I have urinary problems and have to exert pressure to pass stools as I have an anal fissure. What should I do next?

Q. What should a patient with chronic anal fissures do to overcome the pain and pressure while passing stools?

Answered by
Dr. Kaushal Bhavsar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 25, 2022 and last reviewed on: Oct 05, 2022

Hello doctor,

Whenever I go to the restroom, I have to push hard to pass stools as I have an anal fissure. The pus comes out in large amounts, and the fissure hurts. I have had these problems for the past two years. I do not know what to do. Now I am having urinary problems too. I find it difficult to urinate, so I need to go to the restroom again.

Kindly help.



Welcome to icliniq.com.

I can understand your concern.

As per your history and attached reports (attachments removed to protect the patient's identity), I think you suffer from anal fissure. You need surgery to remove the affected area. I suggest you take a fiber-rich diet to avoid constipation. Drink plenty of fluids and keep yourself hydrated. I suggest you apply Anovate (Phenylephrine, Beclometasone, and Lidocaine) cream before and after passing stools.

Consult a specialist doctor, discuss with them, and take medications with their consent.

I hope this has helped you.

Take care.

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