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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Pain While Passing Stool Due To Constipation

I am having constipation and facing a great pain while passing stool. Blood is also present in the stool. I am using ointment for 4-5 days now. From the first day its a little better now. But still i haven t recovered completely and still it pains a lot. Please suggest me what should i do
Mon, 4 Feb 2019
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General Surgeon,  's  Response
Hi,
Noted your history and understood the concerns.

Painful passage of hard stools along with bleeding is usually indicative of a condition called fissure-in-ano.
I would advise you the following in such a condition:
Sitz bath in a tub with warm water before and after passing stools. This gives relaxation and soothing effect to the anal sphincter muscles.
Stool softener is a must and may need additional laxative.
X-ray of abdomen to see if there are fecoliths and if present then you may need a soap-water enema.
Consult your Surgeon for clinical evaluation so that any additional painkillers, antibiotic, metronidazole and probiotics can be added as needed.
Take diet which helps you in having soft stools.

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

Regards,
Dr. T Chandrakant,
General Surgeon
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Suggest Remedy For Pain While Passing Stool Due To Constipation

Hi, Noted your history and understood the concerns. Painful passage of hard stools along with bleeding is usually indicative of a condition called fissure-in-ano. I would advise you the following in such a condition: Sitz bath in a tub with warm water before and after passing stools. This gives relaxation and soothing effect to the anal sphincter muscles. Stool softener is a must and may need additional laxative. X-ray of abdomen to see if there are fecoliths and if present then you may need a soap-water enema. Consult your Surgeon for clinical evaluation so that any additional painkillers, antibiotic, metronidazole and probiotics can be added as needed. Take diet which helps you in having soft stools. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon