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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anal fissure, dialtazem, bleeding during bowel movements, sitz bath, proctosedyl ointment, sentinel pile and pain

i have a serious problem...please help me for past two months i have had anal fissure and i almost got away with it within a week using dialtazem.i had to travel home by then and was in a chair car.journey ended with the symptoms of fissure again.thereafter i had bleeding while BM s for 10-15 days.i saw a homeo doctor being regular with sitz bath and dialtazem or proctocidil ointments.now i am back on job after 15 days rest and have no bleedings but i see a sentinel pile and pain .i am taking all the precautions (no spicy food and no non-veg etc.) but still i suffer the pain.please help me....is operation the last solution??
Tue, 22 May 2012
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Pediatrician 's  Response
Dear Zishan,

Anal fissure is usually caused due to constipation and passage of hard stools. The medicines that you mentioned will give you some relief but you need to take care of your constipation. Since you mention that you having bleeding with bowel movementts and sentinel pile I suggest that you get yourself examined to rule out any haemorrhoids (piles) which may be associated. After getting a thorough examination your treating doctor may suggest you some dietary modifications which should control your problem. Surgery is the last resort when conservative treatment does not produce the desired results.

Wishing you a speedy recovery.
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Anal fissure, dialtazem, bleeding during bowel movements, sitz bath, proctosedyl ointment, sentinel pile and pain

Dear Zishan, Anal fissure is usually caused due to constipation and passage of hard stools. The medicines that you mentioned will give you some relief but you need to take care of your constipation. Since you mention that you having bleeding with bowel movementts and sentinel pile I suggest that you get yourself examined to rule out any haemorrhoids (piles) which may be associated. After getting a thorough examination your treating doctor may suggest you some dietary modifications which should control your problem. Surgery is the last resort when conservative treatment does not produce the desired results. Wishing you a speedy recovery.