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Severe case of Anal Fissure, lump blocking anal canal. Recommended Rectogesic ointment cream. Go for sphincterotomy?

Hi Doctors, I m a male 38 years old, and I ve been having severe case of Anal Fissure , It has been going on for more than a year now, but I ve always thought this is a piles( Haermorroid) Problem and was not receiving the proper treatment, but now for a month it has worsened to such a state where there is a huge lump blocking my anal canal while having bowel movements. I went to see a specialist and he has recommended Rectogesic ointment cream, which is taking too long to reduce my pain, I m emotionally distressed to do my bowel movements, but when I do, my waste are very minimal, and soft, I m drinking plenty of water and eat apples and choose only food with high fibre in it, Will it be a good idea for me to opt for a sphinterectomy? please advice. Thanks for your time, To add to my misery, My pain after a bowel movement last atleast for 2 to 3 hours, even after taking neproxen 275mg, I really need help.
Asked On : Wed, 20 Feb 2013
Answers:  1 Views:  170
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General & Family Physician 's  Response
Welcome to HCM.
It seems that you have anal fissure with abscess formation.
There is likely that you might have Fistula-in-ano.
Consult surgeon and get examined locally.
If fissure in ano is there there is very simple procedure called Lord'method by which you will cure your fissure completely.
Mean while you may go for one antibiotic medicine and application of antibiotic cream.
Ok and bye.
Answered: Wed, 20 Feb 2013
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