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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful External Pile Which Is Treated With Anasol Cream., History Of Piles, Anal Fissure. What Is The Next Step ?

I have been treating an external pile with Anasol cream for approx 2 weeks to my horror a couple of days I now have 4 or 5 ... So painful even keeping me awake. I have suffered with piles and anul fissure on and off for last 2 years. I am a fit and healthy ( except for piles !) 52 year old. Please advise next course of action as over the counter cream an ineffective.
Fri, 9 Nov 2012
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Critical Care Specialist 's  Response
Hi thanks for psoting your query
Your having anal fissure along with piles for last 2 years with inadequate pain reiief from different medicine.
The best way to manage anal fissure and piles is surgical.
The operation is called as symphterotomy along with haemorridectomy .
It is a small surgical procedure of about half an hour and can be done regional anaesthesia and you will be back to work in 2 weeks time .
Hope I answered your question.
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Painful External Pile Which Is Treated With Anasol Cream., History Of Piles, Anal Fissure. What Is The Next Step ?

Hi thanks for psoting your query Your having anal fissure along with piles for last 2 years with inadequate pain reiief from different medicine. The best way to manage anal fissure and piles is surgical. The operation is called as symphterotomy along with haemorridectomy . It is a small surgical procedure of about half an hour and can be done regional anaesthesia and you will be back to work in 2 weeks time . Hope I answered your question.