Dear doctor I have been suffering from anul fissure since 12 years. Now I face some problem such as constipation. When stool is hard then my anus finishing point occur swelling and pain and not smoothly delivered stool. I want to know better advice about anal fissure and piles.

Dr. Bhagyesh PatelGeneral Surgeon15yrs exp

93% (2622 ratings)

Ask Free Question

Dear lybrate-user, hi Welcome to Lybrate.com I have evaluated your query thoroughly.* Management of anal fissure is a multi modality approach.- Always manage to have regular, soft,smooth bowel evacuations with - plenty of liquids, high fiber diet, whole grains, cereals,pulses, legumes,organic fresh fruits.- bulk forming laxatives as ispaghula husk as and when required.- avoid oily, spicy,non veg, junk foods, dairy fat.- Life style modifications as - regular walking, exercises,deep breathing exercises, YOGA - avoidance of stress, anxiety.- regular sound sleep of 8 hours.- avoid sitting on hard surfaces for long period of time / long drives.- General measures - Quit smoking, alcohol if using.- Pain killer as and when required.- Care of local part - Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stool) give best relief.- Local application of Xylocaine (5 %)jelly.- Keep the part clean with antiseptic liquids, regular shaving (careful not to injure). * Surgery as last resort if it does not control with proper care. Hope this will help you for sure. Wishing you fine recovery. Regards dear take care. 

0 person found this helpful