Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
153 Doctors are Online

Treatment for anorectal problems - 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 : 1722 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hello. I have a problem with my rectum. It has been sore for a few days
Doctor :   Ok
User :   My husband took a photo of it and you can see it here.. User :   I have had a little gas and bloating feeling from time to time but no bleeding
Doctor :   Let me look at it.
User :   as you can see there is a small lump
User :   It hurts to sit, stand for too long, bend over etc.
Doctor :   Are you having discomfort while passing stool?
User :   a little
Doctor :   May I know your age?
User :   35
Doctor :   Are you passing blood while passing stools?
User :   no blood
Doctor :   Have you had similar symptoms in the past?
User :   nope, never
Doctor :   Do you suffer from constipation?
User :   not really
Doctor :   Do you have any other medical illness such as chronic cough, diabetes?
User :   I just got over the flu as of last week
User :   but no other problems
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok
Doctor :   A physical examination under good light and per rectal examination is needed for a clear diagnosis, nevertheless. looking at the picture
Doctor :   I can make out that the anal region is inflammed.
Doctor :   This can occur due to fissure or an hemorrhoids.
Doctor :   Let me suggest you few measures that will help you.
Doctor :   1. You can use warm to hot water sit baths to reduce the inflammation and pain.
User :   ok but in regards to what you think it is...will this heal quickly or am I looking at weeks, months ???
Doctor :   They are very effective in both controlling the inflammation and discomfort.
Doctor :   2. Use measures to soften stools.
User :   I do not have a bathtub at the moment. house is getting remodeled so only a shower. :(
Doctor :   Those measures include drinking plenty of water, plenty of fibre diet, Syp Cremaffin 2 tsp after meal at night.
User :   Cremaffin?
Doctor :   It would be better, that you use sit baths. Shower may not help.
Doctor :   Its a laxative.
Doctor :   The are OTC medications.
User :   oh ok
Doctor :   The other alternatives are Syp Lactulose.
Doctor :   the dosage are same.
User :   ok and any idea how long things like this take to heal?
Doctor :   If you don't have a bathtub, you can use a big mouthed bucket or tub alternatively. Showers may not help.
Doctor :   Your symptoms will reduce as the inflammation reduces.
User :   ok
Doctor :   with these measures and along with oral antiinflammatory drugs such as Tab IBUPROFEN 200mg twice a day after food for 2-3 days,
Doctor :   your symptoms should reduce.
User :   and I bought some gel last night for hemorrhoids should I continue with this?
User :   as this is what I thought it could be
Doctor :   You can use them along with these measures.
User :   ok
Doctor :   Apply those gels before and after you pass your stools.
User :   ok
Doctor :   I will also suggest you to consult a proctologist, as you are using these measures.
User :   thanks for the advice.
User :   Happy holidays :)
Doctor :   A per rectal examination can only differentiate between fissure and hemorrhoids.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   I will contact the Dr. in a few days if I do NOT see any difference
User :   nope, thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Question is related to
Diseases and Conditions
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor