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Anal fissure, using creamafin, want to know side effects of long term effects. Advice?

hi am suffering from anal fissure for the past 3months. so I have been using creamafin for 3 months, will it casue any side effects, is it advisible to use it for longer, untill i relieve from fissure I am 35 yrs old weighing 60 kg. taking 5ml of creamafin at bedtime. Now my fissure seems to be healing almost 70%. can I continue to use cremafin for 1 more month or so untill i completely recover from the fissure
Asked On : Fri, 15 Jun 2012
Answers:  2 Views:  288
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General & Family Physician 's  Response

Hi Nilesh,

You should not use cremaffin for longer duration. It has abuse potential.

Go for regular follow up with your surgeon. Get the anal fissure treated soon with regular treatment. Slow down the use of Cremaffin. Instead, consume a high fiber food and take plantain and plenty of fluids.

You should gradually stop the use of cremaffin; make it once weekly and stop.

Hope this helps.

Wish you speedy recovery.

Answered: Fri, 15 Jun 2012
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General & Family Physician Dr. Divya Kuttikrishnan's  Response
Hello there,

It is not a good idea to have cremaffin continuously.The main thing is to avoid constipation,as constipation worsens anal fissure and pain from anal fissure worsens constipation.Hence, it is a vicious cycle.

1. Have fibre rich food like oats as a porridge.
2. Have plenty of fresh fruits (like banana, papaya) and vegetables.
3. Drink at least 8 glasses of water a day.
4. Soak a handful of raisins in a glass of clean drinking water and keep it overnight. Drink the raisin soaked water and eat the raisins first thing in the morning.
5. Avoid white rice, pasta and maida. Have whole grain foods like brown rice , chappathis etc.
6. As an alternative to point no.4, Try drinking 3 glasses of water on an empty stomach as soon as you wake up. I know this is not possible on the first go, so start gradually. Start by drinking one glass of water on an empty stomach first thing in the morning for two - three days. Then gradually increase it to 2 glasses in the morning and thereafter 3 glasses. Within 15-30 minutes, you will have the urge to pass motion and most likely you will have a good bowel movement.
7.Avoid deep fried, fatty food , chocolates, tea, coffee, alcohol, smoking, fast food and junk food.
8.Regular exercise for 30 - 45 minutes a day is a must. Join a gym or go for swimming/aerobics .It will help by good bowel movements.
9.If you do need to have a laxative, you can have Isabgol :Mix 2 teaspoons of isabgol (psyllium husk)in a glass of clean drinking water and drink immediately at night.

Hope I have answered your question. I will be happy to answer any further queries you might have.

Have a nice day,

Dr.Divya Kuttikrishnan
Answered: Fri, 15 Jun 2012
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