Suffering from Anal fissures. Had blood in stools. Suggest? - Online Doctor Chats
Hello Dr. This is XXXXXXX
Please proceed with your query
I have a problem here. I travelled to US 3 wks back and now suffering from Anus Fissure.
I had a chat last week with Dr XXXXXXX and he thinks that this is Anal Fissure, as there is blood in stool.
There is no other complaint.
I controlled my diet and it stopped for 2 days. Was well then, only since yesterday i have it again
Dr XXXXXXX said, it will heal automatically. Its bit scary so need your help here
Did you use any medications for this?
Actually, the presence of fissure can be confirmed by physical examination by a surgeon
Oh. So are you suggesting me to visit a doctor?
However, treatment has two options
Conservative treatment by which we can try controlling symptoms to some extent
But this may completely heal the fissure or it mostly heals it partially
So, there is chance of recurrence
okay, and the other option would be
As you already tried conservative measures as Dr XXXXXXX suggested, I think it has recurred again
Do you have pain still?
Well, pain is not much. Though some irritation that stay for some time.
But the blood is scary and uncomfortable.
Try to avoid constipation, by eating more amount of fresh vegetables and fruits in your diet. Also avoid fatty, spicy and oily foods
Drink plenty of water
There are some prescription drugs which help in stool softnening, but can be presrcibed after physical exam
Yes, need to be more careful on my diet now. I agree. I had some beer / non-veg too yesterday.
But still, all these are conservative treatment
so, would you suggest visiting doctor? actually i am trying to avoid doctor visit in US. But if is necessary, i will visit today.
Definitive treatment, if the diagnosis is confirmed and the conservative treatment fails would be surgical repair
the surgical repair would stop me from work? office work?
I dont think you might require surgical repair if strictly follow conservative treatment
You might need 1 or 2 weeks of leave if surgical repair is needed
I am on deputation and that will be big problem.
Even if I advice you some medicines which might help to some extent in stool softening, I dont think you can get them without prescription in the US
DONT WORRY, I dont think you might require surgical repair if strictly follow conservative treatment
Yes. Could you please suggest the medicines then, i will try if i can get those.
I am sorry, these can be presrcibed after physical exam and since I havenât physically examined you, it is inappropriate and unethical to prescribe you scheduled drugs.
But try following all the measures I suggested above. Those would help to much extent
Ok. So I will strictly follow the conservative approach.
Did you follow what I said? Please get back to me in case of doubts.
Yes. I will do that.
Is there any thing else I can help you with?
Thanks. will come back to you on this in a day to two.
Thanks for consulting.Bye for now.
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