Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
138 Doctors are Online

Sitzbath and xylocaine gel to treat anal fissures - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hi
Doctor :   hi
Doctor :   how can I help you?
User :   Last month I had a problem of minor anal fissure and I was advised by one of the doctors to apply xylocaine jelly
User :   It was OK after a week
User :   But now again the same problem
Doctor :   ok
User :   With pain and sensation of neddles pinching around the anal region
Doctor :   ok
Doctor :   do you have Constipation?
User :   No not now
Doctor :   ok
Doctor :   is there any bad smell?
User :   No, normal
User :   i am based in Nigeria, whatever medication you adv pls give the generic names
User :   It pains a lot while passing stools and for couple of hours after that with neddle pinching sensation
User :   Please adv
Doctor :   ok
Doctor :   what is your routine diet now a days
User :   Normal three times a day
User :   Breakfast, lunch & dinner
Doctor :   ok
Doctor :   plz tell in detail?
User :   Breakfast - Fruits, bread and Eggs
User :   Lunch - Dal, Roti, Rice and Vegie
User :   Dinner - Dal, Roti, Veggies & fruits
Doctor :   ok
Doctor :   let me once go through your previous chat history
Doctor :   plz wait
User :   Ok
Doctor :   is it the new fissure or the old one is not healed
User :   looks like old one not healed
Doctor :   ok
Doctor :   is it at the same place?
Doctor :   where the old one was
User :   It is the same old one
User :   On the back side of anal opening
Doctor :   ok
Doctor :   is there any pus coming out?
Doctor :   are you with me?
Doctor :   I have to close this window since there is no response from your side, we are available 24/7 please get back to us if you need further medical advice.
User :   No pus coming out
Doctor :   are you back?
Doctor :   ok
User :   yes the connection was down
Doctor :   yes it seems so
Doctor :   ok
User :   No blood, no pus, just pain and needle pinching sensation
Doctor :   ok
Doctor :   any medications currently?
User :   I just applied Xylocaine jelly today morning
Doctor :   ok
Doctor :   for the pain you will have to use the xylocaine
User :   Ok, Any tablets
Doctor :   plz concentrate on the diet
Doctor :   it must be fiber enriched
User :   What should I take for the fissure to prevent it from happening again
Doctor :   so that there is no hard stools
User :   Oranges and Sweet Lime is OK ?
Doctor :   otherwise the fissure will recur
Doctor :   yes
Doctor :   any fruit at least two in a day
User :   Does it have any permanent solution
Doctor :   and three servings of green leafy vegetables per day
User :   Or I will have to concentrate on diet through out
User :   My job involves lots of travel
User :   How to take care of the needle pinching pain near the anus
Doctor :   the main reasons are constipation, straining on the stools
User :   Ok
Doctor :   and the recurrence and the nonhealing is due to the itching
Doctor :   especially during night time
Doctor :   when you are asleep
User :   Ok
Doctor :   for night itching you can wear some cotton gloves while sleeping
User :   How to control the itching
Doctor :   so that the damage due to itching is minimises
User :   Any medication for itching
Doctor :   itching will be there
User :   So Xylocaine Jelly will heal it
Doctor :   you will have to apply xylocaine jelly more frequently
User :   Ok
User :   No other medication like antibiotic etc.
Doctor :   xylocaine will decrease the pain and will help in preventing the itching
Doctor :   yes
Doctor :   as there are many days now
Doctor :   so in my opinion you will need some antibiotics
Doctor :   Please fill the feedback form
User :   Ok
User :   Can you please adv the names
Doctor :   antibiotics can vary on a case to case basis
User :   Ok
User :   Which one will suit me best
Doctor :   in my opinion you must go to some surgeon for the physical checkup as you will need PR examination as the fissure has not healed in 7 days by xylocaine
Doctor :   as the fissure may have xetension inside the anal canal
Doctor :   *extension
User :   Ok
Doctor :   then the antibiotics will change
User :   So until then I cannot take any Antibiotic
User :   I can do that when I come back to India but until then can you suggest something
User :   I will return to India after 3 months
User :   Are you there
Doctor :   I will advice you good medications but before that i will need few investigations
Doctor :   as antibiotics have many side effets
Doctor :   are you taking sitz bath
User :   Ok

User :   I stopped last time once the thing was OK

User :   Will start again from today
Doctor :   ok
Doctor :   that may be the reason
Doctor :   do one thing
Doctor :   use BETADINE solution for sitz bath
User :   Ok
User :   I will do that

User :   Anything else that needs to be done
Doctor :   in my opinion try this remedy for another 3 days
Doctor :   use frequent xylocaine applications
Doctor :   3-4 sitz bath with BETADINE daily
Doctor :   wear cotton gloves in night
User :   Ok , will try that and let you know
Doctor :   modify dietary habits
User :   Dettol is not Ok, last time I has used Dettol

Doctor :   yes plz get back to me
Doctor :   if the fissure is superficial and there is no infection the symptoms will improve
Doctor :   and soon subside
Doctor :   otherwise you will need a physical and PR examination by a surgeon
User :   Ok

Doctor :   Is there any thing else I can help you with?
User :   Thats all for the time being

Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   Ok Byes
Question is related to
Diseases and Conditions
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor