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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Ongoing Pain And Itching Due To A Fissure Despite Various Treatments?

Can anyone help me please...I have anal fissure since last two months.. fissure is internal .. There is no bleeding...only sever pain..and itching...I am really sad due to it...there is no pain during bowl movement..Pain starts after stool passing...various medicine used for it...Also used Posteseran. Gtn forte ...fissurid...creams....but still facing this problem.. Homeopathic medicine now I am using...Ratanhia 200...Acid nitrite 200...pile ointment.......but still pain....when I applied flogocid cream...it gives me relief for a little time....there is no constipation....my stool is soft....plz give me useful suggestions...
Mon, 3 Jun 2024
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General & Family Physician,  's  Response
Hello,

Take sitz bath 2-3 times a day to get relieve. Take care of your hygiene. Avoid taking spicy or fast food. Do not take nuts, popcorn, processed or packaged food. Keep yourself hydrated and add fiber in your diet. Take laxatives at bed time. Avoid constipation. You can apply externally nitroglycerin (Rectiv) on the area affected.

This can help increase blood flow to the fissure and promote healing. Applying topical anesthetic creams like lidocaine (Xylocaine) will help to relieve pain and discomfort. You are advised to get clinically examined by a GP; you may need Botox injection to relax spasms. Your treating doctor may prescribe blood pressure medicines, such as nifedipine or diltiazem, to help relax the anal sphincter. In case of no response to treatment your treating doctor may recommend surgery.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Could Cause Ongoing Pain And Itching Due To A Fissure Despite Various Treatments?

Hello, Take sitz bath 2-3 times a day to get relieve. Take care of your hygiene. Avoid taking spicy or fast food. Do not take nuts, popcorn, processed or packaged food. Keep yourself hydrated and add fiber in your diet. Take laxatives at bed time. Avoid constipation. You can apply externally nitroglycerin (Rectiv) on the area affected. This can help increase blood flow to the fissure and promote healing. Applying topical anesthetic creams like lidocaine (Xylocaine) will help to relieve pain and discomfort. You are advised to get clinically examined by a GP; you may need Botox injection to relax spasms. Your treating doctor may prescribe blood pressure medicines, such as nifedipine or diltiazem, to help relax the anal sphincter. In case of no response to treatment your treating doctor may recommend surgery. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician