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Suffering from Anal fissures. Had blood in stools. Suggest? - Online Doctor Chats

Date : 29-Jul-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User:Hello Dr. This is XXXXXXX
Doctor:Please proceed with your query
User:I have a problem here. I travelled to US 3 wks back and now suffering from Anus Fissure.
User:I had a chat last week with Dr XXXXXXX and he thinks that this is Anal Fissure, as there is blood in stool.
User:There is no other complaint.
User:I controlled my diet and it stopped for 2 days. Was well then, only since yesterday i have it again
User:I hv PreparitionH-hydrocortisone tube and some Glyco-luxative with me but not taking it
User:Dr XXXXXXX said, it will heal automatically. Its bit scary so need your help here
Doctor:Did you use any medications for this?
Doctor:Actually, the presence of fissure can be confirmed by physical examination by a surgeon
User:Oh. So are you suggesting me to visit a doctor?
Doctor:However, treatment has two options
Doctor:Conservative treatment by which we can try controlling symptoms to some extent
Doctor:But this may completely heal the fissure or it mostly heals it partially
Doctor:So, there is chance of recurrence
User:okay, and the other option would be
Doctor:As you already tried conservative measures as Dr XXXXXXX suggested, I think it has recurred again
Doctor:Do you have pain still?
User:Well, pain is not much. Though some irritation that stay for some time.
User:But the blood is scary and uncomfortable.
Doctor:Try to avoid constipation, by eating more amount of fresh vegetables and fruits in your diet. Also avoid fatty, spicy and oily foods
Doctor:Drink plenty of water
Doctor:There are some prescription drugs which help in stool softnening, but can be presrcibed after physical exam
User:Yes, need to be more careful on my diet now. I agree. I had some beer / non-veg too yesterday.
Doctor:But still, all these are conservative treatment
User:so, would you suggest visiting doctor? actually i am trying to avoid doctor visit in US. But if is necessary, i will visit today.
Doctor:Definitive treatment, if the diagnosis is confirmed and the conservative treatment fails would be surgical repair
User:the surgical repair would stop me from work? office work?
Doctor:I dont think you might require surgical repair if strictly follow conservative treatment
Doctor:You might need 1 or 2 weeks of leave if surgical repair is needed
User:I am on deputation and that will be big problem.
Doctor: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
Doctor:DONT WORRY, I dont think you might require surgical repair if strictly follow conservative treatment
User:Yes. Could you please suggest the medicines then, i will try if i can get those.
Doctor:I am sorry, these can be presrcibed after physical exam and since I haven’t physically examined you, it is inappropriate and unethical to prescribe you scheduled drugs.
Doctor:But try following all the measures I suggested above. Those would help to much extent
User:Ok. So I will strictly follow the conservative approach.
Doctor:Did you follow what I said? Please get back to me in case of doubts.
User:Yes. I will do that.
Doctor:Is there any thing else I can help you with?
User:Thanks. will come back to you on this in a day to two.
Doctor:Thanks for consulting.Bye for now.
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