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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anal Fissure, Not On Medication, But Itching And Painful, Blood On Tissue Paper. Is There A Cure ?

hi im 26 year old married . Recently 2 months im suffering from anal issue i went to a doctor he said im having Anal fissure and i don t need to be worried about it. He also didn t recommended me any medicines or any thing. now thing is that its now almost 2 months and fissure is not gone it is how it was before some times it is itching not painful . Also i can see blood coming from it when i use tissue paper to check it. Im m worried is it serious . why he didnt recommended me any medicines . what should i do in order to get free from this anal fissure. please guide me.
Thu, 11 Oct 2012
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Emergency Medicine Specialist 's  Response
Hi Arshad,
Thanks for writing your query.
Anal fissure takes time to heal as it gets irritated whenever stool passes over it during defecation.
Treatment involves adding bulk to the stool and making it soft with psyllium or methylcellulose.
Avoid food which are hard in nature like nuts, popcorn, and spicy foods.
Drink plenty of pure filtered water.
Seitz bath will be very helpful to you. For this take a tub filled with lukewarm water and sit in the tub so that your anal area is submerged in the water. Do this after you pass stool.
Medical treatment involves applying local anaesthetic cream before defecating.
Moreover, ointments with glycerin trinitrite(Nitroglycerin ointments) are also beneficial in healing of anal fissure.
Usually it takes 4 to 6 weeks for complete healing.
I hope this information is helpful to you. If you have any furthur query, please ask me, I will be ready to help.
Thanks.
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Anal Fissure, Not On Medication, But Itching And Painful, Blood On Tissue Paper. Is There A Cure ?

Hi Arshad, Thanks for writing your query. Anal fissure takes time to heal as it gets irritated whenever stool passes over it during defecation. Treatment involves adding bulk to the stool and making it soft with psyllium or methylcellulose. Avoid food which are hard in nature like nuts, popcorn, and spicy foods. Drink plenty of pure filtered water. Seitz bath will be very helpful to you. For this take a tub filled with lukewarm water and sit in the tub so that your anal area is submerged in the water. Do this after you pass stool. Medical treatment involves applying local anaesthetic cream before defecating. Moreover, ointments with glycerin trinitrite(Nitroglycerin ointments) are also beneficial in healing of anal fissure. Usually it takes 4 to 6 weeks for complete healing. I hope this information is helpful to you. If you have any furthur query, please ask me, I will be ready to help. Thanks.