Dr. Ashaq Hussain Parrey
Rheumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 31-year-old male working as a software professional. I have been facing a problem with anal pain during bowel movements and also feel the pain after the bowel movement for some time. I have been facing this problem for 10 days. Motion is normal. I have overcleaned the anal area and had itching of the anus for some time before the actual problem started, but not now. Please suggest medication to heal the problem.
Hello,
Welcome to icliniq.com.
I went through your post.
There are three possibilities on the basis of history alone as the cause of your symptoms.
1) Anal fissure.
2) Hemorrhoids.
3) Proctitis.
The treatment is almost the same except for a severe anal fissure that is bleeding. I suggest you start antibiotics such as a combination of Ciprofloxacin and Tinidazole twice daily, along with anti-inflammatory meds Diclofenac 50 mg twice daily. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.
Take a sitz bath three times daily and a high-fiber diet to avoid straining during defecation. You should feel better after 48 hours.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
For the past week, the problem re-occurred again. This time, I am getting pain during bowel movements only. Please suggest medication for a permanent cure.
Regards,
Hi,
Welcome back to icliniq.com.
I suggest you start taking laxatives, if the problem has reoccurred preferably Sodium picosulphate 7.5ml bedtime and again take Diclofenac 50 mg morning evening for three days take a high fiber diet.
Regards.
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Rheumatology
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