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Information on anal fissures - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   hello doc
Doctor :   How can I help you
User :   i am interested to know
User :   about anal fissures
User :   could you help
Doctor :   Yes
User :   can u tell me which is the best method of cure
Doctor :   What do you like me to tell yu
User :   if its starting stage
Doctor :   Before that lemme put some questions
Doctor :   Is it for the first time
User :   yes
Doctor :   The exact cause of anal fissures is not known, but the initiating factor is thought to be from the passage of a particularly hard or painful stool. Low-fiber diets, such as those lacking in raw fruits and vegetables, are associated with the development of anal fissures.
User :   ok
Doctor :   Initially minor tears in the anal mucosa ( inner skin ) due to a hard bowel movement probably occur often, and, in most people
User :   inspite of improving diets if symptoms persist ..
Doctor :   The medical therapy is diet
Doctor :   more than 80% resolve with further therapy
Doctor :   and if not cured
User :   ok thats fine.. but what is treatment for ailing the cracks or inflammed skin
Doctor :   with
Doctor :   in after 3-4 weeks of medical therapy and for chronic anal fissures.
Doctor :   The treatment is the surgery
Doctor :   There is something called topical application of NTG ointment
Doctor :   if not diet before the surgery
User :   will it help from non-recurrence ?
Doctor :   it is an ointment
User :   diet does not help in healing the wounds
Doctor :   Wound heal on their own
Doctor :   by taking the diet and supplements
User :   have tried uniclave and smuth ointment
Doctor :   O
Doctor :   So did the doctor check
User :   but it does not reduce the pain
User :   yes
User :   doc suggests anal dialation.. but i hear its not safe
User :   so what do u suggest as the best treatment...
Doctor :   Anal dilation is safe
Doctor :   I am sending you a feedback form now. Please take a moment to give your valuable opinion so that we can continuously improve our service.Please inform me after you have filled it. I will be waiting for you
Doctor :   arer you there
Doctor :   xxxxx
User :   yes doc
User :   i have filled it
Doctor :   Anal dilation is called Sphincter dilatation.This procedure is a controlled anal stretch or dilatation under general anesthetic.
User :   but i read on the net that it causes incontinence
Doctor :   This is waht you might heard of
Doctor :   but the procedure is not done now a days
Doctor :   the Lateral internal sphincterotomy
Doctor :   is done now
User :   ok
User :   does it help in curing the wounds in the region
Doctor :   Yes
Doctor :   surely
User :   what is the recovery period doctor ?
Doctor :   but it should be done by a skilled surgeion
User :   ok
User :   what is the recovery period doctor ?
Doctor :   It can be done in office and patients can go home on the same day
Doctor :   or one more day
Doctor :   Typically, minimal postoperative pain is associated
User :   and does the patient go back to normal life ... the next day ?
Doctor :   YEs
Doctor :   But follow up is required for some time
Doctor :   Pain from the fissure starts to abate almost immediately
User :   can he have normal painless routines then on ? i mean while passing motions
Doctor :   many patients can return to normal activities the following day.
Doctor :   Yes
Doctor :   Would you like to know the best skilfual surgeries done
User :   yes please
Doctor :   We would be helping you getting it done
Doctor :   Which area do you stay
User :   i stay in xxxxx
Doctor :   O
User :   so i think i have to find the surgeon myself isnt it
Doctor :   Sorry XXXXXXXX we at present dont have database or empanelled specialists for now
Doctor :   We are in Bangalore
User :   thats ok doc
User :   u have been very helpful.. atleast i know there is a complete cure
User :   thankyou very much for your listening in
Doctor :   Please refer your friends with a click of the button and importing the contacts. You can import from Gmail, Yahoo by click of a button.
Doctor :   bye then
User :   bye doc
Doctor :   please refer some ppl
User :   thankyou
User :   yes i will
Doctor :   bye
Doctor :   then
Doctor :   Is there anything else I can help you with?
Doctor :   ru there
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