Why am I facing abdominal pain for a month after passing hard stools?

Hello,

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On listening to your history, it seems that you have developed an acute anal fissure. It is a breach in the opening of the bowel called the anus. This can occur due to hard stools passing across the anus, which causes a breach or small ulcer. I want you to follow the following treatment regimen and show me up in a week to see whether it has improved. Ideally, it takes around two to four weeks to have healing of this ulcer. Use Diltiazem (calcium channel blocker) gel or Glyceral trinitrate (GTN) cream. Apply it to your anus with your finger thrice daily. Use Xylocaine (lignocaine) 5% gel thrice daily and apply similarly to the above gel.

Use sitz bath. Fill the water tub to half with slightly warm water, add 5 ml of Dettol or antiseptic available in your area, mix it, and sit in it thrice daily for 10 to 15 minutes. Take Ispagol husk two tablespoons with water daily. Use Miralax (Polythene glycol) sachet. Take two sachets in a glass of water once at night till your constipation ultimately improves. I hope this will improve your symptoms. I have seen your reports (attachment removed to protect patient identity), and all are within normal limits. The gallbladder distention in the ultrasound is normal, and there are no issues with that.