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Doctor insights on: Perianal Fissure Treatment

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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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My 19mo son has a red perianal ring with a few red bumps. It responds well to most treatment then returns. ?

My 19mo son has a red perianal ring with a few red bumps. It responds well to most treatment then returns. ?

See below.: You should have his doctor look at it, if you haven't already. They should be able to tell you the cause and recommend/prescribe the proper treatment and talk about preventative measures. Possible causes are a yeast infection, contact rash, food-related, pinworm. If you have done that already, consider seeing a dermatologist. ...Read more

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I have repeated perianal fungal infection.i did hiv test one year postexposure.is that hiv?need to repeat test?what is treatment?

I have repeated perianal fungal infection.i did hiv test one year postexposure.is that hiv?need to repeat test?what is treatment?

Need to see doctor: If this is related to anal intercourse, then one needs to be sure that the male does not have penile fungal infection. However one needs to consider other factors such as diabetes mellitus or impaired immune status as well. This is something better discussed with your own doctor. ...Read more

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I have a perianal fissure, I had a abbcess about two years ago. What do I do wrong?

I have a perianal fissure, I had a abbcess about two years ago. What do I do wrong?

Can recur: 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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I have small lesion on my perianal body I want to know is it warts or skin tags ? I have anal fissure

I have small lesion on my perianal body I want to know is it warts or skin tags ? I have anal fissure

Hard to say: without an exam I am not able to answer your question. See your primary doctor to get the proper exam. ...Read more

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Chronic itching & fissure in perianal area, tried fluzan, doxepin, trental (pentoxifylline) pills & mycoster, cicalfate creams nothing worked.Any new stuff other cures?

Psoriasis?: Perianal psoriasis, lichen planus and other derm conditions can occur, lead to some of the above. May not be primary fissure, or fungal (what you have been rx'd for based on med list). Unlikely std, but if that is a consideration, then it is a consideration. See derm, maybe GI or colorectal surgeon afterward. ...Read more

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Best treatment for an anal fissure?

Best treatment for an anal fissure?

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 more

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Which treatment works the best and fastest for anal fissure?

Which treatment works the best and fastest for anal fissure?

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 more

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