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What Causes Pain After Bowel Movement After Fissurectomy And Sphincterotomy?
Question: Two months after operation (Fissurectomy & Sphincterotomy) for fissure still pain persists after stool passes. Regularly applying Lignocaine Gel & DILTIAZEM 2% Organogel. Can I use Anovate to get relief from anal fissure pain
Brief Answer:
Anovate is unlikely to be helpful
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms
Persistent pain in cause of anal fissure is likely to be due to
1. Underlying constipation and passage of hard stools
2. Associated spasm of muscle around the anus
As fissurectomy and sphincterotomy have already been done and also Diltiazem ( calcium channel blocker ) which relaxes the muscle has been tried, anovate is unlikely to be helpful.
I would suggest you the following
1. Ensure good intake of water : 2 to 3 liter a day. Water intake is very important for ensuring formation of soft stools. As any hard stools will further worsen fissure
2. High fiber diet : 2 servings of vegetable salad and 2 servings of fruits especially citrus fruit will ensure adequate intake of fiber in diet.
3. Hot Sitz bath : To a tub of lukewarm water add 2 spoons of antiseptic solution. Sit in it for 15 to 20 minutes each session twice a day. The warmthness will reduce pain and relax the muscle
4. Laxatives like Lactulose will ensure soft stools
5. Continue the medicine as advised by your physician
If the pain still persist then do consult your physician for thorough reassessment.
Wishing you and your family a very happy and healthy life.
Take care
Best regards
Dr Deepak Kaltari
Anovate is unlikely to be helpful
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms
Persistent pain in cause of anal fissure is likely to be due to
1. Underlying constipation and passage of hard stools
2. Associated spasm of muscle around the anus
As fissurectomy and sphincterotomy have already been done and also Diltiazem ( calcium channel blocker ) which relaxes the muscle has been tried, anovate is unlikely to be helpful.
I would suggest you the following
1. Ensure good intake of water : 2 to 3 liter a day. Water intake is very important for ensuring formation of soft stools. As any hard stools will further worsen fissure
2. High fiber diet : 2 servings of vegetable salad and 2 servings of fruits especially citrus fruit will ensure adequate intake of fiber in diet.
3. Hot Sitz bath : To a tub of lukewarm water add 2 spoons of antiseptic solution. Sit in it for 15 to 20 minutes each session twice a day. The warmthness will reduce pain and relax the muscle
4. Laxatives like Lactulose will ensure soft stools
5. Continue the medicine as advised by your physician
If the pain still persist then do consult your physician for thorough reassessment.
Wishing you and your family a very happy and healthy life.
Take care
Best regards
Dr Deepak Kaltari
Above answer was peer-reviewed by :
Dr. Shanthi.E
I am a diabetic can I take Lactulose for soft stool?
Brief Answer:
Lactulose can be safely used in Diabetic
Detailed Answer:
Dear Ms
Lactulose even though its a disaccharide (semisynthetic disaccharide of fructose and lactose), it does not get absorbed from intestine nor digested hence acts as Osmotic laxative. So it does not affect Diabetes. It can be safely be used and there is no cause for concern.
Take Care
Best Regards
Dr Deepak
Lactulose can be safely used in Diabetic
Detailed Answer:
Dear Ms
Lactulose even though its a disaccharide (semisynthetic disaccharide of fructose and lactose), it does not get absorbed from intestine nor digested hence acts as Osmotic laxative. So it does not affect Diabetes. It can be safely be used and there is no cause for concern.
Take Care
Best Regards
Dr Deepak
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Shanthi.E
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