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Painful growth near the rectum, constipation. Surgery ruled out. Further treatment?

Hi, I m 35 year old female from India. Few years back I noticed a small mass protruding out of my rectal area and consulted a gastroenterologist and he told me the inner skin of the rectum has scrapped off n has collected near the anal opening. This situation started to become worse for me when I started to have constipated bowels every now and then. now quite often i need to strain to pass bowels. This has become so painful to me that I am unable to sit at all till I take a pain killer to relieve the pain. The area becomes terribly itchy with sharp needle-like pain. Gastroenterologist advised not to have surgery as the area is sensitive. Please suggest some definitive solution of this problem.
Asked On : Mon, 5 Nov 2012
Answers:  1 Views:  52
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General Surgeon 's  Response

Thank you for the query.

What are you suffering from is anal fissure. This is a kind of rectum open wound which causes terrible pain. In most cases it is caused by constipations so getting rid of constipation is a very important to get it healed. No surgery necessary for anal fissure (surgery can be done if such fissure is not healing and lasts for months).
To get it treated you should take care of your stools. Your stools should be soft and you should prevent constipations. To do that you should drink more water, eat some soups instead of solid meals, increase fiber rich foods. Very important is to not push hard when passing stool as it causes rectal "skin" tearing.
Hot baths with Quercus Cortex and washing rectal area after every stool can help as well.
You can ask your doctor about ointment with Nitroglicerine (it relaxes rectal muscle)
Cream with Xylocaine will ease the pain.

Hope this will help.
Answered: Mon, 5 Nov 2012
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