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Having anal fissure, have severe pain and using laxative and paracetamol. Suggest?

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Hi i am having anal fissure for last 15 years . Symptoms occur 2-3 times in year . Currently i have having severe paid and using 2% gel ,laxative and paracetamol for pain relief .
Some time I also use homeopatic medicine and found them to be effective

What should i do for immediate pain relief and further treatment
Posted Sun, 22 Sep 2013 in Digestion and Bowels
 
 
Answered by Dr. Grzegorz Stanko 31 minutes later
Brief Answer:
Tramadol and Diclophenac should help with the pain

Detailed Answer:
Hello!

Thank you for the query.

Anal fissure is a kind of wound. It is strongly associated with constipation and hard stools. It increases the pressure in the anal area what makes it prone to get wounded. So the most important thing in anal fissure treatment is to avoid constipation. To do that, you should improve your diet and try to maintain it.
Here is what should be done at your case:
- increase fiver XXXXXXX products, mineral water intake and physical activity
- laxatives are good idea
- wash your anus after every stool
- have sitz baths with Quercus Cortex twice a day
- for pain relief you should use Xylocaine gel, Tramadol 50 mg twice a day and Diclophenac 50 mg twice a day (should be used with Omeprasole 20 mg once a day to protect your stomach)
- Nitroglycerine gel should be used as well (it helps to relax anal muscle)

If such treatment wont give any relief, you should consult general surgeon and consider surgery.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by
 
Follow-up: Having anal fissure, have severe pain and using laxative and paracetamol. Suggest? 7 hours later
Hello,
Thanks for Reply.
I have started taking paracetamol 500 mg and got relief from pain .
Should i continue with paracetamol or take Tramadol 50 mg twice a day and Diclophenac 50 mg twice a day as prescribed by you .

what is Quercus Cortex- is it available in India ,under which brand name

Regards
 
 
Answered by Dr. Grzegorz Stanko 14 hours later
Brief Answer:
Just continue with Paracetamol.

Detailed Answer:
Yes, please continue with Paracetamol if it works fine for you. No need to change it. In case of stronger pain, you may use mentioned medicines.

Quercus Cortex is also known as Oak Bark and should be available under this name.

Hope this will help.
Regards
Above answer was peer-reviewed by
 
Follow-up: Having anal fissure, have severe pain and using laxative and paracetamol. Suggest? 19 hours later
Thanks for reply .

I have observed lot of swelling in anas . What shall i do.

Regards
 
 
Answered by Dr. Grzegorz Stanko 5 hours later
Brief Answer:
Swelling is caused by fissure.

Detailed Answer:
Swelling is a result of fissure and inflammation. Please follow mentioned steps which should help with swelling as well. Diclophenac has an anti-inflammatory effect so it might be better than Paracetamol.

Regards.
Above answer was peer-reviewed by
 
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