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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anal Fissure After Delivery. Prescribed Duphalac, Constipation After Stopping Medication. Recommendations?

Hi Sir,
Ihave anal fissure after my delivery and on duphalac & fibril powder for the past 4 months. After reading about duphalac, little worried about the continous usage of the same.
When i start reducing the dosage of duphalac, my stools are getting harder and the pain gets worse on my fissure. How should i reduce / stop taking duphalac? or is there any other alternative for duphalac?
Also, Could you please prescribe a proper diet to get healed from fissure faster?
Mon, 23 Sep 2013
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Gastroenterologist 's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

For fissure:
1. Make your stool soft by taking a laxative like syrup cremaffin plus and lots of fibres by taking fruits and vegetables and may also add psyllium fibres like fibril
2. Local ointment containing diltizem for application per anum before and after defecation
3. Sitz bath

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
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Anal Fissure After Delivery. Prescribed Duphalac, Constipation After Stopping Medication. Recommendations?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). For fissure: 1. Make your stool soft by taking a laxative like syrup cremaffin plus and lots of fibres by taking fruits and vegetables and may also add psyllium fibres like fibril 2. Local ointment containing diltizem for application per anum before and after defecation 3. Sitz bath I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.