Doctor insights on:
Anal Fissure And Analgesics
Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more
Rectal pain and pain relief question. Are acetominophen suppositories for treating anus or rectal pain?
Not necessarily: Acetomenophen, whether taken orally or per recum, is absorbed into the bloodstream and circulates to its site of action. There is no advantage to take the drug rectally if you have rectal pain because the drug does not produce its effects at the sie of administration. ...Read moreSee 1 more doctor answer
Most likely : Diltiazem has been shown to help 86 out of every 100 fissures heal - so the odds are in your favor. It can take 6 weeks, if not longer for it to heal. So be patient, and stick with it. In the mean time, keep yourself well hydrated and take soe good fiber to soften your stools. Hope this helps. Call with any other questions. ...Read moreSee 1 more doctor answer
Rectal prolapse: Is where the entire rectum protrudes through the anus, hemmoroids will just be individual bulges of dilated blood vessels. If there are multiple hemmorhoids the difference can be hard to feel and has to be seen by experienced eyes. ...Read more
Before treatment...: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as a painful swelling. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. But if fissure is confirmed, topical Nitroglycerin is traditionally used, although other agents can be compounded. ...Read more
Part of Treatment: Anal fissures are usually related to passing hard constipated stool or other trauma to the anal canal. Keeping your stools soft with fiber (metamucil) is only part of the treatment. Drink plenty of water as well. May need medicated creams to help as well, see your doctor to know what you need to do. ...Read more
No: Not that I am aware of.Get a more detailed answer ›
Ok to use Proctofoam: But just as important is to be sure to be eating a high fiber diet and most importantly drinking 80-100oz of caffeine free, alcohol free fluid daily, more if you workout strenuously. There are other meds that work better but if no repsonse to above after2 months you may need surgery to avoid complications such as an abscess. See a colorectal surgeon. ...Read more
Small fresh blood, rectal pain and itching after bm..Had anal fissure 2 years ago...Is this hemmorroids?
Could be: Fissures are usually associated with pain during and after a bm. Your symptoms could very well be secondary to hemorrhoids. You would need an anorectal exam to identify the source and differentiate the 2. I would rcommend getting an exam by your primary md or a gi/colorectal surgeon if you have seen any in the past. ...Read more
Tear vs. Tunnel: An anal fissure is a tear in the lining of the anal canal, just inside the opening, and typically causes pain and bleeding. An anal fistula is an abnormal communication (tunnel) from inside the anal canal out to the perianal skin, usually the result of a prior perirectal abscess. It may cause drainage, swelling, discomfort and recurrent abscesses. Both are treatable conditions. ...Read moreSee 2 more doctor answers
Pain: External hemorrhoids are painful. These are hemorrhoids near nerves and you'll know you have them from pain and irritation. Painless hemorrhoids are usually internal but may prolapse and you notice them when cleaning. Either one can affect your life. If so see your doctor for a referral to a colo-rectal surgeon. Improve your quality of life. ...Read more
Intense lower abdomin pain after bowel movement. Had anal fissures and internal hemorrhoid's recently. Taking Metamucil for 1 wk. No relief from pain?
Abd pain s/p/ BM: Hard BM or soft? May have diverticulitis ( which is an infection in colon outpouching) - as it appears you may have some constipation- or infection from fissure Would follow up with doc urgent care today as may need antibiotics and/or anusol to decrease hemorrhoid inflammation. ...Read more