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Doctor insights on: Anal Fissure Anus Glycerin Suppository Pain Relief

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Diagnosed with anal fissure, is there any pain relief ointments that can be used? Currently using glycerine suppositories.

Diagnosed with anal fissure, is there any pain relief ointments that can be used? Currently using glycerine suppositories.

Anal fissures no fun: Anal fissures are like paper-cuts. They can bleed, hurt, & recur, particularly with defecation & other activities that increases pelvic pressure. Disorders of anal-rectal function, straining at hard stool, prolonged sitting, heavy lifting, long distance walks/runs should be avoided. If stool softeners, fiber & behavior changes don't cure, can use topical nitrate or diltiazem with anesthetic agent. ...Read more

Fissure (Definition)

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


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Can a glycerin suppository cause a puncture hole in the anus if it is pushed to forcefully?

Can a glycerin suppository cause a puncture hole in the anus if it is pushed to forcefully?

Rectal Foreign Body: Foreign bodies inserted into the anal canal usually pass through into the rectum requiring an emergency room visit if not passed out with a bowel movement, If the foreign body is composed of materials that soften and liquefy eg glycerine suppository, then those wil melt and cause no physical harm. Firm objrcts, or those with relatively sharp edges eg the foil packaging can tear tissue causing pain ...Read more

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Do glycerin suppositories dry out rectum increasing chance of anal tear?

Do glycerin suppositories dry out rectum increasing chance of anal tear?

Shouldn't: As long as the suppository is lubed, and inserted carefully, it shouldn't cause a tear. Doubt it will dry out the rectum either - it's very humid in there, with no exposure to ambient air. Hope this helps! ...Read more

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Have tried Preperation H, Anusol, sudocrem nothing works - I need pain relief from anal fissure ASAP! In so much pain! My doc was rubbish?

Have tried Preperation H, Anusol, sudocrem nothing works - I need pain relief from anal fissure ASAP! In so much pain! My doc was rubbish?

GI or Procto Dr.: You may need a GI or Procto Dr. The anal fissure, depending on the size of it, needs to heal. Pain meds may be needed and it is recommended to have stools that are regular and at the least NOT constipated to allow the area to heal without stretching as much. A Colo-rectal dr (or proctologist) and/or GI may be better than the rubbish dr. You saw, as the anal fissures are literally a Pain in the A. ...Read more

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When u put a glycerin suppository in is it supposed to shoot up your anal canal all the way up through the intestines etc or do u pull it out?

When u put a glycerin suppository in is it supposed to shoot up your anal canal all the way up through the intestines etc or do u pull it out?

All the way in: A glycerin suppository will dissolve in the rectum. It should go all the way in, where it will help lubricate as well as stimulate a bowel movement- it doesn't really reach the intestines. No need to pull it out. ...Read more

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Since glycerin suppository cause anal stimulation, could this cause bacteria to enter blood stream?

Since glycerin suppository cause anal stimulation, could this cause bacteria to enter blood stream?

Bacteremia: Transient bacteria in the blood occur regularly, with brushing of teeth, sex, straining at stool, and so on. It is entirely possible that use of suppositories may do this as well, but it is seldom clinically relevant. That is why we have an immune system which will almost always rapidly clear these organisms and eliminate potential for infection. ...Read more

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My dr gave me a script for a steroid suppository but its not covered by my insurance. What else can I use to cure an anal fissure that is inflamed?

My dr gave me a script for a steroid suppository but its not covered by my insurance. What else can I use to cure an anal fissure that is inflamed?

Can get better: You can get better if steroid ointment is not available, high fibre diet, avoiding constipationlenty of fluids,
sitze baths local care with available creams. Hope it will heal soon and make you comfortable. ...Read more

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Recently I found out I had an anal fissure (I do have IBS-C) (and have had issues with hemorrhoids-int/ext).was given lidocaine2% and suppositories. Ok?

Recently I found out I had an anal fissure (I do have IBS-C) (and have had issues with hemorrhoids-int/ext).was given lidocaine2% and suppositories. Ok?

Sounds reasonable: You may also benefit from use of sitz baths - hot water, sit in it... This will relax the spasm and reduce pain. ...Read more

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Is it safe to use suppositories for an anal fissure or just cream externally? I had used just external cream, and it went away, then a hard stool chang

Is it safe to use suppositories for an anal fissure or just cream externally? I had used just external cream, and it went away, then a hard stool chang

Anal fissures no fun: Anal fissures are like paper-cuts in the anus. They can bleed, hurt, & recur, particularly with defecation & any other activity that increases pelvic pressure. Disorders of anal-rectal function, straining at hard stool, prolonged sitting, heavy lifting, long distance walks/runs are causative & should be addressed. If stool softeners, fiber, topical rx, & behavior changes don't cure, see a surgeon. ...Read more

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Saw PCP recently. Said I had a small anal fissure. Gave me suppositories and some numbing agent (and cream for hemorrhoids).Saw slight blood today. Bad?

Saw PCP recently. Said I had a small anal fissure. Gave me suppositories and some numbing agent (and cream for hemorrhoids).Saw slight blood today. Bad?

Relax the sphincter: Fissure form due to anal sphincter muscles pulling against each other tearing the mucosa and forming the fistula.
Relaxing the muscles with nifedipine ointment is the best therapy. ...Read more

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I have anal fissure and pain during bowel movement I have xyloproct and preparation H suppositories and ointment which one is the best??

I have anal fissure and pain during bowel movement I have xyloproct and preparation H suppositories and ointment which one is the best??

Anal fissure: Xyloproct has pain relieving qualities and should numb the anal area reducing pain with bowel movements. It's also important to keep your movements soft by taking a stool softener like colace and inserting a glycerin rectal suppository to make it easier to expel your stool. After the bm, apply warm applications. A proctologist or colorectal surgeon can give you the best advice and treatment, however ...Read more

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I think I have a anal fissure but when I went to a regular doctor, he looked at my anus and told me he didn't see anything wrong. Its not in my head?

I think I have a anal fissure but when I went to a regular doctor, he looked at my anus and told me he didn't see anything wrong. Its not in my head?

Possibilities...: Not all anal fissures are readily apparent on external exam, nor are internal hemorrhoid (s), proctitis (inflamed rectum), anal abscess or fistula, trauma to the anal canal, subtle skin changes around the anus (benign or malignant). Also, proctalgia (of any cause) can promote distress without inflammation.The only way to find out, and to start appropriate treatment, is to get a thorough exam. ...Read more

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Part of my anus sphincter is torn + you can see it outside the anus. It hurts + bleeds. Anal fissure? I am pregnant - labour make worse? Had for 7yrs.

Not necessarily: You should have this discussion with your provider. You need to find out if it is a fissure or a disruption in the anal sphincter. If you have a tear into the anal sphincter when you deliver, it might make the situation a little worse if you have a pre-existing problem. Labor does not necessarily make it worse, however. See your provider and have this discussion. ...Read more

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Orange-white mucus on anus? Related to fissure? Currently got anal fissure/psoriasis if that's any help.

Orange-white mucus on anus? Related to fissure? Currently got anal fissure/psoriasis if that's any help.

Could be Crohn's: Anal fissures may be due to crohn's disease. Also, psoriasis may be related to crohn's disease. So if you haven't had one yet: I would recommend a colonoscopy and work up for crohn's disease. ...Read more

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I hav anal fissure on and off since 2 years now anal tear is still present if I hav constipation than it will painful I felt anus is very hard?

I hav anal fissure on and off since 2 years now anal tear is still present if I hav constipation than it will painful I felt anus is very hard?

Non healing: Anal lesions need medical attention, avoid constipation eat high fibre diet, stool softeners, plenty of fluids will heal in most of the time, See your doctor, some times you need biopsy of the area. ...Read more

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I have anal fissure result to anus tight. Can you please tell why this happen? It is due to loss of blood supply in anus or due to inflammation? Or else

I have anal fissure result to anus tight. Can you please tell why this happen? It is due to loss of blood supply in anus or due to inflammation? Or else

Yes and yes: Pain at the anus can cause spasm and decrease blood supply. This exacerbates the fissure and the whole problem becomes cyclical. Most often can be cured with a topical cream or ointment. Resistant ones need surgery ...Read more

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Had anal fissure year ago and healed up but latterly the anus is burning itchy and feels like somethink in it can't feel anythink when check?

Had anal fissure year ago and healed up but latterly the anus is burning itchy and feels like somethink in it can't feel anythink when check?

Pain vs pruritis ani: If you've re opened the fissure you will have pain with each bowel movement. You may just have pruritis ani, which an uncomfortable itching around the anus. Usually the person affected will try to keep the area clean by washing it, thereby irritating the area even more. If you are having pain and bleeding with each bm, call your surgeon to be reevaluated. Good luck. ...Read more

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I have anal fissure and Painless Reddish Area inside anus which is increasing and making anus tight where reddish going. Reddish due to Fissure Or NoT?

I have anal fissure and Painless Reddish Area inside anus which is increasing and making anus tight where reddish going. Reddish due to Fissure Or NoT?

Concern: A reddish area that is growing or spreading and making things tight should be looked at. Many simple things can cause that but you want to make sure it's nothing bad. See an MD who can evaluate and biopsy if necessary ...Read more

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What is a "skin tag" that comes with an anal fissure? Is that a small lump of skin coming out of an anus visible from outside?

What is a "skin tag" that comes with an anal fissure? Is that a small lump of skin coming out of an anus visible from outside?

Sentinel tag: Chronic fissures may be more difficult to treat and may also have an external lump associated with the tear, called a sentinel pile or skin tag, as well as extra tissue just inside the anal canal, referred to as a hypertrophied papilla. Ref: https://www. Fascrs. Org/patients/disease-condition/anal-fissure-expanded-information ...Read more

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My anus is red and swollen after bowl movements, it looks like I may have an anal fissure and I have been having this problem for about one month now.

Possible surgery: Sitz baths, stool softeners are the mainstay of medical treatment. But botulinum toxin injection to relax the torn anal sphincter (definition of anal fissure) can assist with pain. Surgical lateral sphincterotomy, however, remains the treatment of choice. ...Read more

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I use procto glyvenol cream for my anal fissure afterthat my anus become more painful during excretion does this mean I should stop using the medicine?

I use procto glyvenol cream for my anal fissure afterthat my anus become more painful during excretion does this mean I should stop using the medicine?

Not necessarily: Your anal fissures need to be monitored to make sure they heal and get better. The cream helps in the healing process, but wouldn't prevent pain altogether during defecatio if ulcer still present. Make sure oyu take plenty of stool softerns, to lessen the blow, as much as possible! ...Read more

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In anal fissure, did anus became red and swollen which make sphincter tight and Did reddish (painless) spread to whole sphincter? Or this Is Infection

Could be.: But other things can cause those findings also. Best to have someone look at it and they can help you diagnose it. ...Read more

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My anus and bum cheek sticky and wet and very sore and itchy did have anal fissure which is getting better and was taking Rectogesic?

My anus and bum cheek sticky and wet and very sore and itchy did have anal fissure which is getting better and was taking Rectogesic?

See your doctor: For an exam. I cannot tell here what you may have. Your description could be nothing concerning or could be describing the formation of a fistula. Needs a direct exam with your doctor. ...Read more

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Can anal fissure stop medicines to treat infection on anus muscles or infection is resisted to medicine. Doctor is Confused, already change 4 medicine?

Can anal fissure stop medicines to treat infection on anus muscles or infection is resisted to medicine. Doctor is Confused, already change 4 medicine?

Sure its fissure?: Not all anal fissures are readily apparent on external exam, nor are internal hemorrhoid (s), proctitis (inflamed rectum), anal abscess or fistula, trauma to the anal canal, subtle skin changes around the anus (benign or malignant). Also, proctalgia (of any cause) can promote distress without inflammation. If anal fissure is confirmed, & is refractory to medical treatment, surgery is an option. ...Read more

Suppository (Definition)

A suppository is a drug delivery system that is inserted into the rectum (rectal suppository), vagina (vaginal suppository) or urethra (urethral suppository), where it dissolves or melts. They are used to deliver both systemically-acting and locally-acting medications. The alternative term for delivery of medicine via such ...Read more


Dr. Sanjiv Kaul
1 Doctor shared a insight

Pain Relief (Definition)

A recent study showed that in a hospitalized group of patients it was not the actual degree of pain relief that determined patient satisfaction. It was the perceived concern on the part of the heath care providers and their attempts to alleviate the degree of pain that mattered. Even ...Read more