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Sitzbath and xylocaine gel to treat anal fissures - 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 : 1361 Questions
User :   Hi
Doctor :   hi
Doctor :   how can I help you?
User :   Last month I had a problem of minor anal fissure and I was advised by one of the doctors to apply xylocaine jelly
User :   It was OK after a week
User :   But now again the same problem
Doctor :   ok
User :   With pain and sensation of neddles pinching around the anal region
Doctor :   ok
Doctor :   do you have Constipation?
User :   No not now
Doctor :   ok
Doctor :   is there any bad smell?
User :   No, normal
User :   i am based in Nigeria, whatever medication you adv pls give the generic names
User :   It pains a lot while passing stools and for couple of hours after that with neddle pinching sensation
User :   Please adv
Doctor :   ok
Doctor :   what is your routine diet now a days
User :   Normal three times a day
User :   Breakfast, lunch & dinner
Doctor :   ok
Doctor :   plz tell in detail?
User :   Breakfast - Fruits, bread and Eggs
User :   Lunch - Dal, Roti, Rice and Vegie
User :   Dinner - Dal, Roti, Veggies & fruits
Doctor :   ok
Doctor :   let me once go through your previous chat history
Doctor :   plz wait
User :   Ok
Doctor :   is it the new fissure or the old one is not healed
User :   looks like old one not healed
Doctor :   ok
Doctor :   is it at the same place?
Doctor :   where the old one was
User :   It is the same old one
User :   On the back side of anal opening
Doctor :   ok
Doctor :   is there any pus coming out?
Doctor :   are you with me?
Doctor :   I have to close this window since there is no response from your side, we are available 24/7 please get back to us if you need further medical advice.
User :   No pus coming out
Doctor :   are you back?
Doctor :   ok
User :   yes the connection was down
Doctor :   yes it seems so
Doctor :   ok
User :   No blood, no pus, just pain and needle pinching sensation
Doctor :   ok
Doctor :   any medications currently?
User :   I just applied Xylocaine jelly today morning
Doctor :   ok
Doctor :   for the pain you will have to use the xylocaine
User :   Ok, Any tablets
Doctor :   plz concentrate on the diet
Doctor :   it must be fiber enriched
User :   What should I take for the fissure to prevent it from happening again
Doctor :   so that there is no hard stools
User :   Oranges and Sweet Lime is OK ?
Doctor :   otherwise the fissure will recur
Doctor :   yes
Doctor :   any fruit at least two in a day
User :   Does it have any permanent solution
Doctor :   and three servings of green leafy vegetables per day
User :   Or I will have to concentrate on diet through out
User :   My job involves lots of travel
User :   How to take care of the needle pinching pain near the anus
Doctor :   the main reasons are constipation, straining on the stools
User :   Ok
Doctor :   and the recurrence and the nonhealing is due to the itching
Doctor :   especially during night time
Doctor :   when you are asleep
User :   Ok
Doctor :   for night itching you can wear some cotton gloves while sleeping
User :   How to control the itching
Doctor :   so that the damage due to itching is minimises
User :   Any medication for itching
Doctor :   itching will be there
User :   So Xylocaine Jelly will heal it
Doctor :   you will have to apply xylocaine jelly more frequently
User :   Ok
User :   No other medication like antibiotic etc.
Doctor :   xylocaine will decrease the pain and will help in preventing the itching
Doctor :   yes
Doctor :   as there are many days now
Doctor :   so in my opinion you will need some antibiotics
Doctor :   Please fill the feedback form
User :   Ok
User :   Can you please adv the names
Doctor :   antibiotics can vary on a case to case basis
User :   Ok
User :   Which one will suit me best
Doctor :   in my opinion you must go to some surgeon for the physical checkup as you will need PR examination as the fissure has not healed in 7 days by xylocaine
Doctor :   as the fissure may have xetension inside the anal canal
Doctor :   *extension
User :   Ok
Doctor :   then the antibiotics will change
User :   So until then I cannot take any Antibiotic
User :   I can do that when I come back to India but until then can you suggest something
User :   I will return to India after 3 months
User :   Are you there
Doctor :   I will advice you good medications but before that i will need few investigations
Doctor :   as antibiotics have many side effets
Doctor :   are you taking sitz bath
User :   Ok

User :   I stopped last time once the thing was OK

User :   Will start again from today
Doctor :   ok
Doctor :   that may be the reason
Doctor :   do one thing
Doctor :   use BETADINE solution for sitz bath
User :   Ok
User :   I will do that

User :   Anything else that needs to be done
Doctor :   in my opinion try this remedy for another 3 days
Doctor :   use frequent xylocaine applications
Doctor :   3-4 sitz bath with BETADINE daily
Doctor :   wear cotton gloves in night
User :   Ok , will try that and let you know
Doctor :   modify dietary habits
User :   Dettol is not Ok, last time I has used Dettol

Doctor :   yes plz get back to me
Doctor :   if the fissure is superficial and there is no infection the symptoms will improve
Doctor :   and soon subside
Doctor :   otherwise you will need a physical and PR examination by a surgeon
User :   Ok

Doctor :   Is there any thing else I can help you with?
User :   Thats all for the time being

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