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Suggest Treatment For Severe Itching In Rectal Area

Posted on Mon, 3 Aug 2015

Question: Hi

I am a 35 year old male . I am a hypertensive patient and having a controlled BP under medication. I was diagnosed witj hiatal herna on Fen 2014 on account of chronic Gerd. I am taking proton inhibitors for Acidity once daily.

I will like to mention that i went for RIRS + URS procedure on account of calculi in left kidney 40 days back. I was treated for various courses of Antibiotics as i devolped recurrent UTI with ESBL positive E. Coli. In fact i was taking Niftran 100 twice daily till yesterday.

4 days back. I Devolped moderate to severe itching in my rectum. This sensation would appear anytime during the day esp when i passed faeces.

I consulted by GP and he said that i have Anal Fissures. He said it may be due to hard stools (i never had constipation though).He has recommended a Gel namely Dicalesgic 2% saying that it will heal my fissures quickly and a spoon full of Lactifiber twice a day after meals.
I will also like to mention that since fissure i am passing kind of liquid gas which makes my rectum moist and itchy.

My job profile requires me to travel? Is it safe to travel witn a fissure? How long would it take for current Fissure to heal? Is there any more medication i can take that wi heal me quickly

Thanks XXXXXXX

Answered by Dr. Dr. Klerida Shehu (26 hours later)

Brief Answer:
Following answer to your queries.

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

Your symptoms may be related to anal fissure or candida infection. Candida infection is a common complication after antibiotic use and it may also complicate anal fissure or don't let it to get heal quickly.

This is why I strongly recommend you to discuss with your doctor about doing a stool test for candida and starting oral Nystatin.

Anal fissure appart from discomfort and itching sensation doesn't prohibit you from travelling. It usually need 2-3 weeks for anal fissure to be healed (if there's no candida overgrowth infection it will require less).

My opinion is that you don't need another treatment, you are already taking the best treatment strategy.

Hope this was of help!
Wish you health!
Dr. Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (12 minutes later)

Thank you Doctor

For your kind words. Can i do cycling if i have anal fissures ?

Rgds XXXXXXX

Answered by Dr. Dr. Klerida Shehu (6 hours later)

Brief Answer:
You can safely cycling,,,,

Detailed Answer:
Hi back,

You can safely cycling, recent studies confirm the fact that cycling has no effect on healing anal fissure.

Wish you health!
Dr. Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (3 minutes later)

Thanks Doctor

Have a Good Day ..

Answered by Dr. Dr. Klerida Shehu (6 minutes later)

Brief Answer:
Thank you using HCM

Detailed Answer:
Hi and thank you using HCM.

Wish you a good day too and fast recovery.

Dr.Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar