Suffering from fissure due to constipation. I am taking duphalac syrup one teaspoon before going to bed at night. How long can I take? Is lactifiber preferable? Kindly guide.

Question

Hey. Lactifiber contains lactitol as compared to duphalac which has lactulose. Both are good, however lactitol (lactifiber) has better taste and a bit better safety profile. However just taking laxatives isn't the treatment for fissure. You should take sits baths thrice a day and apply local sphincter relaxing ointment like anaheal/ anobliss. If your fissure dsnt heal by 3 weeks, better to consult a good surgeon or a proctologist in your area. Regards.

Adnan Mattoo · Accepted Answer

Hey. Lactifiber contains lactitol as compared to duphalac which has lactulose. Both are good, however lactitol (lactifiber) has better taste and a bit better safety profile. However just taking laxatives isn't the treatment for fissure. You should take sits baths thrice a day and apply local sphincter relaxing ointment like anaheal/ anobliss. If your fissure dsnt heal by 3 weeks, better to consult a good surgeon or a proctologist in your area. Regards.

Aamir Sohail · Answer

Hi. Fissure is very painful condition while and after passing stools… you can take duphalac/lactifibre/any syrup which softens stools… diatery habits is important to avoid constipation and alleviating pain. 1) plenty of water in a day (2-3l) 2) high fibre diet- green leafy vegetables, fruits, bananas 3) avoiding non veg/spicy foods.

Sana Aboosalih · Answer

You should check your thyroid hormone level. Low thyroid levels can cause constipation leading to fissure. Primary treatment to heal fissure is to treat the cause of constipation. When trial of medical management fails surgical procedures like las can help.

Anjanjyoti Sarma · Answer

Hello lybrate-user, the main purpose of laxatives for treatment for anal fissure is to keep your stool soft and easy to pass. If you are already taking plenty of fibres, then osmotic laxatives like duphalac will helpful. If you are containing less fibre in diet then lactifibre will be more preferable. But remember, treatment of anal fissure depends upon two factors, avaidance of constipation by any means, and to avoid straining. Thank u.