :  
over the anal mucosa
User :   what does that do and what is anal mucosa
Doctor :   I mean a per rectal application
User :   oh
Doctor :   You can apply this before you pass stools
Doctor :  
they will soothen the area and reduce the friction between the stools and the area
Doctor :  
hence pain and bleeding will be reduces
Doctor :  
3. Use laxatives to soften the stools
Doctor :  
use it till the problems decrease
Doctor :  
for a period of 10days minimum
Doctor :  
4 dietary methods as you know
Doctor :  
use lot of fibres in the diet
User :   been doing that
Doctor :  
Have you followed?
User :   yes
Doctor :  
If the problems are not reducing with these you may need a per rectal examination by a specialist
Doctor :  
to know if this is a variety of hemorrhoids
Doctor :   have you followed?
User :   what do you mean variety of hemorrhoids?
Doctor :  
Hemorrhoids has three types
Doctor :   one type needs surgical treatment
Doctor :  
the other can be treated with injection of agents which can reduce the size of hemorrhoids
Doctor :  
the injection has to be given into the hemorrhoids\
User :   yes, but why do you think this has something to do with hemorrhoids?
Doctor :  
This is definitely tried after the initial treatment measures which i have just suggested
User :   Could this not simply be from hard stools?
Doctor :   As i have mentioned to you earlier
Doctor :  
it is probably a anal fissure which is a result of hard stools
Doctor :  
the treatment of which has also been suggested
User :   Where can I get lignocaine from? not over the counter or shopping store?
Doctor :   The exact diagnosis if it is a fissure or a hemorrhoid can be possible only after a per rectal examination
Doctor :  
The lignocaine gel can be available over the counter
Doctor :  
Have you followed?
User :   yes
Doctor :  
Do you have any other query?
User :   if surgery must be...how would this work
User :   do they stich the cuts
Doctor :  
the surgical treatment is the last option
User :   yes
User :   VERY LAST
Doctor :  
only when all the measures
Doctor :   includes when the injection also fails
Doctor :  
this is very rare
Doctor :  
but if you have to undergo a surgical treatment]
Doctor :  
it is one of the minor surgeries where the area of hemorrhoid is cut and restitched
Doctor :  
it is simpler than it sounds
User :   I am not speaking of hemorrhoid
User :   I am speaking of how they would fix the ANAL TEARS & CUTS
User :   I have a pretty nice cut in my ANal Hole
User :   how would this be fixed
Doctor :   It is the same
Doctor :  
the area of the fissure is cut
User :   so if they stich it...how would I then deficate?
Doctor :  
then is restitched
Doctor :  
followed by a method of incision that would tighten the splincter
Doctor :  
this is also a minor surgery
Doctor :  
yes
Doctor :  
You would be able to pass stools
User :   With Stiches in my anus?
Doctor :   yes
Doctor :  
it would be done either under a local anaesthesia or spinal anaesthesia
Doctor :  
where in you would not perceive pain
Doctor :  
Have you followed
User :   yes
User :   thank you for your time
Doctor :   Do you have any other query?
User :   no that was all, just worried about the cuts
Doctor :  
just follow the measures suggested
Doctor :   the chances of surgery would be reduced.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   thanks
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