Good morning. My wife under went a major surgery and a baby was born. Now a problem arose. There is a cut (sore) on the opening of her anus and when she excretes, she bleeds a little and also she can't sit properly due to pain. Guide Please?

Dr. Bhagyesh PatelGeneral Surgeon16yrs exp

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Best working tips for her possible fissure recovery. Check that there is no iron in her drug basket, which is known to give her hard stools so if any iron tablet is there, do not give her temporarily. 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 laxatives as Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400 mg) after meals for control of pain, burning if no history of drug 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. Consult later your consultant surgeon as per the requirement. Wish her fine recovery and motherhood. 

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