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Suffering from painful motion. What could be the cause? - Online Doctor Chats

Date : 04-Jun-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor:Good afternoon
User:Good AfterNoon
Doctor:Please proceed with your query
User:From couple of days i am having painy motion, can you pleas help on this
Doctor:Sure, I will suggest you
Doctor:Is the stool hard in consistency along with the pain?
User:No stool is free, But pain i am getting pain
Doctor:If your stool is normal in consistency, and you feel pain
Doctor:Anal fissure could be the probable cause
Doctor:IT simply means
Doctor:That there may be a crack in the skin near the anal opening
Doctor:Are you following me?
User:Yes..... One of my friend suggested to use Pilex from himalaya
User:But still same problem.
Doctor:Yes, pilex can be used
Doctor:I agree with it
Doctor:But you should also be sure that there is nothing wrong externally in your anal opening
Doctor:You can try Pilex as suggested by your friend
Doctor:Also follow few of my suggestions
Doctor:May I suggest you?
User:Yes... Please
Doctor:1. You can take lactulose syrup like Looz around 10ml at night for next few days
Doctor:This is a prescription drug
Doctor:Please get it prescribed by your primary care physician
Doctor:1. You need to take large plantains everyday twice that are XXXXXXX in fiber to assist in digestion
Doctor:3. Drink plenty of water
Doctor:4. Very important - get the anal area examined by a doctor by a proctoscopy to rule out any apparent cause
Doctor:Did you follow me?
User:i forgot to tell you my friend also sugested to use some lotion which starts with cremo... something like that, But same problem from my side.
Doctor:If not, please ask. I shall explain again
User:Yes doctor serching in google for lotion name which iam using.
Doctor:It may be cremaffin plus
Doctor:Is it?
User:Yes... Yes....
Doctor:you can try this also
Doctor:Let me tell you this
User:Correct it is cremaffin
Doctor:Cremaffin will help you in softening the stools
Doctor:But you already have normal stools
Doctor:The stools are not hard
Doctor:So, cremaffin may not help you much
User:Yes... I have pain only..
Doctor:You may still take it for few days
Doctor:The cause for pain mostly may be due to crack in the anal skin or the fissure
Doctor:oIt will heal on its own usually
Doctor:Sorry, *it
User:yes doctor some days it is fine some days it is painy, when iam getting pain iam not able to sit in office also
Doctor:you can try using lidocaine jelly 2% locally half an hour before you pass stools so that you don't feel pain
Doctor:Problem seems like you are not consuming enough water
Doctor:Is that right?
Doctor:You could have developed a crack as I am guessing
User:I am taking 3 liters per day
Doctor:May be you need more water and more fruits daily to increase the fiber content
User:Ok.. Are you recommending to consult any doctor
Doctor:Yes, it is better to consult a General Surgeon
Doctor:Get a per rectal examination done
User:Before consulting him, as you presribed can i use lidocaine jelly ,lactulose
Doctor:Yes, you can try
Doctor:Lidocaine is available over the counter
Doctor:Lactulose or cremaffin are prescription drugs
User:How much per rectal examination will cost
User:Is it done by General Surgeon
Doctor:The consultation with general surgeon along with the rectal examination should not cost you more than 500 INR
Doctor:Yes, it is done by General Surgeon
User:Thanks doctor for your help, This weeend i will consult some general Surgeon in some good hospital.
User:Small doubt
Doctor:Please ask me
User:Normal piles issues will come under General Surgeon or any specialist will be there
User:Are you typing
Doctor:It is seen by a General surgeon
Doctor:No other specialist is required for this
User:Ok... Thank you doctor.
Doctor:Is that all?
Doctor:Thank you too
Doctor:Bye for now
Doctor:Get well soon
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