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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anal Fissure, Extended Piles, Bleeding. Using Proctosedyl Ointment. Remedy?

Hello doctor,
I am suffering from anal fissure & extended piles since last 4 yrs. I face the problem mostly whenever i have constipation even if very little. also whenever i am stressed,the problem rises. i have tried so many medications & controlled the problem previously. this time I had bleeding & pain since 2/3 weeks. even after controlling the constipation the pain & bleeding was not recovering. it was coming back after 1/2 days. So last week i started using proctosedyl ointment. according to the indication i used it for 7 days. but it didn't help too much to reduce the pain & bleeding for first 2/3 days. later reduced the symptoms but it wasn't like before i used this ointment, which means didn't recover properly maybe because i couldn't make my bowel soft enough initially & also i was having 2/3 times bowel movement everyday because of using so many things to avoid the constipation. i just finished the seven days course of the ointment 3 days back. but after that i am still feeling little pain. still continuing with lactulose & fiber drinks with lot of water everyday to avoid constipation. but the problem is i am having 2/3 times bowel movement everyday for which today feeling severe pain & also there was little blood i saw after the bowel on the toilet paper. i have exam on the next week. but i cannot study properly because of this problem & also very scared. what can i do temporarily to recover properly & sit for the exam without this suffering?
Sat, 8 Jun 2013
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General Surgeon 's  Response
Hi
As per your query,you are having fissure in ano and piles.
Fissure in ano is a crack in the anal canal which causes pain while passing stools.
As there is no relief with medications,you need surgery.
After anaesthesia,due to relaxation,piles that are present internally will be seen easily and can be removed.Dilatation of anus will be done.Fissure problem can also be solved.
As you are having exams,please take plenty of green leafy vegetables.Drink plenty of water.
You can go for sitz bath where betadine solution is used in tub with warm water.It may help you temporarily.
Wish you good health
Regards
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Anal Fissure, Extended Piles, Bleeding. Using Proctosedyl Ointment. Remedy?

Hi As per your query,you are having fissure in ano and piles. Fissure in ano is a crack in the anal canal which causes pain while passing stools. As there is no relief with medications,you need surgery. After anaesthesia,due to relaxation,piles that are present internally will be seen easily and can be removed.Dilatation of anus will be done.Fissure problem can also be solved. As you are having exams,please take plenty of green leafy vegetables.Drink plenty of water. You can go for sitz bath where betadine solution is used in tub with warm water.It may help you temporarily. Wish you good health Regards