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I Am Having Some Anal Issues. When I Pass A

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Posted on Tue, 30 Apr 2019
Question: I am having some anal issues. When i pass a stool it feels like i am passing something sharp just as it comes out. I have a few drops of blood on the toilet paper and a stinging burning sensation. This has been going on for about a week. I believe it is a fissure. I have been sitting in warm baths and taking a stool softener but still having the pain with bowel movement.
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Answered by Dr. Ornela Ademovi (1 hour later)
Brief Answer:
Anal fissure

Detailed Answer:
Hello,

I understand your concern. Your description concurs with anal fissure. Warm baths and stool softeners are a good first step, however it may take time for the fissure to heal, depending on the depth and location.

I recommend using nitroglycerin (externally) which helps to relax the anal sphincter and increases blood supply to the area, thus promoting faster healing. I also recommend using a topical anesthetic cream (such as Xylocaine or Lidocaine) for the pain. Also blood pressure medication such as Diltiazem and Nifedipine, taken orally, can be helpful in relaxing the sphincter.

Make sure you increase your fiber intake and drink plenty of fluids. If this condition persists, please see your doctor for a physical examination and further investigation.

I hope this answers your query. Let me know if I can assist you further.

Take care.
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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ornela Ademovi

General & Family Physician

Practicing since :2004

Answered : 725 Questions

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I Am Having Some Anal Issues. When I Pass A

Brief Answer: Anal fissure Detailed Answer: Hello, I understand your concern. Your description concurs with anal fissure. Warm baths and stool softeners are a good first step, however it may take time for the fissure to heal, depending on the depth and location. I recommend using nitroglycerin (externally) which helps to relax the anal sphincter and increases blood supply to the area, thus promoting faster healing. I also recommend using a topical anesthetic cream (such as Xylocaine or Lidocaine) for the pain. Also blood pressure medication such as Diltiazem and Nifedipine, taken orally, can be helpful in relaxing the sphincter. Make sure you increase your fiber intake and drink plenty of fluids. If this condition persists, please see your doctor for a physical examination and further investigation. I hope this answers your query. Let me know if I can assist you further. Take care.