Brief Answer:
Though not a serious condition, should be taken ca
Detailed Answer:
Hi XXXX! Good morning. I am Dr Shareef, a
general surgeon answering your query.
From your history, it seems that you have got a
fissure in Ano, which is a crack in the muco-cutaneous junction of the
anal canal due to passage of hard stool and it happens in chronically constipated people. This is not a serious condition as your
colonoscopy report is clean, but have to be taken care of both with medical and dietary measures and if not cured or troubled frequently , then a small surgery will relieve your symptoms. The small bump you mentioned could be a small skin tag, which occurs as a natural protective mechanism due to the fissure (sometimes known as external piles)
If I were your doctor, I would advise you a regular sitz bath (sitting for 5 minutes on a tub of warm water) three times a day, an antibiotic which will be effective in both aerobic and anaerobic infection, an anti inflammatory drug after meals, a
proton pump inhibitor drug, a non irritant laxative which should soften your stool, and a local ointment which contains lignocaine and
diltiazem, which might relieve your symptoms.
As the basic problem is
chronic constipation, I would advise you to modify your dietary habits towards more of roughage like salads and fruits, and plenty of liquids with avoidance of fast food and non veg like mutton. You can go for fish which is more safe.
If all these measures do not help you or there is frequent recurrence of the problem after being relieved, there is a simple surgery called lateral sphicterotomy, which releases the tight anal sphincter which holds back the stool in chronic condition. This helps in stool getting evacuated easily. But you have to adhere to your dietary modifications as advised.
However you need a clinical examination by a doctor first before we confirm the diagnosis. So I would advise you to see your family physician/surgeon soon.
I hope this information would help you in discussing with your family physician/treating doctor in further management of the problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery and also a Happy new Year 2014. Dr Shareef.
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