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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Red Rash After Wiping Bowel Movement, Diagnosed Fissure Given Lotion. Cured Comes Back Quickly?

I have a question please. Everytime I have a bowel movement, I always have t use so much toilet paper to make sure it is completely clean. I even check the TP because I want it to all be gone so I don't smell or get bacterial infections. Also, I tend to wipe hard which in turn leaves red skid marks. My doctor told me I had a fissure and gave my lotion for it. It seemed to go away but I guess it comes back quick. Am I doing anything wrong and what can I do?
Mon, 14 Oct 2013
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Infectious Diseases Specialist,  's  Response
Hi,
Welcome to HCM.
Anal fissures occur most commonly due to chronic constipation. I suggest you include lots of fiber in your diet to have easy and smooth bowel movements. Drink at least 3-4 liters of water per day.
Perianal skin is sensitive and vigorous rubbing may cause contact irritation which also predisposes for infection by fungi and bacteria. I suggest you keep these areas clean and dry.
Sitz baths will help relieve pain due to fissure and also cleanse the area.
Thanks.
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Red Rash After Wiping Bowel Movement, Diagnosed Fissure Given Lotion. Cured Comes Back Quickly?

Hi, Welcome to HCM. Anal fissures occur most commonly due to chronic constipation. I suggest you include lots of fiber in your diet to have easy and smooth bowel movements. Drink at least 3-4 liters of water per day. Perianal skin is sensitive and vigorous rubbing may cause contact irritation which also predisposes for infection by fungi and bacteria. I suggest you keep these areas clean and dry. Sitz baths will help relieve pain due to fissure and also cleanse the area. Thanks.