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Anal fissure with burning sensation. Not cured by gutclear and faktu cream. How long it take to cure?

Hi, I am suffering from Anal Fissure for the past one week. Went to doc last sunday and was advised to take 3tbsps of GutClear in the night and to apply Faktu cream after i pass stool . I have been doing it for 3 days now. No improvement. I have burning sensation for 5-6 hours after i defecate. Please let me know how long will it take to cure and is the medication alright?
Asked On : Fri, 11 Jan 2013
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General & Family Physician 's  Response
An anal fissure is a tear or a cut in the anoderm. Constipation and passage of hard stools is often the cause of an anal fissure.Most anal fissures are located in the midline and are posterior more frequently than anterior. Anterior fissures are seen more often in women. Most fissures heal spontaneously, but some persist. 
More than 90% of fissures heal spontaneously. Symptomatic fissures warrant treatment. Conservative management is the first line of therapy. Increasing dietary fiber and water intake should be coupled with fiber supplementation. Psyllium-based products are the preferred fiber supplement.  Patients should drink at least two glasses of water or fluids each time they take a fiber supplement dose. A laxative like gutclear you are taking,once or twice a day, is added for patients with persistent constipation despite increased fiber intake. 
 Taking a sitz  bath in warm water once or twice a day for ten minutes may offer some relief.
 Lidocaine 2% jelly is prescribed to reduce pain as needed before and after bowel movements. Steroid-based creams like faktu are generally not helpful.
Surgery is advised if conservative treatment fails.
Consult a doctor and get yourself evaluated properly.
Answered: Fri, 11 Jan 2013
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