Doctor insights on:
Best Anal Fissure Program
Stool softeners: Anal fissures are common and are associated with constipation, they cause pain and bleeding with bowel movements.They usually resolve in their own taking stool softeners and a hugh fiber diet with plenty of fluids and warm bathes or soaks usually help if this doesn't help see a doctor. ...Read moreSee 1 more doctor answer
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
See your doctor: These are different problems and treatment may also differ. Pain is common with fissure: increase water and fiber intake, use stool softener and sitz baths. Topical nitroglycerine or Diltiazem ointment helps heal fissure. Hemorrhoids don't cause pain unless thrombosed- a firm swelling on the outside of the anus. Fiber, fluids, sitz baths help. Most resolve on their own. ...Read moreSee 1 more doctor answer
Soften stool, baths: Eliminating constipation and softening stools are usually the primary targets when treating anal fissures. Such goals can be accomplished by taking daily fiber supplements and/or using laxatives. Sitz baths, during which the rectal area is immersed in warm water for 10-15 minutes, are also therapeutic and should be done 2-3 times per day. Sitz baths are available in most drugstores. ...Read moreSee 1 more doctor answer
Depends on time: An anal fissure is simply a tear in the lining of the anal canal that exposes the internal anal muscle which reacts by going into spasm therefore the pain and bleeding. An acute fissure is up to 6 weeks and almost always responds to softening stool with fiber and warm sitz baths. After this it becomes chronic and would require medicine to relax the muscle like nifedipine/NTG/Botox or surgery. ...Read moreSee 1 more doctor answer
While peri-colace sheet suggests taking at bed time to heal anal fissure& hemorrhoid, what best time for regular colace can be taken and how often/day?
CHANGE MEDS: I would not continue to taken colace or pericolace.These are not as effective as bulk meds such as metamucil or benefiber for aiding more normal stool evacuation with less straning. This will help prevent recurrent perianl disease such as fissures and hemorhoids. ...Read moreSee 2 more doctor answers
For anal fissure treatment, which is the best ointment, cream or gel you use ( less side effect or interactions with hbp medicines.)?
Umm: Well some anal fissures require surgery. Use the treatment recommended by your physician. If you have not seen a physician then it is best to be evaluated and treated appropriately for treatment. ...Read more
What is the best cream or ointment or mix of the two for a chronic anal fissure with sentinel pile that bleeds and throbs? Using hc 2.5% & ibuprofen.
Dr said I have small anal fissure. What are the differences between fiber supplement (metamucil) and stool softener. Which one is best to use. Thanks.
Both: Fiber supplement, extra water, and stool softeners all used together are the first line treatment for anal fissure. Fiber is simply indigestible fiber that adds bulk to the stool and makes it easier for the intestines to pass it along. The stool softener causes the stool to retain enough fluid to keep it from getting hard and dry and perhaps reopening the anal fissure. Some people also use fasting. ...Read moreSee 1 more doctor answer
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