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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes External Fissures And Large Hemorrhoid After Each Bowel Movement?

I have external fissures and a large hemorrhoid that hangs out after each bowel movement. My stool becomes hard with small pellets and once that is pass I have soft thin stools. I have this hemorrhoid for more than 20 years. What should I be concern about?
Mon, 26 Mar 2018
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Internal Medicine Specialist 's  Response
Hello,

Constipation may cause excessive straining during defecation which leads to hemorrhoid formation. Hard stools may lead to mucosal injury which may cause fissure formation. So take high fiber diet and regular exercise, drink plenty of liquid. Use syrup lactulose thirty ml after dinner for five days. If symptoms not improved, please consult your surgeon he will examine and treat you accordingly.



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

Regards,
Dr. Penchila Prasad Kandikattu
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What Causes External Fissures And Large Hemorrhoid After Each Bowel Movement?

Hello, Constipation may cause excessive straining during defecation which leads to hemorrhoid formation. Hard stools may lead to mucosal injury which may cause fissure formation. So take high fiber diet and regular exercise, drink plenty of liquid. Use syrup lactulose thirty ml after dinner for five days. If symptoms not improved, please consult your surgeon he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu