Dr. Varunbabu Aucha
Family Physician
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I had constipation, and due to that, I had an anal fissure. It has almost been up to one week. The day before yesterday, I had a small amount of blood in my poop, but now it stopped. But can I know why it is still painful? I am also taking medications such as Duphalac syrup and Lactifiber powder as prescribed by a doctor. My constipation has not healed entirely and is still painful after a bowel movement. May I know why? And how much time will it take to heal completely? What should I do?
Hello,
Welcome to icliniq.com.
I can understand your concern.
Since you have already been diagnosed with an anal fissure, the pain will settle slowly.
1. Do not try to push or strain to pass stool.
2. Take plenty of oral fluids, up to 4 liters daily.
3. Avoid non-vegetarian food for three months.
4. Take a high-fiber diet.
5. Do a sitz bath (pour hot water into a tub, add Betadine solution, and sit in the tub for 15 minutes in the morning and evening).
Acute fissure pain is usually disturbing as the sphincter will go into spasm, due to which you will encounter pain.
Try to pass stool in a soft, not hard. Passing a hard stool will be painful, and you will encounter Blood.
You can continue Duplhlac syrup (lactulose) and Lactifiber powder.
In addition, I would suggest you apply this in the anal region- Ointment FIDOANAL (nifidipine and lidocaine) local application.
For pain, I would suggest taking the tablet Calpol-T (acetaminophen with tramadol) in the morning and evening for five days.
If the pain persists after the above medication, you might be advised surgery to relieve the pain.
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Family Physician
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