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Suggest Medication For Anal Fissure

Posted on Fri, 22 Jan 2016

Question: Anal Fissure caused by Hard Stool. Bright red Blood Drops visible in stool since last week.
Please suggest me medications to fix this and stop this bleeding.

Answered by Dr. Amit Jain (2 hours later)

Brief Answer:
Take laxative, calcium dobesilate and do sitz bath

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.

Most important part of treatment of anal fissure is to keep stool soft by taking laxatives and lots of fibres and fluid in your diet.

Most recommended laxative is polyethylene glycol. It comes in a XXXXXXX form containing 13.8gm in each XXXXXXX To be taken after dissolving it in a glass of water at night time. Titrate the dose according to the response

Psyllium fibres also to be taken at night time to make stool bulky and soft

Apply local ointment containing lignocaine, and diltizem per annum three to 4 times in a day

Do sitz bath 3-4 times in a day

Take calcium dobesilate 500 tds

All above medicines are available OTC.

Do all this for around 10 days or according to the response

I hope I have answered your query and this will help you . Wish you a good health

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Amit Jain (41 minutes later)

Thanks a Lot.

Please suggest few names that may be available in medical stores in XXXXXXX
1. local ointment containing lignocaine, and diltizem.

And How many times this needs to be applied.

Also can a Laxative like "DULCOFLEX TABLET" is also suitable or not.

Answered by Dr. Amit Jain (41 minutes later)

Brief Answer:
Brand name is xylocaine and Diltiact ointment

Detailed Answer:
Welcome back

Diltiact ointment and Xylocaine jelly are the brand name of ointment containing diltizem and lignocaine respectively. Both of these are to be applied per annum thrice to four times in a day especially before and after passing stool

Dulcoflex tablet is also suitable it contains dulcolax, however in some it may cause abdominal cramps.

Calcium dobesilate (Brand name Capsule smuth or Capsule dobesil)

Polyethyleneglycol XXXXXXX brand name Laxopeg or movicol

Psyllium fibre brand name Fabolite by Abott

I hope I have answered the query. Wish you a good health

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Amit Jain (1 hour later)

Thanks a Lot Doctor XXXXXXX

Answered by Dr. Amit Jain (1 hour later)

Brief Answer:
Most welcome

Detailed Answer:
Most welcome

If you don’t have further query then rate the answer and close the discussion. Wish you a good health

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Above answer was peer-reviewed by : Dr. Yogesh D