I have Piles problem and some sort of fissure,(thin skin is cutted inside & outside anal area -it does not heal for more than year) when I am going for toilet it hurts more I applied so many Cream like lox 2.0,Surfrate La, Castor oil and some times Coconut Oils, ayurveda laxatives but Problem still persist. Kindly Help.

Hey lybrate-user, Fissure are very painful. The pain gets worse when constipated. 1. Take fibre rich diet and plenty of water. Avoid non veg 2. Sitz bath- sit in warm water (put salt/vinegar/povidone iodine) in tub dor 15 mins �3 times a day 3. Stool softners - Syp. Cremalax 10 ml 0-0-1 Usually, you will be better with conservative management. If things do not get better you need to consult a general surgeon. He may decide on wheather surgery (Lateral anal sphincterotomy) is required or not. Wish you good health!  

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Dr. Adnan MattooGeneral Surgeon8yrs exp

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Hello. I will suggest conservative treatment for two weeks. If it fails then consult a good procto surgeon for surgery. 1. Take lots of fluids fruits and veggies 2.Avoid red meet, spices, alcohol 3.Do Sits baths thrice daily with warm saline 4.Take Stool softner like softovac granules bed time with water 5. Apply cremagel cream thrice a day after sits baths 6.Take tab Diser twice a day for 5 days. If lots of pain you can mix cremagel and lox cream and apply. Get back to me after 2 weeks for further advive. Regards.  

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Dr. Ashwini Vivek (Gandhi)Sexologist28yrs exp

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It appears you have not taken proper evaluation and examination of your problems. Better consult a surgeon and undergo an examination. Long term fissures lasting for more than a year may not be a fissure, it may be something else. Uinless one knows what it is how do you expect to be treated. An important tip is your diet. You have to have high fiber diet, without chillies and spices.  

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