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Treatment for anal fissure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 612 Questions
User :   can u help me
User :   hello
User :   any doctor
Doctor :   Hi
User :   i need help
Doctor :  
How can i help you?
Doctor :  
yes i shall
User :   i am male 24 yrs old
Doctor :   ok
User :   i got blood in faecal matter
User :   what does that mean
Doctor :  
ok
Doctor :  
this is since when?
User :   first initially i got few drops on tissue paper a month ago
Doctor :  
ok
User :   then a month later few drops on tissue
Doctor :  
ok
User :   later yesterday i got blood like 1-2 ml on the water below
User :   am i having some serious problem
Doctor :  
is there any pain while passing stools?
User :   yes
Doctor :  
and burning sensation also?
User :   sometimes a little time after stooling is done tooo
User :   yes burning sensation too
Doctor :  
are the stools hard?
User :   sometimes hard then i started to drink a loot of water so sometimes soft
User :   but first two or three stools are hard if i drink moderate amount of water
User :   please help me
Doctor :  
so the problem of blood and pain is noticed when the stool is hard?
Doctor :   relax
Doctor :  
i an here to help you
User :   pain is there sometime when there is no blood too
Doctor :  
provide me the complete details before i suggest the remedy ok
User :   while the stool is coming down i sometimes have to control the speed to reduce the pain
Doctor :  
ok
User :   what more details u need
Doctor :   about your diet? and bowel movements
User :   i eat normally
Doctor :   content of the diet?
User :   bowl is usually once sometime two times a day
User :   diet normal rice and curry
User :   because of faeces i control my bowl to two times a day sometimes
Doctor :  
ok
User :   but pain remains in the anal region even after sometime after the excretion is done
Doctor :  
have you seen any doctor for this
User :   no
User :   i havent
User :   im in rite now and i dont have insurence n i cannot afford to see a doctor here
Doctor :   ok
User :   please ur my only hope
Doctor :  

from the symptoms you have described it is evident that you are suffering from anal fissure
User :   r u hundred percent sure its only fissure
User :   100%
Doctor :   from the symptoms it is very much likely that it is fissure
User :   so not cancer rite
User :   so what do u suggest the remedy
Doctor :   it is as follows
User :   but why does the fissure happen like once in a month on randomly
Doctor :  
you have to do sitz bath
User :   what is sitz bath
User :   hello u there
Doctor :  
it is you should sit in the tub containing luke warm water and betadine solution
Doctor :   yes
Doctor :  
i am very much here
User :   then
User :   what should i do
Doctor :   you should sit in the above said water for 15 minutes every day in the morning
User :   for how long
User :   i mean how many days
Doctor :  
15 minutes a day for 15 days
User :   before faeces or after
Doctor :  
after passing stools
User :   then
Doctor :  
oient Preperation H to apply to the anal region after the sitz bath
Doctor :   more importantly to soften the stools
Doctor :  
are you there?
User :   yes
User :   please tell
Doctor :  
to soften the stools
User :   yes
Doctor :  
dietery managemant
User :   like what should i eat
User :   n for how long
Doctor :  
means consuming lot of vegetables which contain fiber
User :   like carrots
User :   ...?
Doctor :  
it is green leafy vegetables which contain more fibres
User :   and
Doctor :  
so increase in the consumption of the green leafy vegetables
User :   but why does the fissure happen like once in a month on randomly
User :   or randomly
Doctor :  
it is because of the passage of the hard stool
User :   its not cancer rite
Doctor :   from the symptoms it doesent essms like
User :   blood aslo looks fresh
Doctor :  
if you are in doubt than you can get a physical examination done by a surgeon
Doctor :  
yes in the fissure the blood will be fresh
User :   can u
User :   r u a gastero enterologist
Doctor :   no general physician

User :  
User :   Doctor :  
yes
User :   do u think the probability of something stuck in my anus
User :   which when stool hits causes the blood
Doctor :  
no
User :   can u tell me why the pain lasts for long after the faeces
Doctor :  
fissure means a wound. it is in the region of the anus it will obviously very painful
User :   this is a different thing once when i had fever i got a drop of blood from nose
User :   that is generally due to heat in body rite
Doctor :   ok
User :   only a drop
User :   evcessive heat rite
User :   excessive heat rite
Doctor :   it is because of crusting of the nose during the fever episode
User :   so not a biggy rite
Doctor :   no not
Doctor :  
but quite trouble some
User :   what do u mean by troublesome
Doctor :  
the medical management is only sitz bath and stool softening.
Doctor :  
and it takes 2 to 3 weeks
User :   for this too
Doctor :  
if this fails than surgery is the option
Doctor :  
so only i said it is trouble some
User :   betadine is antiseptic rite....?
Doctor :  
yes
User :   what is aientment H
User :   pharmacology wise
User :   which u suggested
Doctor :   it is preperation H
User :   what is its category i mean
Doctor :  
it is to reduce the pain and the burning sensation at the anal region
User :   so ur working night shift
Doctor :  
yeah
User :  
User :   ...?
Doctor :  

User :   i had a friend from he did his mbbs there
Doctor :  
is there anything else i can help you with?
User :   no noting thanks
User :   wait
User :   is there any particular specialist u suggest
User :   i should visit
Doctor :  
general surgeon
User :   not gastero enterologist
Doctor :  
why gastroentrologist?
User :   i just thought becase its a part of intestine'
Doctor :   it is dealt by surgeon
User :   ok thanks
Doctor :  
thanks for consulting health care magic bye for now
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