What Are The Side Effects Of Ciprofloxacin?
Likely to be due to anal fissure
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms
First and foremost let me reassure you that at your young age it's unlikely to be something serious like cancer.
Going by description of symptoms of burning pain while passing stools and associated with bleeding , possibility of anal fissure strongly needs to be considered. Anal fissure is a small ulcer present at anal opening which is usually precipitated by passing hard stools or sometimes with diarrhoea. Exact diagnosis will depend on clinical examination. Providing clinical photograph will be helpful.
I would suggest you the following
1. Hot Seitz bath : To a tub of lukewarm water add 2 spoons of antiseptic solution. Sit in it for 15 to 20 minutes each session twice a day.
The warmthnes will relieve the pain and relax the muscle
2. Continue taking antibiotics;, stop it if the diarrhoea worsens .
3. Addition of Probiotic will be helpful
4. Local application of local anaesthetic like Xylocaine ointment before and after passing stools will help relieve pain
Do get back to me with following additional information
1. Is there any redness in area surrounding anus ?
2. Are there any skin eruption in that area
3. Providing clinical photograph will be helpful
Awaiting your response
Take care
Best regards
Dr Deepak Kaltari
Consultant Surgeon
Answers:
1. I cant tell if any redness but there is at the top where my cheeks fold in. Also, if i wipe with a towel it is very sore on the outside and also to spread my cheeks it hurts. Almost as if i am ripping my skin. When i hold the towel up to my anus and push as i am doing a bowel movement i had a small dot of bright red blood.
2. Cant tell if there is any, please see a picture
There is anal fissure
Detailed Answer:
Dear Ms
There is definitely a small anal fissure. 8th should subside with the advise given previously. Also in the skin surrounding the anus there are small eruption which is due to fungal infection. I would suggest you the following
1. Keep the are clean and dry
2. Wear only cotton panty
3. Local application of combination of Steroid and antifungal ointment will be helpful
Wishing you and your family a very happy and healthy life.
Take care
Best regards
Dr Deepak
fissure should heal in 1 to 3 weeks
Detailed Answer:
Dear Ms
Fungal infection is not due to antibiotics used. It is due to moisture due to sweating and wetness due to repeated diarrhoea. Also wearing panty made from synthetic material is predisposing factor
You can get ointment (XXylocaine ) as over the counter medication. Also local application of antifungal ointment like Clotrimazole will help in treatment of fungal infection. You can also take Diflucan. The fissure should heal within 1 to 3 weeks .
Take care
Best regards
Dr Deepak
They can be purchased otc
Detailed Answer:
Dear Ms
They can be purchased over the counter.
Take care
Best regards
Dr Deepak
Diflucan will help
Detailed Answer:
Dear Ms
Diflucan will help in healing but it may come back. As its a surface skin infection, long term use (2-3 weeks) of antifungal ointment is recommended.
Do keep me updated about progress.
Wishing you great health
Regards
Deepak