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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurring Anal Fissure

Hi Doc... I am being treated for anal fissure as well as L5 dislocation... as in there is nutritional imbalance... i am taking calcium supplement + nuroday... 2 months back i noticed a yellow patch at the tip of my left thumb nail (foot) and the right ones seems a little brittle... but the rest are fine... not sure what it is... also my fissure is not healing... the cuts reoccur every now and then... i have to use xylocaine ointment 5% every morning... but i cannot use it forever... can u help... i am not keeping well for the past 3 yrs and am very tired...!!!
Mon, 13 Nov 2017
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Internal Medicine Specialist,  's  Response
Hello

Thank you for trusting HCM

Dear you may be have fungal infection to toe nail, with chronic anal fissure.

For onychomychosis you have to use ciclopirox topical 24-48wks with oral anti fungal agent after confirming the infection under dermatologist guidance. For fissure you have to take high fiber diet with syrp. Cremaffine plus 15-30ml at night with diltiazem gel local application. If symptoms not improved you may need surgical lateral sphincterotomy.

Please consult your doctor he will examine and treat you accordingly.
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Suggest Treatment For Recurring Anal Fissure

Hello Thank you for trusting HCM Dear you may be have fungal infection to toe nail, with chronic anal fissure. For onychomychosis you have to use ciclopirox topical 24-48wks with oral anti fungal agent after confirming the infection under dermatologist guidance. For fissure you have to take high fiber diet with syrp. Cremaffine plus 15-30ml at night with diltiazem gel local application. If symptoms not improved you may need surgical lateral sphincterotomy. Please consult your doctor he will examine and treat you accordingly.