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Suggest Medication For Anal Fissure Apart From Itraconazole, Sitcom And Forcan

Posted on Wed, 11 Oct 2017

Question: I have anal fissure for some time ( 1 year now ) and during medication and applying various creams develop itching around anal areas and due to rubbing it get worst and developed rashes and wounds . Some time back a doctor suggested to apply ITRACONAZOLE CREAM 1% - AFITRA which I m applying for more than 15 days but it's not healing wounds . Earlier for Anal fissure I used to apply CREMA GEL ( Diltiazem Gel 2% ) which now give burning sensation as few wounds/ cuts are open . Also I have taken course of couple of tablets like 1. SITCOM 2. FORCAN -200 and ALLEGRA for 7 days but healing of rashes and wounds is not happening . Please suggest some ointment and tablets to heal the effected area

Answered by Dr. Ramesh Kumar (5 hours later)

Brief Answer:
Please follow the treatment for 5 days.

Detailed Answer:
Hello dear,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.
As per your query answers are-
Itaconazole is an antifungal and has no role in healing of fissure or wound.
I would suggest you to use-
Tablet Cefixime 400 mg twice daily(A broad spectrum anti bacterial medicine cephalosporin).A open wound at site of fissure acts as a source of infevtion therefore antibiotic should be taken to take care of it.
Tab chymoral forte 1 tablet thrice daily-Its a wound healer and speeds up recovery of wound.
Ointment dresin to be applied locally over the area three times a day.It contains antiprotozoal antibacterial and wound healer.
Tab folvite 5 mg once daily contains folic acid helpful in wound healing.
Tab celin 500 mg once daily contains vitamin C and helps in wound healing.

Take it for 5 days.

If possible please attach a clear picture of area with follow up.

They are all easily available at any XXXXXXX pharmacy.

I hope i answered your query well.
Get well soon.

Thanks!

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ramesh Kumar (26 minutes later)

Thanks . Which ointment you suggest to be applied . ??

Answered by Dr. Ramesh Kumar (3 minutes later)

Brief Answer:
follow up.

Detailed Answer:
Hello again my dear patient,
Ointment dresin can be used two times a day externally over wound.

Hope i was helpful.
In case if query feel free to follow up.
Please do write a review.

Take care and get well soon.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ramesh Kumar (14 hours later)

Also I have uploaded the image of the affected area .

Answered by Dr. Ramesh Kumar (6 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hello again dear patient,
Have gone through the pictures attached by you.
Please keep the area dry and follow all the medications adviced by me and follow up after 5 days.
Please note that try to keep area clean and dry.
And don't use any ointment on your own.
Regards

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Above answer was peer-reviewed by : Dr. Nagamani Ng