Dr. Ghulam Fareed
Medical Gastroenterology
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Patient's Query
Hello doctor,
My anal fissure surgery is done a few years back, and my anal fistula three years later. No problems after surgery. But now, I have been facing chronic prostatitis for the last four months. I visited a urologist a few days back because of pain. He asked me for a rectal examination by putting a finger in my anus to feel the prostate. At that time, he rigorously performed a rectal examination, after which a sharp pain started in my anus. I have been in slight discomfort since that day. I am taking alpha-blocker medicine for the prostate problem, and now this rectum pain has been added. I have been doing sitz baths two times and not eating spicy food or drinking alcohol for the last two months. Please advise me on what to do.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
So, as per prior history, this may be anal stenosis, and after a recent digital rectal examination by the urologist, there is a good possibility of having a minor anal fissure or erosion again. Warm water sit baths are the best if you are already doing them.
Other than that,
1) Consume a high-fiber diet or even laxatives to prevent constipation. The goal is to pass soft stools each day effortlessly.
2) Lidocaine gel is a local anesthesia gel that you can use before passing stools and at the time of pain at the anal verge two to three times per day for two weeks.
3) GTN ointment (Mupirocin 2% w/w) twice daily after passing stools for one to two weeks to help heal any minor fissure or erosion.
I hope this helps.
Thank you and take care.
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Medical Gastroenterology
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