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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Crack Above Anus, Redness, Bleeding, Painful, Itchy. Tried Neosporin. How To Make It Go Away?

Hello...my butt crack is cracked above the hole. It is red and sometimes bleeds a tiny bit. It hurts when I sit on the toilet and can sometimes be itchy. I have tried A&D ointment as well as Neosporin with pain relief....these soothe the area but aren t treating it. I have had this occur before and it eventually goes away on its own but clearly has come back. What should I do to make it go away? Thanks!
Fri, 12 Jul 2013
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  User's Response
Hi, many thanks for the query!
You should get physically examined for P/R examination by your doctor.
It seems that you are having fissure, once confirmed, start stool softners first, because hard stools cause mechanical trauma to anal mucosa.

Locally apply lignocaine jelly for pain relief as pain causes excessive spasm of the anal sphincter muscles, tight anal tone, so inability to pass stools & further constipation.

Sit in a tub containing leukwarm water, so that anus is dipped in it,
4 times in a day.
Eat high fibre diet, green leafy vegetables, drink plenty of water.
Take antibiotics, Vit. C preparation with your doctor's opinion.
Get your CBC done.
Wish you a good health.
Take care.
Regards.
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Crack Above Anus, Redness, Bleeding, Painful, Itchy. Tried Neosporin. How To Make It Go Away?

Hi, many thanks for the query! You should get physically examined for P/R examination by your doctor. It seems that you are having fissure, once confirmed, start stool softners first, because hard stools cause mechanical trauma to anal mucosa. Locally apply lignocaine jelly for pain relief as pain causes excessive spasm of the anal sphincter muscles, tight anal tone, so inability to pass stools & further constipation. Sit in a tub containing leukwarm water, so that anus is dipped in it, 4 times in a day. Eat high fibre diet, green leafy vegetables, drink plenty of water. Take antibiotics, Vit. C preparation with your doctor s opinion. Get your CBC done. Wish you a good health. Take care. Regards.