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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anal Fissures And Vaginal Fissures

My daughter is 6 yrs old and has struggled with anal fissures before but now it also looks like she may have a vaginal fissure. The pediatrician has suggested Miralax to help, which it has to a degree, but it just is not healing all the way. I use flushable wipes to wipe after BM. I also push the fluids. She isn't the best drinker or eater but is healthy. I have used Desitin to help keep the area dry as well as another cream that was presribed that I can't remember at the moment. What else can I do? Thanks, Jessica
Thu, 24 Jul 2014
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Pediatrician 's  Response
Thanks for the query.
Use stool softeners. Also, add more fibre and fluid (liquid) to your child’s diet. Wholegrain cereals, breads, fruit – especially prunes – and vegetables are good sources of fibre.
Once the hard stools turn to soft stools, the anal fissure will have the chance to heal. Until your child’s fissure has completely healed, you can apply a layer of petroleum jelly or zinc oxide cream to your child’s anus. This will help make passing stool less painful.
For vaginal tears you may use,
Nonsteroidal anti-inflammatory drugs (eg, ibuprofen )
Warm baths—Sitting in a warm bath that only covers your hips and buttocks can sometimes help; this is called a sitz bath.
Ice or witch hazel pads—Ice wrapped in a cloth or chilled witch hazel pads applied to the area are sometimes used to dull the pain.
If you have a more serious laceration, your doctor may recommend that you take a stool softener and follow a special diet.
Surgery may be required in selected cases.
Hope i helped you.
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Suggest Treatment For Anal Fissures And Vaginal Fissures

Thanks for the query. Use stool softeners. Also, add more fibre and fluid (liquid) to your child’s diet. Wholegrain cereals, breads, fruit – especially prunes – and vegetables are good sources of fibre. Once the hard stools turn to soft stools, the anal fissure will have the chance to heal. Until your child’s fissure has completely healed, you can apply a layer of petroleum jelly or zinc oxide cream to your child’s anus. This will help make passing stool less painful. For vaginal tears you may use, Nonsteroidal anti-inflammatory drugs (eg, ibuprofen ) Warm baths—Sitting in a warm bath that only covers your hips and buttocks can sometimes help; this is called a sitz bath. Ice or witch hazel pads—Ice wrapped in a cloth or chilled witch hazel pads applied to the area are sometimes used to dull the pain. If you have a more serious laceration, your doctor may recommend that you take a stool softener and follow a special diet. Surgery may be required in selected cases. Hope i helped you.