no longer have pain or bleeding of fissure. how long should i continue nitroglycerin & stool softner to ensure it's completely healed and no relapse?

Question

How do I treat bleeding and pain caused by anal fissures? My stools are softer but I have to work too hard to pass them. Theres a lot of blood too

Answer 1

Check : Please check with your doctor -- this thing can recur!

Answer 2

Sublingual: The blood vessels under the tongue are very close to the surface lining of the mouth. Placing Nitroglycerin there allows it to dissolve and quickly enter the blood stream.

Answer 3

Vasodilation: It causes the arteries to dilate so more blood can flow to the affected area of the heart thereby reducing the damage being caused.

Answer 4

Emergency: Placing a sublingual meds would serve the same purpose as giving meds through IV -- as you probably know, Nitroglycerin can relieve cardiac chest pain (angina pectoris) quickly and potentially halt the progression to a heart attack -.

Answer 5

Pain relief : Nitroglycerin relaxes blood vessels and improves blood flow to the heart. During a heart attack blood flow is decreased and this causes damage to the heart which can be fatal. Increased blood flow decreases the pain and injury and can improve survival.

Answer 6

NO,There is a : Potential interaction between Prozac (fluoxetine) and ultram .There is a risk of developing serotonin syndrome when the two medications are taken together. Serotonin syndrome can be serious and even life threatening. It is the result of high levels of serotonin in the body. Serotonin syndrome is characterized by having at least three of these listed symptoms: tremor, shivering, agitation, diaphoresis fever.

Answer 7

Unlikely: No evidence i know of that and there are significant interactions. Though interactions are the same there is evidence that Cymbalta (duloxetine) may help with chronic pain. Talk to your doctor about all the medications you are on and he/she can help you weigh the benefit vs risk of such combinations.

Answer 8

Maybe the wrong cate: Often, antidepressants of a certain class can be used in combination with opioids for neuropathic pain. The class includes drugs like cmybalta. Check with your physician

Answer 9

See below: Depression worsens the experience of pain. Prozac (fluoxetine) reduces depression and ultram reduces pain. However, there are better options if the goal is to treat depression and especially neuropathic pain as the other answers suggest.

Answer 10

Both up serotonin: There is a precaution about using both as it could lead to a serotonin syndrome--your question is interesting both raise serotonin--do you think they r helping?

Answer 11

Get re-evaluated: It seems that your pain is distressing/frustrating you from lack of response from med..And possibly not knowing exactly why. I would recommend seeing your doc again and express your concern--he/she may send you for xray/mri, pt, add/change med, or send you to a specialist for additional eval/treatment. Best of luck.

Answer 12

Not enough info.: There are many different causes of pain, which must be treated different ways. Don't trust anyone who thinks they can help with so little information. I trust the lidoderm and 'pain meds' were prescribed for this pain by a physician after an examination and proper workup. If not, you should do so. Not everything can, or should, be treated with a pill.

Answer 13

Orthotics: Assuming you already have supportive shoes that fit properly, you will benefit from custom orthotics. These devices fit into shoes and are made to properly support your feet. The type of orthotic is dependent on your foot structure, activity and weight. Consult with a podiatrist.

Answer 14

Custom orthotics: See a foot specialist to check alignment of your foot. You may need more support than commercial available arch support. Shoes also need to be checked. A more rigid shoe is needed. It sounds like you have flat feet and are having symptoms that are consistent with this condition. Earth shoes may help offload the ball of your foot.

Answer 15

Foot evaluation: I would suggest you be evaluated by a podiatrist. There are many treatments that can help with general foot pain.

no longer have pain or bleeding of fissure. how long should i continue nitroglycerin & stool softner to ensure it's completely healed and no relapse?

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