Hi,I am Dr. Amitkumar Sharma (Internal Medicine Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
I think i may have an anal fissure im a 17 year old guy and i woke up one morning with a sharp needle like pain in my butt its been two days now and the pain will not go away there is no blood coming out when a BM is taking place i made sure there was nothing in there by feeling around with a clean finger the pain doesnt go away
Hello, Welcome to HCM. I can understand your problem. Anal fissures occur due to tight anal sphincter tone and straining at stools. You need to take lubricant laxatives, stool softener and high fiber diet with plenty of fluids to prevent constipation as constipation and straining at stool will aggravate or prevent healing. It can be treated medically or surgically. It is treated with nitroglycerin ointment for muscle relaxation, lignocain for pain relief and antibiotics if there is infection. Surgery such as spincterotomy can be done if it does not heal by medical treatment which gives permanent relief. Hope this will be helpful. Please ask if any further question is there. Thanks for using HCM. Take care.
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What Causes Anal Fissure?
Hello, Welcome to HCM. I can understand your problem. Anal fissures occur due to tight anal sphincter tone and straining at stools. You need to take lubricant laxatives, stool softener and high fiber diet with plenty of fluids to prevent constipation as constipation and straining at stool will aggravate or prevent healing. It can be treated medically or surgically. It is treated with nitroglycerin ointment for muscle relaxation, lignocain for pain relief and antibiotics if there is infection. Surgery such as spincterotomy can be done if it does not heal by medical treatment which gives permanent relief. Hope this will be helpful. Please ask if any further question is there. Thanks for using HCM. Take care.