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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What can I do for persistent hemorrhoids despite using Anusol and administering sit baths?

Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 17730 Questions

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Posted on Fri, 4 Oct 2019 in Lump
Question: hi i have hemorrhoids. everytime i have to poop i my anus gets wounded. i can always see blood. i have this issue now for weeks. i used anusol and sits bath once or twice a day. but still no effect. i am not sure what to do or who to consult on this. i dont know how my wounds will heal when everytime i poop it will be wounded again. i also noted its only painful at the start of the poop but once it passes that stage it seems my poop is soft enough because it's no longer as painful as the start of the poop
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Answered by Dr. T Chandrakant 1 hour later
Brief Answer:
Looks to be fissure in ano. Consult a General Surgeon.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Painful defecation with some blood is indicative of a condition called Fissure-in-ano and not hemorrhoids as hemorrhoids is dilation of the veins at anus and is not painful at all.
It is good that you are taking Sitz bath. This is sitting in a tub with warm water - before and after passing stool.
Pain at the start is due to the fissure getting stretched due to passage of stool.
Hence I would advise you the following:
Continue Sitz bath.
Take a stool softener.
Since this is for weeks, it is better to consult your Doctor for examination and add on necessary medications like antibiotics, metronidazole and probiotics if there is any evidence of infection. Get a reference for a General Surgeon or a Proctologist if available in your area for clinical evaluation, examination and proper additional management.
Also get the stool and blood tested.

I hope this answer helps you to get the problem solved, get a proper diagnosis and additional management to get a cure.
Please give feedback after proper additional management.
Feel free to ask for further relevant queries if you feel that there is a gap of communication.

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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