Hi, I am facing issue of fissure. Will it cure by medicine or I have to do surgery. And want to know how can I reduce that skin tag from outer anal.Please suggest me something for that.

Dr. Vaibhav Kapoor'sGeneral Surgeon8yrs exp

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Hi, fissure can be painful and can cause bleeding. Conservative measures like taking high fibre diet ,loads of fruits ,vegetables ,salad and laxatives or allopathic or homeopathic medication after doctor consult can solve your problem temporarily. Definitive treatment is surgical management .laser treatment of fissure is the latest modality .it is painless 10 min surgery .there are no dressing post surgery .you would be given a proper diet chart and certain pelvic floor exercise be taught to you to avoid constipation .you can also consult me through Lybrate for further details.  

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Dr. Bhagyesh PatelGeneral Surgeon16yrs exp

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Hello dear lybrate-user, Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Fissure issue can be managed conservatively with best results. Even after surgery, fissure can recur at any point of life.* External pile can be under symptomatic control with conservative measures, surgery is the only cure for life time, it will not recur. * Primary guidelines for better recovery Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxativesas Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400 mg) after meals for control of pain, burning if no history ofdrug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care. 

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