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Why do I have severe pain and bleeding while passing stools?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have pain while passing stools, and I have blood along with it. Sometimes, I have many blood spots on my stool. I consulted a doctor and did a physical examination. He told me that I have an anal fissure. He suggested me to take GTN 0.2% and tablet Brixen. If there is no relief in ten days, my doctor told me that I may need a surgery for it.

Please suggest.
Answered by Dr. Lalit Kumar Bansal

Education:

MBBS

Professional Bio:

Dr. Lalit Kumar Bansal is a General Surgeon who completed his MBBS at MGMMC, Indore, and MS in General Surgery at RNTMC, Udaipur. He specializes in Laparoscopic Surgery, Urology surgery, Gastrointestinal surgery, and cancer surgery and has 14 years of clinical experience. Currently, he is practicing at Dr. Ram Manohar Lohia Hospital, in New Delhi, India.

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Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

An anal fissure is a cut in the anal passage. It occurs due to the passage of hard stools. It presents with pain and bleeding in ninety-nine percent of cases. Surgery is not required in most cases. But proper medicines and prevention are necessary to be taken. I suggest you continue taking treatment.

As for treatment, you can have

  1. A sitz bath with Betadine twice for 15 minutes.
  2. You can take syrup Duphalac (Lactulose) four tablet spoons daily.
  3. You can use the ointment Diltigesic (Diltiazem) locally three times.
  4. Use ointment Smith (Lidocaine with Calcium dobesilate, Hydrocortisone, and Zinc) locally three times.
  5. Take tablet Enzoflam (Diclofenac with Paracetamol and Serratiopeptidase) two times daily and take tablet Pantop DSR (Pantoprazole) once a day.

And for preventive measures, you can

  1. Drink plenty of water.

  2. Avoid taking spicy and fatty foods.

  3. Take a high-fiber diet.

Have a follow-up after five days. If there is no relief, I will try to modify your treatment.

Revert in case you have any other doubts.

Thank you.

Medically reviewed by Dr. Sneha Kannan
Published At May 12, 2020
Reviewed At January 2, 2026

Education:

MBBS

Professional Bio:

Dr. Lalit Kumar Bansal is a General Surgeon who completed his MBBS at MGMMC, Indore, and MS in General Surgery at RNTMC, Udaipur. He specializes in Laparoscopic Surgery, Urology surgery, Gastrointestinal surgery, and cancer surgery and has 14 years of clinical experience. Currently, he is practicing at Dr. Ram Manohar Lohia Hospital, in New Delhi, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Dr. Lalit Kumar Bansal

General Surgery

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Education:

MBBS

Professional Bio:

Dr. Lalit Kumar Bansal is a General Surgeon who completed his MBBS at MGMMC, Indore, and MS in General Surgery at RNTMC, Udaipur. He specializes in Laparoscopic Surgery, Urology surgery, Gastrointestinal surgery, and cancer surgery and has 14 years of clinical experience. Currently, he is practicing at Dr. Ram Manohar Lohia Hospital, in New Delhi, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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