Brief Answer:
Clinical evaluation, actual examination, investigations, treatment needed

Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history and concerned.
To summarize, antibiotics disturbed your GI flora, there was little blood and pain in the anus/rectum are. You started with food without spices, applied RootiCool, took stool softener - feel like swings in lower abdomen before passing stool - since 1 st Oct burning at stool - Now just half-inch above the anal you are feeling some corn which is painful and made difficult to sit properly. The corn is half-inch above anal and painful when touched from outside. Today morning you felt that corn is more inside than outside.

Yes it may be due to anal fissure producing an abscess, the infection spread from the fissure, as fissure is a wound related to the anus and the stool contains very high concentration of bacteria.

Your concerns are as follows and will explain as you have asked:
*Precautions:
Do sitz bath- means sitting in a tub with warm water
Do not press on it nor sit for long duration
Get examined by a General Surgeon by digital examination if the pain allows.
It is possible that your Surgeon may ask for MRI study, may not ask and go by the clinical judgment.
He shall also prescribe you proper antibiotics, metronidazole, stool softeners, Pre and probiotics, anti-inflammatory and whichever is his choice. You need a prescription.
If there is a need you may be advised surgery if medicines fail to resolve the condition.

*Medications:
As discussed above.

*Diet:
Simple principle about diet is that you have to stop any foods/beverages that cause you disturbed bowels. Make a list of the foods/additives/beverages that instigate/cause the problems or enhance it. By this time you must have noticed which ones.
You may also be aware of the foods/beverages that suit your intestines the most and to take then stringently.
You certainly can have full normal diet cooked at home; no outside food at all.

Please follow the instruction, advised investigations and continue on the treatment till you are cured.
This also includes the tests of the blood, urine and stool.
Further investigations like Colonoscopy, CT scan of the abdomen may be done if your Surgeon feels so on clinical evaluation.

Correct diagnosis is of paramount importance for the correct treatment.

I hope this answer helps you to get an early and proper diagnosis and treatment, please feel free to ask for further relevant queries if you need to or if you feel that there is a gap of communication.

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Brief Answer:
as explained below.

Detailed Answer:
Thanks for your appreciation.
I will try to answer your questions point by point:

1. Kindly tell sitz bath how many times should i repeat.?
Sitz bath should be taken at least twice daily in the morning- once before you pass motion and once after you pass motion to keep the area soothe and to clean the area properly. No need to add anything to the water. Potassium permanganate is added to make the water sterile. You can add enough to make the solution pink (not darker).

2. Sat-Isbagol - i.e. Psyllium Husk - Can i take this for fibre need.?
If your motions are hard you can certainly take Sat Isabgoal 1 to 2 tsf in a glass of warm water in the night. This helps to soften the stool as well as add fibers.

3. Are these the sypmtos of "INTERNAL HAEMOROIDS"...?
No this is not look to be due to internal hemorrhoids. They are diagnosed only on proctoscopy examination.

4. Sir, you have explained beautifully. I am very afraid of getting
operated for the same. Should i share some picture of the infected area.?
I can understand, everyone is afraid of surgery; but if there is no alternative one has to undergo surgery.

5. Can you please suggest stool softners. I will by highly thankful to you.
Isabgol husk is the best. Try this first and only if it does not work, we can add something like Cremaffin plus 1 to 2 tsf at bedtime

I feel, it will very painful, if physically examined. Let's see whats on the cards.
Your Surgeon will not check further if there is pain. He may then advise you to go for MRI study.

6. One more question Sir,
How much are the chance of getting it cured as per symptoms, Without surgery.
If this is a small thing, it may resolve with proper medicines.

7. How much time a surgery, if happens, would take me to recover.
The time to recover will depend upon the proper diagnosis as I have mentioned in the first answer. Hence is the need to go for a perfect diagnosis.


I hope this answer helps you.

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Brief Answer:
Please post picture again and consult a General Surgeon

Detailed Answer:
Hi.
Sincere thanks for your appreciation.
I can not really say about homeopathy as I do not know what medicines have you been give.
You definitely need an antibiotic, metronidazole, anti-inflammatory and an opinion of a General Surgeon.Timely proper diagnosis and treatment can alleviate Surgery in some cases, but if you get late the complications go on continuing.
In spite of restriction you still have burning, try to take normal full diet as it helps to form good stool and continue the medicines you have mentioned including Sporalac DS.

Picture not received.
Feeling LIKE SWELLED VEIN SOFT TO TOUCH AND PAINFUL is indicative of an abscess formation, this may open up on its own or may need surgical drainage after confirmation of a General Surgeon; please consult one and let me know what was the progress.

Take care.
Have a great day.

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