Hi. I have been operated with anal fissure operation 2 months back. But I have not healed much. Rather condition has worsened. Can I take cremagel or sucral ano gel? Which one is better?

Dr. Adnan MattooGeneral Surgeon2021yrs exp

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Hello. An anal fissure should have healed if the sphincterotomy was completely done. Actually the patient feels a lot better as soon as the surgery is done as the pain due to sphincter spasm relieved. Cremagel is a good option as it relaxes the anal sphincter. But I don't find any logic why it has not healed. Please consult your surgeon or proctologist to get yourself examined. Regards.  

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Dr. Anjanjyoti SarmaGeneral Surgeon21yrs exp

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For anal fissure, cremagel will be a better option. But I will strongly suggest you to take hot sitz bath twice daily with betadine solution in it. It will heal your wound and also give relief to the pain.  

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Hello sir, I am Dr. consultant general and laparoscopic surgeon in chennai fortis hospital vadapalani. If I am not wrong, the surgery you underwent is lateral internal sphincterotomy for your fissure which is standard universally. But the surgery itself is not enough to cure you. The main cause of anal fissure is constipation. So if you are still constipated, then the healing will still be delayed. And medicines is only temporary. You should drink minimum of 3-4 litres of water per day and add high fibre food to your diet. And if you are diabetic, the healing will still be delayed if your sugars are not undercontrol. Do these lifestyle modifications and your stools will become soft and you will heal soon. Hope I was helpful to you. For any other queries, feel free to watsapp me at mobile. Thank you.  

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