Hi,
Here are some recommendations that may help:
1. See a doctor: It's important to have a doctor examine your
anal fissure and hemorrhoids to determine the best course of treatment. They may recommend prescription medication, surgery, or other procedures.
2. Keep your stool soft: Continue taking laxatives like
lactulose to keep your stool soft and easy to pass. This can help prevent further irritation to your anal fissure and hemorrhoids.
3. Sitz baths: You're already taking sitz baths, which is great. Make sure the water is warm and not too hot. You can also add Epsom salts to the water to help relieve pain and inflammation.
4. Diet: Eating a high-fiber diet can help prevent
constipation and reduce the risk of developing hemorrhoids. Make sure to drink plenty of water and avoid foods that can cause constipation or
diarrhea.
5. Avoid straining: Try not to strain during bowel movements, as this can aggravate your anal fissure and hemorrhoids. Use a
stool softener or fiber supplement if needed, and take your time on the toilet.
6. Pain relief: Over-the-counter pain relievers like
acetaminophen or
ibuprofen can help relieve pain and discomfort.
In summary, it's important to see a doctor for proper diagnosis and treatment of your anal fissure and hemorrhoids. In the meantime, continue to keep your stool soft, take sitz baths, eat a high-fiber diet, and avoid straining during bowel movements. Pain relievers can also be used to manage discomfort.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Diwashish Biswas, Internal Medicine Specialist