Q. I am under treatment for anal fissure. If there is no relief in 10 days, will I need surgery?

Answered by
Dr. Lalit Bansal
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 12, 2020 and last reviewed on: May 23, 2020

i have pain while passing stool and also blood with it sum time spots and some time much more, and i have physical exam to a doctor, who said it is not piles, it is anal fissure then i ask whtat is this he said in simple words its a cut. he suggest me gtn 0.2% and brixin tab if there is no relief in 10 days there will be need of operate please suggest me

Dr. Lalit Bansal

General Surgery

hello I will definitely help u regarding your problem anal fissure is a cut in the anal pessage due to hard stools it may present with pain and bleeding in 99 percent cases surgery not required but proper medicines and prevention is necessary here I will advise you complete treatment only one gel and tablet will not help follow my treatment, you will get better in 5 days follow me after 5 days so I will modify your treatment

Probable diagnosis:

anal fissure

Treatment plan:

Sitz bath with betadine 2 times for 15 minutes
Syp Duphalac 4 tsp HS
ointment Diltigesic locally 3 times
Ointment Smuth locally 3 times
Tab Enzoflam 2 times daily
Tab Pantop DSR OD

Preventive measures:

plenty of water
avoid spicy and fatty foods
high fibre diet

Regarding follow up:

5 days

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