Hi doctor, my problem is that I feel cuts on the outer area of anus while passing the stool especially if I get constipated stool. Even with the feel of water that area becomes itchy. But after 5 min there is no problem. Please suggest any remedy and why does it happen?

Dr. Kiran MehtaUrologist49yrs exp

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Dear , this means you have anal fissure which is due to constipation with passage of hard faeces. This is not a disease but lifestyle problem and it would need changing. Here are few suggestions: 1. Increase fluid intake till urine is watery white. 2. Take high fiber diet like salads, leafy vegetable and fruits especially papita, banana, mango, 3. Take emoliant laxative like cremaffin plus 1 tsf at night 4. Isabgol powder 3-4 tsf in 2oo ml of water at night 5. Zincal ointment to applied inside anus twice a day especially before toilet. 6. Get away from sedentary lifestyle and start walking or exercises. 7 if needed take sitz' bath- sitting in tubful of warm water for 15-20 minutes. 8. Avoid taking pain killers and antispasmodic drugs  

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