Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
I have a anal fissure and a heroine, they are both giving me problems and I am wondering what is the best course I should take. Do I need to go to my doctor or just wait on the over the counter meds to work. I have been bleeding with bowel movements for three days now.
Hi. Thanks for your query. Noted your history of bleeding with bowel movements for 3 days and have heroine too which causes constipation increasing the anal fissure problem. I would advise you the following: High fiber diet. Avoid all the foods and beverages and stress-like conditions which gives constipation. Laxative for softening the stool- never allow the dose too much to cause liquid stools. Sitz bath- very important- just before passing a stool and after passing a stool. Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean. You can apply liquid povidone iodine locally. Apply nothing else. 5 day course of an antibiotic on prescription of a local Doctor. Add probiotics and multivitamins. Avoid stress and mental tensions at any cost; this is a very important factor.
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Suggest Treatment For Anal Fissure
Hi. Thanks for your query. Noted your history of bleeding with bowel movements for 3 days and have heroine too which causes constipation increasing the anal fissure problem. I would advise you the following: High fiber diet. Avoid all the foods and beverages and stress-like conditions which gives constipation. Laxative for softening the stool- never allow the dose too much to cause liquid stools. Sitz bath- very important- just before passing a stool and after passing a stool. Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean. You can apply liquid povidone iodine locally. Apply nothing else. 5 day course of an antibiotic on prescription of a local Doctor. Add probiotics and multivitamins. Avoid stress and mental tensions at any cost; this is a very important factor.