Constipation refers to a difficulty or inability to pass motions comfortably. The stool may be hardened due to less water content in the body (dehydration). The person may need to strain hard to pass the stools, leading to pain, tears, fissures, and bleeding.
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Can skin thinning result from Anovate cream?
Query: Hi doctor, Around 1 year ago, I was diagnosed with anal fissure. My doctor has prescribed me a topical steroid cream, Anovate and I used it for about eight months. My fissure was healed, but I was left with constant pain, itching and pricking sensation around the anus while walking. I was not able ... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. Anal fissure develops due to erosion of anal mucosa during hard straining particularly in constipated person. This is the main cause for it. So, prevention or treatment of constipation is very important. Once the anal mucosa get eroded due to straining, then the normal... Read Full »
Will anal fistula heal on its own?
Query: Hi doctor, I was diagnosed with fistula-in-ano before eight years. I just consulted multiple physicians and surgeons. They all said to wait and watch and put me on antibiotics. Two years later, my fistula has closed on its own and there is no pus discharge or abscess forming. The healing was fast an... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hi, Welcome to icliniq.com. Fistula-in-ano is a surgical condition and cannot be cured by medicines only. Yes, antibiotic has minor role just to prevent infection.If fistula tract develops an infection then from which an abscess will develop and later the fistula tract may extend.External fistula op... Read Full »
Why do I have a crampy stomach and belching even when scope tests remain clear?
Query: Hi doctor,I am in my early 60s. For the last three months, after dinner, I feel indigestion for 2 hours and have a crampy stomach with lots of belchings. Because of this, I am not on regular food. Earlier, I had a few issues, but that was manageable and not so intense. Now, even when not taking food... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. I can understand your concern for your symptoms. Having normal endoscopy reports does not eliminate other small intestine related causes for indigestion.Constipation itself cause heartburn and belching related to incomplete evacuation due to slow intestinal movement. T... Read Full »
How treat duodenal stricture and colon obstruction caused by abdominal tuberculosis?
Query: Hello doctor, My mother has abdominal tuberculosis, duodenum stricture, and obstruction in rectosigmoid and distal sigmoid colon. She does not take any food, not even liquid food. And she does not pass urine and stools from the past four months. Please help. Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. Abdominal tuberculosis requires antituberculosis drugs for sure, but if a stricture is present even after taking medications for 3 to 4 months, then surgery is recommended to relieve obstruction due to stricture. Presently, she is neither able to eat nor able to pass... Read Full »
Even after taking medications, there is no relief from my gas problem. Why?
Query: Hi doctor, I am facing extreme gas problem almost continuously from the last few months. I feel constant uneasiness, bloated feeling, and slight pain sometimes. I have taken a few symptomatic medicine and a few ayurvedic tablets like Liv-52 and Triphala, but no relief at all. Please advice. Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. I can understand your concern for your symptoms. Your symptoms are consistent with indigestion. Indigestion might be due to many reasons such as severe acidity, abnormal intestine movement, constipation, etc. Liv-52 has no role in indigestion problem. You should stop i... Read Full »
Is it safe to take Miralax for a long time?
Query: Hello doctor, I wanted to know whether Polyethylene glycol 3350 (Miralax) is safe on a long run? I am having it for the last 25 days. Is it safe enough? I have a constipation problem and visited many gastroenterologists and tried many laxatives, but only Polyethylene glycol 3350 gave me relief. Bu... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hi, Welcome to icliniq.com. I can understand your concern for abdominal symptoms. Yes, Miralax can cause symptoms similar to abdominal bloating in some patients, although it depends on the duration (that is the time since when it is taken) and the amount of dosage. The need of Mebeverine tablet fo... Read Full »
I have a history of constipation and taking out stools with mild pain. Is it serious?
Query: Hello doctor,I used to have constipation issues last year, and recently, in the last two weeks, it gets fixed. But I think I have little wounds appearing, that is my assumption. I am taking soft stool from last week. While taking out stool, I feel a slight pain in that area. Is it serious? Please ad... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. I can understand your concern for symptoms. 1) Never attempt to take out stool. Insted it is advisable to use stool softener or laxatives. 2) The habit of taking stool out and constipation can develop anal fissure which is small tear on inner wall of lower part of anal... Read Full »
I skipped my breakfast for a month and now bleeding while pooping. Is this ulcer?
Query: Hello doctor,I skipped breakfast and slept five hours for one month. And now, one day, I got bleeding while pooping. Is it an ulcer or something serious? Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. 1) Bleeding during pooping can be associated with many diseases of the anal canal or lower part of the large intestine. 2) Does bleeding was on the surface of the stool or comod? Or it was mixed with stool? How much was the quantity? What was the color of stool and ... Read Full »
There is a painless bump near anus. Please suggest some medicine.
Query: Hi doctor, I have a painless peanut size bump near the outer side of my anus. I have attached snaps for your reference. It has been there since last 10 years. But, for the past one year I feel it is growing. Sometimes, it bleeds, but no pain at all. It is just like an extended mass and it feels ver... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. Yes, you have a fissure and bleeding was from the fissure site as seen in the picture (attachment removed to protect patient identity). The bump you are showing is hemorrhoid near the fissure. You might have chronic constipation in the past due to which you require st... Read Full »
I have Hard stools and Dark Stools. Do you suspect stomach ulcer?
Query: Hi doctor, Five days before, I had stomach upset. The doctor prescribed me Pantoprazole, Metronidazole and Albendazole (once) for three days. My acidity, gas and constipation got relieved. But, I still observe a little hard and dark stool. Also, there is a mild pain without blood while passing st... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello, Welcome to icliniq.com. Dark and hard stool is because of constipation and not ulcer. Gastric ulcer will initially produce burning pain in the middle part of the upper abdomen and in very rare case bleeding occur from ulcer and then only stool become brown colored. Pain around the anus is ... Read Full »