Hi sir I have a problem of anal mild fissure for last 1 week doctor has suggested daflon 1000 mg tablets three times a day and anovate cream. Is my treatment going right? Please help me.

Dr. Sudip DeoGeneral Surgeon3yrs exp

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Benign anal conditions like anal fissures do respond very well to symptomatic management. Apart from the treatment that you are already taking, I would suggest you do the following for better symptom control - have plent of fluids/ green vegetables, salad, fruits. - high fibre diet (like wheat bread, rice, pulse, garms, etc. Avoiding oily, spicy foods is a must). - sitz bath twice - thrice daily (sitting in a tub filled with lukewarm water for 5-10 minutes each time) - oint dilitazem 2% and lignocaine gel (to be applied each time after performing sitz bath, after defecation and at night while sleeping) - syrup lactulose 30-45 ml (at night time after meals or twice daily as desired) to avoid constipation doing all these should bring a better symptomatic relief in around 2 weeks. In case, symptoms are not controlled or increased, you can always seek surgery as the treatment option. Kindly do an audio/video consultation to know more. Best regards.  

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