Hello doc, I recently developed anal fissures. When I try to pass the stool, it's very painful and burning, almost like a tear during the initial phase of passing stool. There's no clear visible blood, but I definitely see some trace of it in the stool. Afterwards it's irritating for a while, and during nights I get itching in the anal area. This has been going on for the last 45 days and not getting any better. Kindly suggest me what to do. Thank you.

Dr. G. RangaswamyGeneral Physician40yrs exp

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For anal fissure you need to consult a surgeon for assessing the local condition and basing on which the required treatment can be suggested. For the time being see that your stool is softened, so that it can come out easily. For that take plenty of water and raw vegetables and some laxative medicine like cremaffin 2 spoons at bed time. Take some over the counter pain killers for the pain. Good luck. 

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Dr. Aastha Midha LikhyaniGeneral Surgeon13yrs exp

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hi avoid constipation high fibre diet green leafy vegetables plenty of fluids apply lox cream 5%thrice a day take tab pcm500mg twice a day syrup lactulose 15ml three tsf thrice or four times a day all medication for seven days..n respond back after seven days. 

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Dr. Satish GuptaGeneral Surgeon32yrs exp

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Mr. lybrate-user. Gone through your complaints history is suggestive of acute anal fissure. I tell you this problem starts when There is irregular and inadequate diet I mean you should take three full meals plenty of vegetables, fruits and water And salad. If you are passing hard stools add stool softener in your daily routine. Sit in warm water for 4-5mints 2 times a Day. I hope you will start improving. please continue this routine otherwise result won't improve. 

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