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Suggest Alternative Treatment For Anal Fissure

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Posted on Tue, 6 Oct 2015
Question: I have anal fissure and it seems nothing helps, it is almost impossible to have a normal bowel movement
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Answered by Dr. Dr. Muhammad Sareer Khalil (31 minutes later)
Brief Answer:
Surgical option should be availed

Detailed Answer:
Hello and Welcome

I appreciate your concern

Once anal fissures get chronic, they are very much difficult to heal by medication alone. As part of conservative treatment topical metronidazole, topical steroids and local anesthetics like lidocaine are used. Systemic antibiotics with anaerobe coverage are also prescribed to help improve healing. Constipation should be avoided by using stool softeners, ispaghula husk and cremaffin syrup. A lateral internal sphincterotomy where a part of the anal fissure is removed in order to relax the sphincter. It is the treatment for such a case to be decided in consult with a General surgeon or Proctologist.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Alternative Treatment For Anal Fissure

Brief Answer: Surgical option should be availed Detailed Answer: Hello and Welcome I appreciate your concern Once anal fissures get chronic, they are very much difficult to heal by medication alone. As part of conservative treatment topical metronidazole, topical steroids and local anesthetics like lidocaine are used. Systemic antibiotics with anaerobe coverage are also prescribed to help improve healing. Constipation should be avoided by using stool softeners, ispaghula husk and cremaffin syrup. A lateral internal sphincterotomy where a part of the anal fissure is removed in order to relax the sphincter. It is the treatment for such a case to be decided in consult with a General surgeon or Proctologist. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil