Question: For Dr.NanikSingh Kukreja (in conitnuation of last consultation)..
XXXXXXX, 27 years, female, 5ft 3 inches, 47 kg
Hi! doctor...
According to your last consultations i took paraffin and fluids, fibre XXXXXXX diet and used diltigesic gel, sitz bath. I Found deltigesic is very effective. I don't feel pain. But blood while motion is still going and i have to put stress for stool. This time blood is coming with the initial part of stool in a liquid form then along with middle part i found blood drops and also at last part i found falling blood dropps . Also I have to put stress for stool motions, many times even after taking the laxatives.

I again went to my doctor (colonrectal surgeon who used to give me flagyl). He again checked my fissure and found that i have no pain that much at mild fissure. He told me this fissure does't seems to be responsible for that much blood in stool. He told me for sigmoidoscopy and did it on that same day. (Report attached)
After sigmoidal examination he told me for surgery of hypertrophied papillae since i am having swelling at rectal part and becoz of this i have to put stress and thats why fissure reoccurs. (hypertrophied papillae as given in report).
Also this swelling is also responsible for mucus/ white fluid and blood that is coming from stool. (Pls note hypertrophied papilla is not in prolapsing stage right now)
Actually many times i noticed white mucus coming along with stool in non-negligible quantity so that i can easily see it. Although also he told me if mucus is coming from upper part, not from this swelling then he don't know about that.
1) So pls check my report and let me know about your views on this.
2) Is surgey only way for rectification of swelling ? Can't it be treated through medicine?. (Acc to my doctor if i go thru medicine then there are chances of reoccurence).
3) What causes this swelling in that part of body?
4) What type of surgery used for this? (my doctor did not tell it to me when i asked him) and which is better surgery for its treatment so that I can recover easily and early?
5) How many days it ‘ll take for complete recovery. My doctor told me after surgery i have to take dressing 5 days consecutively.
6) Can it be treated by infra red?
7) Is there any chances of reoccurrence of this even after surgery?
8) Shall I recover from constipation , hard stool and blood with stool problem after this surgery?
9) I had been taking lactulose solution in Oct-11- Nov-11 . Then started taking isabol on dec-11 to Mid XXXXXXX -12 and lactifbre for 15 days. But now again taking more lactibre so that I don’t need to put strain.
Is there any side effects of all these medication in body because I can listen different types of sounds from my stomach many time and sometimes pain? How can I come out of this.

Now doctor has given me flagyl for one week and told me prepare yourself for surgery. I AM Confused.
Thanks