Q. What is the treatment for recurrent anal fissure?

Answered by Dr. Happykumar Kagathara and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Anal Fissure or Constipation? We have medical experts to help you right away. Ask a Doctor Now »
 

Hi doctor,

I am a 22 year old female. I have been having constipation since a year. I am having anal fissures. The doctor says that the fissure has healed, but I still have a burning sensation and mild itching in and around the anus. There is increased burning after bowel movement. I have had two episodes of fissure in this year, but they were not as severe as this. I am taking Cetirizine, Anobliss cream and Siloderm cream. Earlier, as I had perianal itching along with fissure and worms I took one full course of Mebendazole. My stool microbiology suggests there is no worm infestation.


Related Questions:
I am passing blood while using the toilet. Please help.
Does constipation cause burning sensation in anus?
Will surgery for BPH prevent prostate cancer?
 

Dr. Happykumar Kagathara
MBBS., MS (GENERAL SURGERY)., FELLOWSHIP IN SURGICAL GASTROENTEROLOGY., FELLOWSHIP IN HPB SURGERY
Medical Gastroenterology, Surgical Gastroenterology

Hello,

Welcome to icliniq.com.

  • Episode of pain and itching suggest healing phase of the fissure. This time pain is because of slight narrowing of the anal canal at the fissure site due to the replacement of normal tissue with fibrous tissue.
  • You should continue these medications and if there is no swelling in the anal region, then consider for surgery as you have repeated episodes of pain due to a fissure.

The Probable causes:

Constipation.

Investigations to be done:

Digital rectal examination and proctoscopy.

Probable diagnosis:

Anal fissure.

Treatment plan:

Continue the same treatment. Try to reduce the use of tablet Cetirizine and consider surgery for fissure.

Preventive measures:

Treatment for constipation.

Regarding follow up:

For further information consult a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Why is my semen reddish-brown?
Query: Hi doctor, I am a 35 year old male. Two weeks ago, I noticed that my semen was brownish. Again yesterday and today, it is the same reddish-brown, and I think it is more watery than usual. I do not have any other symptoms. I do have a varicocele, but I do not think this condition is related to varic...  Read Full »
Dr. Sandeep P
Urologist

Answer: Hi, Welcome to icliniq.com. The reddish-brown color of the semen indicates a condition called hematospermia. The most common cause for this condition is idiopathic inflammation of the prostate or seminal vesicles. Do you have any feeling of dysuria (difficulty in urination or painful urination) or...  Read Full »
 
Can constipation be related to high sugar levels?
Query: Hello doctor, I am a 53-year-old female. I had gestational diabetes and 11 years later my sugar levels were high so started taking Glycomet. However, the fasting sugar level in the morning is always high and PP is less than fasting. Recent HbA1c is 6.9. Do I have to continue medicine? I walk daily ...  Read Full »
Dr. Mahmoud Ahmed Abelrahman Abouibrahim
Internal Medicine Physician

Answer: Hi, Welcome to iclinq.com. Diabetes is not curable but controllable. The first line in the management of type 2 diabetes is lifestyle modifications. Fasting should not be higher than 110, postprandial should not be higher than 140, and HbA1c should not be higher than 7.5. My advice: Healthy di...  Read Full »
 
What causes blood and mucous in stools?
Query: Hello doctor, I am a 22 year old female. My height is 5 feet and 6 inches, and I weigh 60 kg. A few days back, after dinner, I passed stools and while flushing, I found the stool to have mucous and blood. When I attempted to clean the anal region after defecating, I found all three tips of my finge...  Read Full »
Dr. Anshul Varshney
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Following are the possibilities according to your complaints: Acute dysentery. Piles (hemorrhoids). Inflammatory Bowel Disease. You need to consult a doctor for physical examination. You will need proctoscopy (medical examination of the anal cavity with a thin t...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


I have acne on my cheeks, chin, jawline, and neck for the past four years. Please help.
Hello doctor, I have been dealing with acne on my cheeks, chin, jawline, and neck for the past four years. I have recen ...Read more »
What can be done for horseness of voice which is lasting for more than a month?
Hello doctor, I have problem in one cord and it is for about a month now. I was given Defcort and antibiotic for a week ...Read more »
Yasmin Birth Control Pills - Quick Facts | Composition | Works | Usage | Side Effects
Yasmin birth control pill is a combination birth control pill. It is made of two female hormones and is used to prevent ...Read more »