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Doctor insights on: Perianal Fissure Treatment

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What treatment for anal fistula?

An infection: In the perianal region, usually derived from the anal glands inside the rectum. A fistula is an abnormal communication between two organs, in this case the rectum and the skin outside the anus. Both require evaluation and often surgery to permanently resolve and prevent recurrences or complications. ...Read more

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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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Best treatment for an anal fissure?

Best treatment for an anal fissure?

Anal fissure: The management of primary anal fissures is generally non-operative and includes increased dietary fibre, warm baths, topical ointments and sometimes botulinum toxin injections. If these treatments are ineffective then surgical intervention may be considered ...Read more

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Dr. Mark Pack Dr. Pack
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Can Metamucil cure anal fissures?

Dr. Mark Pack Dr. Pack
2 doctors agreed:
Can Metamucil cure anal fissures?

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

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Anusol for anal fissures ?

Anusol for anal fissures ?

Ok to use Anusol: 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

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Anal itching from pinworms vs. Hemorrhoids?

Anal itching from pinworms vs. Hemorrhoids?

It can actually: Be from either pinworms or hemorrhoids. Your physician should be able to help differentiate these. Take care. ...Read more

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Do pediatricians treat hemorrhoids and anal fissures?

Do pediatricians treat hemorrhoids and anal fissures?

Yes: In pediatrics both conditions are usually a result of constipation, which if treated properly will help the fissures and hemorrhoids. ...Read more

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Proctofoam OTC for anal fissures ?

Proctofoam OTC for anal fissures ?

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

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External hemorrhoid home treatment suggestions?

External hemorrhoid home treatment suggestions?

Miralax (polyethylene glycol): The first line treatment for hemorrhoids is actually making sure that no hard stools are passing by the swollen hemorrhoidal tissue and causing more trauma and inflammation. Miralax (polyethylene glycol) and generic MiraLAX (polyethylene glycol) works well for most people to make the stool soft and allow healing of the hemorrhoids. If that doesn't solve the problem or if there is any bleeding then go see a surgeon for further treatment. ...Read more

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Sentinel tag clotted painful on anal fissure

Sentinel tag clotted painful on anal fissure

Question?: Not sure about the question, but if you have a painful anal fissure you should to see your primary care doctor, GI doctor or even urgent card md. ...Read more

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How is an anal fissure generally treated?

How is an anal fissure generally treated?

Successfully: A new or 'acute' fissure will often respond to simple measures such as softening of the stools (increased water & fiber intake, a mild laxative) and a topical anesthetic. However, a more chronic fissure may be treated with a topical medication to relax the sphincter spasm and allow healing. This works less than 2/3 of the time. When it fails, a small outpatient operation is usually successful. ...Read more

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Is anorectal abscess curable?

Is anorectal abscess curable?

Yes: This is manageable with surgical drainage and antibiotics in combination, but important to determine why the abscess occurred and to make sure that other associated conditions are not overlooked. ...Read more

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What's an anal fissure?

Anal fissure: An anal fissure is a tear in the mucosa of the anal canal, just inside the anal margin. It is a common condition causing pain on defecation in adults and children. Most anal fissures respond well to conservative or topical management. In refractory cases surgery may be required ...Read more

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What is rectal prolapse vs hemorroids and anal swelling?

What is rectal prolapse vs hemorroids and anal swelling?

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

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How is an anal fissure self-diagnosed?

How is an anal fissure self-diagnosed?

With a mirror?: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as an outward bulging. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. Evaluation is recommended to distinguish serious versus less concerning reasons for your problem as described. ...Read more

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What causes anal fissures?

Trauma.: Anal fissures are usually the result of trauma to the inner mucosal lining of the anus. Most commonly this occurs when the anal canal stretches after a hard, dry bowel movement. Other causes of a fissure include diarrhea or inflammatory conditions of the anal area. Less commonly, an anal fissure may result from foreign body insertion or anal intercourse. ...Read more

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Treatment for severe pain prolapsed hemorrhoid?

Treatment for severe pain prolapsed hemorrhoid?

Hemorroids: Exam under anesthesia, the first part of rectal surgery when non-operative care isn't working. While you are comfortable under ga your surgeon examines the rectum. Prolapsing hemorrhoids are surgically treatable. Be well. ...Read more

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Could bump be an external pile or perianal hemorrhoid?

Could be: Any lump out side anal canal , it could be thrombosed hemorrhoid, if it is at tail bone side it could be sentinel hemorrhoid due to an anal fissure, or a papilloma . These are all benign conditions if you feel it is hard, could be squamous cell carcinoma, see your doctor needs urgent attention. ...Read more

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Symptoms of a scrotal anal fistula?

Symptoms of a scrotal anal fistula?

You may: Mean fissure. A fistula going from the rectum to the scrotum would be life threatening. A fissure creates severe pain and is like a crack in the skin. If concerned about either you need to get seen. ...Read more