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Have pain in rectum after motion. Have delivered and breast feeding. Treatment?

Hi mia, i have just delivered a boy baby on Dec 26,2012. It was a normal forceps delivery. And i was suffering from pain on the rectum which s terrible after i passes motion. This pain s not reduced last 3weeks:( last 2days am taking combiflam where my friend referred me tat her doctor advice her to take for hers. Am relieved out of some pain But again in the morning am suffering from this pain. May i get permanent relief out of this pain? Note- am breast feeding my baby now.
Asked On : Sat, 16 Feb 2013
Answers:  2 Views:  61
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OBGYN 's  Response
Pain in the rectum after a forceps delivery could mean a healing indurated scar in the central perineum, hard stool pressing on the scar or a fissure, which would also show itself by some blood stain in the stool. Yo may apply local xylocaine with an applicator before passing stool that would give you comfort. Do not take oral analgesics unnecessarily as you are feeding the baby. You should also consult a surgeon who may advice you a dilator. Take plenty of liquids and see that you pass a soft stool by taking plenty of fiber. Take care.
Answered: Sun, 17 Feb 2013
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Oncologist, Surgical Dr. Rohan Khandelwal's  Response
Dear Ma'am,

Sorry to hear about your problem. You are probably suffering from an anal fissure, which is quite common after delivery and especially forceps delivery during which there is more stretching of the perineal region. These problems are also accentuated because of constipation, which is a part and parcel of pregnancy.
Unfortunately combiflam will not provide you with long lasting relief. You need to do certain things:
- firstly take a high roughage diet (green leafy vegetables, salads, fiber)
- avoid fatty, fried and spicy foods (they will lead to more pain)
- Sitz bath (take a tub and fill it with luke warm water and sit in it for 10 mins twice a day)...this will help in reducing the pain
- Apply xylocaine jelly 2% at the site where it is hurting after the the sitz bath and before you pass stools. This jelly is absolutely safe during lactation and has to be applied locally.
- Take a laxative (2 tea spoons at night) if you are constipated. Safe during lactation

If you take these measures, you will get relief from your pain in a couple of days.
Hope you get well soon.

Answered: Sun, 17 Feb 2013
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