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Treatment options other than surgery to cure 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 : 2005
Answered : 2408 Questions
User :   Hello Doctor,My wife has fissure and doctor has suggested surgery. Is there any medicine which can cure fissure without surgery, actually I want to avoid surgery.
Doctor :   hi
User :   Hello Doctor...
Doctor :   Dr. XXXXXXXX here.
Doctor :   is your wife on any medications now?
Doctor :   what symptoms is she having at present?
User :   She bleeds during toilet...
User :   Actually her stool is not getting soften..
Doctor :   although there are theories and medications that are claimed to heal fissure in ano
Doctor :   but the preferred option and long term cure is achieved via doing surgery.
Doctor :   as there are failures with pharmacological treatment
User :   she has gone through colonoscopy as well and everything was normal...
Doctor :   if the problem is acute, then conservative treatment with medications can be tried
User :   like sir...
Doctor :   but if the problem is chronic, then surgery is a better option
User :   can ayurveda be tried...
Doctor :   I practice allopathic medicine, so I would not be able to comment on efficacy of other streams of medicine
User :   what are the chances of reoccurance after surgery?
Doctor :   Ayuveda and homeopathy treatments claim to cure them, but efficacy is still under question with recurrence of symptoms and requirement of surgical treatment
Doctor :   after surgery, the recurrence is very low
Doctor :   with almost 97-98% cure rates
User :   ohh..
User :   Sir, can you please suggest any generic medicine to soften the stool?
Doctor :   the surgery should be followed up with a good and high fibre diet to aid in softening the stools and leading to prevention
User :   Sir, can you please suggest any generic medicine to soften the stool?
Doctor :   the treatment of constipation is two fold-1) stool softeners , 2) diet with high fibre
Doctor :   WWW.WWWW.WW Doctor :   you can go through this link to learn more about them
User :   we are trying both sir but has not been 100% effective...
Doctor :   excessive use can lead to complications.
Doctor :   and if the stool softeners and diet modifications do not help
Doctor :   then surgery is the last option to get done to have relief
Doctor :   you can opt for a second opinion regarding this
User :   Can she continue with Yoga, sir?
Doctor :   with our panel specialists- gastroenterologists
User :   Can you please suggest any doctor name sir?
User :   in XXX
Doctor :   YOga can aid in controlling the symptoms, but it again cannot give 10% cure
Doctor :   *100% cure
User :   Can you please suggest any good doctor name sir in XXX?
Doctor :   you can visit this link to have a list of gastroenterologists in XXX
Doctor :   WWW.WWWW.WW User :   Thank you very much doctor!!
Doctor :   the folowing link is to get a second opinion from our panel gastroenterologist if you would like to go for it
Doctor :   WWW.WWWW.WW Doctor :   is there anything else i can help you with?
User :   That's it for now sir. Thank you very much!
Doctor :   Thanks for consulting me. Bye for now.
Doctor :   Please chat with our doctors 24/7 for medical queries.
Doctor :   Please refer your friends to our service.
User :   Sure. Thanks Sir.
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