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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Anal Fissure Inspite Of Taking Calcium Dobesilate Monohydrate?

Hai sir i am 26 year old person having a anal fissure problem i visited my surgoen and having dobisilate calcium monohydrate and a stool softner pegmove and a cream for past 5 days i stopped the dobisilate capsule and my fissure returned . Can it be treated with same medicined pls answer
Wed, 27 May 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

Anal fissures are nothing but the ulcers as a result a tearing of tissue around anus which causes burning sensation during and after passing of stool.

The reason could be your hard stools passing for the past few days which actually causes excess straining during defecation which in turn lead to tearing of the anal skin or mucosa.

These fissures or ulcers causes burning sensations around the anus and anal canal.

You should go for routine blood with electrolytes, stool examination with proctosopy by an experienced surgeon to have a correct diagnosis and to check if there is piles.

You may require,
1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with
2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with
3) Hot sitz bath,
4) Laxatives or purgatives to have a soft and effortless stool evacuation.
5) Vitamin b complex with folic acid to have a rapid healing of ulcer.

You must consult general surgeon for complete history, thoroughly examination and treatment for suspected piles and anal fissure.

Thanks and Regards,

Dr.sandipkabra
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What Causes Recurring Anal Fissure Inspite Of Taking Calcium Dobesilate Monohydrate?

Hi, Welcome to health care magic, Anal fissures are nothing but the ulcers as a result a tearing of tissue around anus which causes burning sensation during and after passing of stool. The reason could be your hard stools passing for the past few days which actually causes excess straining during defecation which in turn lead to tearing of the anal skin or mucosa. These fissures or ulcers causes burning sensations around the anus and anal canal. You should go for routine blood with electrolytes, stool examination with proctosopy by an experienced surgeon to have a correct diagnosis and to check if there is piles. You may require, 1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with 2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with 3) Hot sitz bath, 4) Laxatives or purgatives to have a soft and effortless stool evacuation. 5) Vitamin b complex with folic acid to have a rapid healing of ulcer. You must consult general surgeon for complete history, thoroughly examination and treatment for suspected piles and anal fissure. Thanks and Regards, Dr.sandipkabra