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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Am Pregnant, Have Anal Fissure, Painful. Should I Wait After Cesarean To Get LIS Done?

I am pregnant with 35 weeks. Has had an annal fissure for the past 5 months. Tried everything permited. I have unbearable pain. Looks like LIS is the only option to try to heal fissure. Should I wait after cesarean (3 weeks from now) to have surgery done? I am afraid about post surgery pain w/o being able to take pain killers... Thanks!
Mon, 24 Sep 2012
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OBGYN 's  Response
Hi,
Thanks for the query.
Better to plan after cesarean section.
As the manipulation during procedure can stimulate uterine contractions and can lead to preterm delivery and also any post-operative infection can lead to chorioamnionitis etc.
Till the surgery you can take symptomatic treatment like taking more liquid diet, fruits, vegetables, drinking plenty of water, using analgesic and anti inflammatory jellies etc.
Main thing is you have to avoid constipation.
Take care.
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Am Pregnant, Have Anal Fissure, Painful. Should I Wait After Cesarean To Get LIS Done?

Hi, Thanks for the query. Better to plan after cesarean section. As the manipulation during procedure can stimulate uterine contractions and can lead to preterm delivery and also any post-operative infection can lead to chorioamnionitis etc. Till the surgery you can take symptomatic treatment like taking more liquid diet, fruits, vegetables, drinking plenty of water, using analgesic and anti inflammatory jellies etc. Main thing is you have to avoid constipation. Take care.