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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Anal Fissures, Hard Stools, Skin Tags, Bleeding. Using Cremagel Ointment. Surgery Required?

hi i m XXXX, suffering frm cronic anal fissure fr about 5-6 years, sm times problem subsides by simple treatment of ointment n use of laxatives but if any time stool becomes a bit hard it repeats horribly with great pain. it causes severe pain during passing stool ,3 skin tags are also formed at 12, 6 n 9 O clock positions, it seems that anal opening is shrinked , bleeding is very rare in form of 2-3 drops of fresh blood . now using cremagel ointment , my doc suggesting surgery ,what to do,plz suggest sm more effective medicines
Mon, 5 Nov 2012
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OBGYN,  's  Response
HELLO THERE.

Skin tags which you have mentioned are actually hemorrhoids. These occur due to chronic constipation when anal mucosa prolapses.

Due to hard stools , cuts occur in the fragile anal mucosa leading to anal fissures.

Laxatives and analgesic ointment (cremagel) are the maximum you can use to avoid constipation and relief the pain of hemorrhoids.

THE DEFINITE TREATMENT OF HEMORRHOIDS (SKIN TAGS) IS SURGICAL.

Surgery is required if your hemorrhoids do not get better with conservative treatment like medication.

You can try SITZ bath (sit in tub of warm water for 15 mins, 3 times a day) when you have pain and bleeding.

Another conservative procedure to avoid surgery is infrared coagulation which is a type of heat treatment to shrink the hemorrhoids.

Surgery that may be done to treat hemorrhoids includes rubber band ligation or surgical hemorrhoidectomy. These are generally used in hemorrhoids with severe pain or bleeding which have not responded to other therapy.

take care.
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Chronic Anal Fissures, Hard Stools, Skin Tags, Bleeding. Using Cremagel Ointment. Surgery Required?

HELLO THERE. Skin tags which you have mentioned are actually hemorrhoids. These occur due to chronic constipation when anal mucosa prolapses. Due to hard stools , cuts occur in the fragile anal mucosa leading to anal fissures. Laxatives and analgesic ointment (cremagel) are the maximum you can use to avoid constipation and relief the pain of hemorrhoids. THE DEFINITE TREATMENT OF HEMORRHOIDS (SKIN TAGS) IS SURGICAL. Surgery is required if your hemorrhoids do not get better with conservative treatment like medication. You can try SITZ bath (sit in tub of warm water for 15 mins, 3 times a day) when you have pain and bleeding. Another conservative procedure to avoid surgery is infrared coagulation which is a type of heat treatment to shrink the hemorrhoids. Surgery that may be done to treat hemorrhoids includes rubber band ligation or surgical hemorrhoidectomy. These are generally used in hemorrhoids with severe pain or bleeding which have not responded to other therapy. take care.