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Hi, I Am Suffering From Anal Fissure For Last Two

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Posted on Sat, 25 Jul 2020
Question: Hi, I am suffering from anal fissure for last two months. With all the medication I have tried. It has improved a lot but still I am getting sharp pain.. I have identified that there is is Skin tag and there is a fine cut in that skin tag which is hurt every time during the motion.. So every time it is bleeding.. One of my friend suggested placentrex to apply on it as it is not healing since a long time. My question is can I apply placentrex on the snap wound.. Or any good cream that will heal it completely.. I have done the antibiotics course of O2which has improved the condition.. But still it is acute pain on the cut and bleeding. Will placentrex work on it??
doctor
Answered by Dr. T Chandrakant (14 hours later)
Brief Answer:
Please give additional information

Detailed Answer:
Hi.
Thanks for your query.
Noted the history and query.
Please give additional information for me to assist you better:
Your age and gender please.
Are you doing Sitz bath?
Any examination and proctoscopy by a General Surgeon or Proctologist?
Give the full list of medicines orally and locally tried?
Any laxative and/or stool softener are you using?
Any other medical problems?
Please give full details.

Dr T Chandrakant.
General Surgeon.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (2 hours later)
Yes.. I have gone to a proctologist who has told it's a fissure and if it won't go then operation is the best option. I have takenO2 for five days along with emangen d when there is pain. Taking sitz bath twice a day. Tried the ointment Sufrate LA, Smuth cream, anovate. It is healing but again getting hurt during motion. I don't want to get operated so trying all the options ointment to heal it. I have diltizem, but not applied till now.. So will I apply diltizem or placentrex gel.. Which one is good??
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Follow up: Dr. T Chandrakant (0 minute later)
Also I am on cremaffin for last two months
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As discussed

Detailed Answer:
Thanks for your feedback.
2 month is a long time for fissure-in-ano and indicates the need for surgery as by this time there is fibrosis at the base of scar with spasm and fibrosis of internal sphincter which does not allow complete relaxation of anal sphincter. Hence the repeated cuts and complications.
Since you want to avoid surgery I would advise you the following:
- Sitz bath has to be done in a large enough tub where you can sit in a squatting position comfortably. Water should be warm enough - tolerable to back of hand. Needs to be done before and after passing stool.
- Cremaffin dose to be adjusted to give semisolid stool.
- Use XXXXXXX toilet for passing stool.
- Locally apply Xylocaine jelly before and after passing stool as it reduces pain and thus spasm.
- Take Multivitamins, mineral and trace elements capsule as it helps as anti-oxidant and helps strengthening skin and healing the ulcer.
- Stress and anxiety increase the problem hence should be under control.
- Identify the foods and beverages that cause constipation/ increase fissure and stop them altogether. You only know which foods and beverages suit you or cause trouble. Make a list.
- Use boiled for 20 minutes and cooled water.
- No ointments should be applied. ( Xylocaine is jelly and will be washes aff after Sitz bath.
- Try these and let me know the results.
Better to avoid Placentrex as the effects are not proved.
- Will think of diltiazem later.

Dr T Chandrakant.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (6 hours later)
Boiled water 20mins and then cooled water for drinking??
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Yes for drinking.

Detailed Answer:
Yes, it helps.
Keep water boiling for 20 minutes.
Allow to cool so that you can drink.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19735 Questions

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Hi, I Am Suffering From Anal Fissure For Last Two

Brief Answer: Please give additional information Detailed Answer: Hi. Thanks for your query. Noted the history and query. Please give additional information for me to assist you better: Your age and gender please. Are you doing Sitz bath? Any examination and proctoscopy by a General Surgeon or Proctologist? Give the full list of medicines orally and locally tried? Any laxative and/or stool softener are you using? Any other medical problems? Please give full details. Dr T Chandrakant. General Surgeon.