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Suggest treatment for anal fissure - Online Doctor Chats

Date : 06-Jan-2015
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1560 Questions
Doctor:Hi
User:Hi
Doctor:Please proceed with your query.
User:I am suffering from fissure. can you suggest any medicine ?
Doctor:You can use xylocaine gel locally
Doctor:If that doesnt work you can try anacort oint ointment locally
User:Ok
Doctor:It will help lower the discomfort especially while passing stools
User:but stool is not yet soft and is inconsistent
User:frequency is also more. 3-4 times a day
User:its increasing discomfort
Doctor:Diltiazem gel 2% will help relax sphincter
User:OK
Doctor:You can try aloe vera juice to make stools soft
User:any stool softener that I can take ?
Doctor:Lactulose syrup can be taken on prolonged basis without much side effects
Doctor:Prunes can help with constipation
Doctor:Otherwise laxatives are to be avoided for prolonged intake
User:Ok so I have to xylocaine gel ,Diltiazem gel 2% and Diltiazem gel 2%
User:*use
Doctor:yes
User:any other thing to make it heal faster because there is so much pain ?
Doctor:Surgical procedure is also helpful
Doctor:You may see a surgeon for this
Doctor:You may try sitx bath with betadine in it
Doctor:sitz bath
Doctor:Surgery is usually the last resort
User:Ok. but it has been just for 3 days. should wait for it to heal before consulting a surgeon ?
Doctor:You may consult surgeon
Doctor:Though it may heal with medicines
Doctor:There is nothing wrong in seeing a surgeon
User:and any specific diet to follow ?
Doctor:In diet prunes can be tried daily
Doctor:Soft diet
Doctor:more of clean drinking water
Doctor:Fruits
User:Ok. Thankyou
Doctor:ok
Doctor:Thanks for coming on chat
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