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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anal Fissure

Hello Doctor,I am a 24 yrs girl and since from 2 months suffering from anal fissure. Few days before my doctor suggested me surgery but as a second opinion I consulted another doctor and suggested me not to do surgery to avoid future problems. So will you plz guide me as what to do now?
Tue, 4 Dec 2018
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Internal Medicine Specialist,  's  Response
Hi,

I think its always best to try a few things before going to surgery, which may be needed if conservative management fails.

So I would suggest you should try medicine first. you can use topical nitrates cream locally 2 to 3 times a day, besides using some lignocaine cream for pain relief.

But the most important part is to avoid constipation, by taking more fluid, more fibres ( veg and fruits ), and espheghula husk. Use all these measures for a month, if the thing gets well if not surgery can be done.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Muhammad Zahir Shah, Internal Medicine Specialist
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Suggest Treatment For Anal Fissure

Hi, I think its always best to try a few things before going to surgery, which may be needed if conservative management fails. So I would suggest you should try medicine first. you can use topical nitrates cream locally 2 to 3 times a day, besides using some lignocaine cream for pain relief. But the most important part is to avoid constipation, by taking more fluid, more fibres ( veg and fruits ), and espheghula husk. Use all these measures for a month, if the thing gets well if not surgery can be done. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Muhammad Zahir Shah, Internal Medicine Specialist