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Fissures post typhoid episode - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3357 Questions
User :   Hi
Doctor :   Hi
Doctor :   Iam.Dr.XXXXX
User :   Hello Dr
Doctor :   May i help you?
User :   I have been having fissure since last few days...
Doctor :   Hello Mr.XXXXXX
Doctor :   ok
Doctor :   May i know your age?
Doctor :   Do you have constipation?
User :   36
User :   i had a mild typhoid a couple of weeks ago... was on medication... when i had this fissure also
Doctor :   ok
User :   but it was fine after i applied some ointment prescribed by my doc...
Doctor :   it can make you constipated
Doctor :   for sometime
Doctor :   and even diarrhoea for some
User :   it has recurred now.. since last 2-3 days...
User :   k
User :   k
User :   i have been on bland diet
User :   my vidal blood report was normal when i chked one week ago
Doctor :   do you use any stool softeners?
Doctor :   ok
Doctor :   thats good
Doctor :   Do you have pain now?
User :   yes.. quite sever since morning
User :   i had a crocin at around 10 am
Doctor :   ok
User :   i am feeling better since last 30mins
Doctor :   was it a smooth bowel movement today?
Doctor :   ok
User :   i intend to see my doc again tonight
User :   but shud i take one more pain killer now to ease the pain
Doctor :   yes you may
User :   i had 'Evict' (15ml) last night..
Doctor :   you can also use local ointments like
User :   but still the stool was a bit hard
Doctor :   anaovate oint locally
User :   k
Doctor :   in your perianal region
User :   shud i also take crocin now?
Doctor :   it has a applicator then can
User :   yes, i am aware
Doctor :   enter your anus and get the medicine inside
Doctor :   yes
User :   k
Doctor :   Sitz baths (essentially soaking in a tub of warm water) are encouraged, particularly after bowel movements, to relax the spasm, to increase the flow of blood to the anus, and to clean the anus without rubbing the irritated anoderm.
Doctor :   Topical anesthetics (e.g., Xylocaine, lidocaine, tetracaine, pramoxine) are recommended especially prior to a bowel movement to reduce the pain of defecation.
User :   can i use Shield as a topical anesthetic?
Doctor :   Did you use any such local ointments till now?
Doctor :   What is the chemical content?
Doctor :   Beware of allergies when you use any medicines
User :   i have been using Proctosedyl for the alst 2-3 days..
User :   this morning i used 'Shield' (anesthetic)
Doctor :   ok
Doctor :   its good
Doctor :   ok
Doctor :   sos your pain will
Doctor :   so your pain will subside
User :   i will try to use Shield before and Anovate after...
Doctor :   you can also try sitz baths
Doctor :   ok
User :   and take a crocin for the time being..
User :   k thx
Doctor :   since you have started that continue that
Doctor :   yes sure
User :   k thx a lot
User :   bye
Doctor :   BYE FOR NOW...............
User :   wc. thx.
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