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Treatment and care for Anal fissures - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   what causes burning and pain in anal/rectum area?
Doctor :   Probably Anal fissures/ hamerroids
Doctor :   Since when do you face this issues
User :   the doctor did say it was fissures/NO hemmoroids. however could it be possilbe to have some sort of infection there also?
Doctor :   Is it following defecation
User :   I just took a 7 day course of doxycyline for chlamydia trachomatic (vaginal infection)
Doctor :   Long standing cases of fissures with constipation will lead tooo
Doctor :   Ok
User :   that infection still doesn't seem completely cleared up.
Doctor :   Ok
User :   I wondered if that could also be causing rectal discomfort.
Doctor :   No that could not cause
User :   would fissures even make it hurt to sit on butt
Doctor :   Are using any laxatives/ analgesics / local anesthetics
Doctor :   Yes they hurt a lot
User :   It actually hurts through the glutes on both sides.
Doctor :   Especially following defecation
User :   so fissure / also know to cause soreness in whole butt area?
Doctor :   I think not not the gluts, u will have kind of refered pain
Doctor :   No
User :   what do you mean referred pain?
Doctor :   Its kind of radiating
User :   yes it seeems to radiate.
Doctor :   Pain which arises from a region and causes discomfort in th other.
Doctor :   So
User :   I had 2 doctors give rectal exams say they don't see/feel hemmoroid/ or polyps or anything
Doctor :   I will suggest you to start using local aneasthitic creams
Doctor :   Ok
User :   like??
Doctor :   then its fissures
Doctor :   Ont Smooth
Doctor :   Its basically an OTC local aneasthetic jelly
User :   there hasn't been any blood on stool/ or in toilet/ just tiny bits on toilet paper
Doctor :   Its not necessary for bleeding to happen
User :   what else is a good thing to do?
Doctor :   Apply the jelly on the anal opening before and after passing stools
User :   to releive some of the aggravation down there.
Doctor :   Eat lot of fibre rich diet
Doctor :   Plenty of water
Doctor :   Yes
User :   I am really starting that / now. (fiber)
Doctor :   Eat vegetables and fruits , reduce meat intake
User :   is sitting in the hot bath helpful
Doctor :   Sitz bath is very good remedy to avoid infection too
User :   will fissures get better?
Doctor :   yes
Doctor :   Avoid smoking if, as it slows the healing process
User :   no smoking/drinking here, ,
Doctor :   Ok thats fine
User :   so these are know to radiate pain / throughout the whole area???
Doctor :   And also some pain killers at the time of pain
Doctor :   Yes
User :   what about metamucil?
Doctor :   Because the anal splinter is very vascular area
Doctor :   Its just a fibre supplement
User :   so vascular area gets inflammed?
Doctor :   Yes
User :   but this ins't a emergency room prob
Doctor :   No not at all
User :   should i seee a gastroentologist
Doctor :   Do you have any difficulty in passingg stools due to pain
Doctor :   No
User :   NO not at all
Doctor :   A general surgeon
User :   general surgeon for?
Doctor :   Its treated by them\
User :   what will he do
Doctor :   Mostly medically if recurrance is there then surgically
User :   should i try to have them heal
Doctor :   Yes you can
User :   a gastro can't help??
Doctor :   When bothers you alot then use the advised medicines
User :   Yes.. will do thank you.
Doctor :   If still feelinmg difficulty thn meet tthe surgeon
User :   k/ appreciate your help
Doctor :   Wishing you speedy recovery
Doctor :   Thank you for consulting me
Doctor :   Bye for now.
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