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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, I am30+, 5ft.8inch, 62kg. with normal BP and physically well. I have been suffering from chronic anal fissure for 7 months, it heals with using ointments like pilex, proctosedyl etc. but it again comes back just after I stop using them though I take fiber food regularly. Pls. advise for permanent non-surgical treatment. Thank you.
Tue, 16 Jan 2018
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General Surgeon,  's  Response
Hello dear

Warm welcome to Healthcaremagic.com
I have evaluated your query thoroughly .

* There is no permanent solution of anal fissure either surgery or without
surgery .
* When ever you get some amount of hard stool , you can get chances of
fissure development .

* Guidelines for better outcome with this issue :

Drink plenty of liquids .
Prefer soft , light diet with more of green leafy veg , whole grains , cereals , pulses , legumes , organic fresh fruits .

Avoid all types of oily , spicy , non veg , hot beverages , junk foods , dairy fat .

Manage to have smooth bowel passage with the help of bulk forming laxatives as Ispaghula husk with lukewarm drinking water .

Tab. Ibuprofen ( 400 ) mg after meals for control of pain , burning if no history of drug sensitivity .
Continue Pilex ointment application .

Sitz bath ( sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools ) helps .
Avoid long drives , sitting prolong on hard surfaces .
Control of blood sugar , cholesterol , body weight .
Avoid smoking , alcohol if consuming .

Hope this clears your doubt .
Wishing you fine recovery .

Welcome for any further assistance .
Regards take care .

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Suggest Treatment For Anal Fissure

Hello dear Warm welcome to Healthcaremagic.com I have evaluated your query thoroughly . * There is no permanent solution of anal fissure either surgery or without surgery . * When ever you get some amount of hard stool , you can get chances of fissure development . * Guidelines for better outcome with this issue : Drink plenty of liquids . Prefer soft , light diet with more of green leafy veg , whole grains , cereals , pulses , legumes , organic fresh fruits . Avoid all types of oily , spicy , non veg , hot beverages , junk foods , dairy fat . Manage to have smooth bowel passage with the help of bulk forming laxatives as Ispaghula husk with lukewarm drinking water . Tab. Ibuprofen ( 400 ) mg after meals for control of pain , burning if no history of drug sensitivity . Continue Pilex ointment application . Sitz bath ( sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools ) helps . Avoid long drives , sitting prolong on hard surfaces . Control of blood sugar , cholesterol , body weight . Avoid smoking , alcohol if consuming . Hope this clears your doubt . Wishing you fine recovery . Welcome for any further assistance . Regards take care .