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Anal fissures, Sigmoidoscopy or homeopathy treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   how can i help you
Doctor :   are you there?
User :   Hi
User :   I am having some challenging colo-rectal symptoms and have been seeing plenty of doctors but am concerned because the number of issues keeps growing
User :   I saw my GP and a Gastro doctor, now I will be seeing a colo rectal surgeon on Thurs and had some questions in the meantime
Doctor :   ya i do remember
Doctor :   please go ahead with your queries
User :   ok good, so I will continue on what we discussed last time
Doctor :   k
User :   during the sigmoidoscopy I mentioned he diagnosed me with hemmorhoids / piles
Doctor :   k
User :   but after having much pain after that procedure that did not go away I went back to him
Doctor :   k
User :   I said I had a lot of pain sitting, bleeding during Bowel movements, pain coughing, and large lumps around the anus
User :   so he examined me again

Doctor :   k
User :   rectal and digital exam
User :   he said I had a fissure
User :   and I asked if that was the cause of the inflammation and lumps an he said yes
User :   I said, so I don't have piles?
User :   and he said no this is from the fissure
Doctor :k
User :   My first question
User :   to you
Doctor :   ya
User :   is it possible that lumps from fissures and piles can be confused so easily?
User :   even by a doctor?
Doctor :   ya some times it happens as the skin will merged (mucous membrane) and that can't br differerntiated
User :   but a lot of the inflamation is a good distance from the fissure

User :   but in the same quadrant I guess
User :   in any case
User :   question 2
User :   I have been following a course of wake up in the morning, take a 20 minute warm bath, then apply proctofoam HC
Doctor :   k
User :   then repeat the bath and foam at night
User :   this maybe helps itching and stinging go away, but that is not my biggest concern
Doctor :k
User :   the inflammed lumps are my biggest concern and I think for some reason I am getting more and more constipated by the day for the past few weeks (but not sure) and the constipation if it's that makes the lumps bigger each day

User :   and abdominal pain
Doctor :hi
User :   still here
Doctor :   ya 1 sec
User :   ok
Doctor :   the reason is in fissure in ano conditions
Doctor :   any procedure will cause you intolerable pain and it will be irritating the area or split
User :   you mean the sigmoidoscopy?

Doctor :   ya not only that but any procedure in that matter
User :   yes, well it has been several weeks since that procedure and problem continues to worsen
User :   oh and I am eating a diet that I think should prevent constipation, but I have to push hard and this worries me because pushing hard can cause piles, I am terrified of piles
Doctor :   k
Doctor :so better you go for surgery or homeopathy treatment
User :   botox injection surgery?

User :   but what is causing constipation, this I don't understand, 6 months to a year ago, I felt my bowels moved too easy.
User :   now they are too difficult to move

User :but I still have a BM everyday it's just dry and hard to pass
Doctor :   ya that is what some cases respond to treatment
Doctor :   but some don't
Doctor :   so even f you are taking foam and bath that will be irritating the area and it swells from the slit or crack.. so it will be obstructing the passage so is the constipation
User :   oh, so you think the bath and foam may be doing more harm than good at this point?

Doctor :   ya you can avoid the constipation by strictly following fibre less diet
User :   fibre less diet?
User :   I thought fibre is supposed to prevent constipation?
Doctor :   that is the only suggestion or option left with you
Doctor :   hey sorry it was fibre rich diet
Doctor :   untill surgery don't try too many options
User :   ok, thank you :-) so cut back on baths and foam, eat fibre and hang in there until thurs?
Doctor :   you better don't try other option till then
Doctor :   ya that is better option but you should cut down only if it is worsening
User :   ok, understood, very nervous about botox injection or whatever they suggest. I just hope I can have total relief with no side effects lasting more than a couple days or so

User :   I had a negative experience with sinus surgery
Doctor :   ya sure .. no need to worry be cool.. i hope you will have a speedy recovery
User :   thank you
Doctor :   is there any thing else that i can help you

User :   I think that is all for today

Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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