Yes mam I got fissures again. It's paining a lot. I've been using proctosedyl cream but fissures is not reducing. What to do.

Question

Dear patient anal fissure is usually associated with constipation (due to straining & hard stool). You have to modify your dietary habits & daily routine to regulate your bowel movements. Firstly, have plenty of water & fibre rich diet; avoid red meat (if you are non-vegetarian). Secondly, for healing of fissure at anus, you have to do sitz bath with lukewarm water 3-4 times/day; followed by application of fidonal/cremagel-l cream at anal verge after every sitz bath. Thirdly, to make your stool smooth, you may need stool softener (syr. Cremaffin plus- 15 ml at night). Finally, it is always wise decision to physically attend a general surgeon or proctologist for clinical examination & assessment. Thank you.

Abhishek Mohata · Accepted Answer

Dear patient anal fissure is usually associated with constipation (due to straining & hard stool). You have to modify your dietary habits & daily routine to regulate your bowel movements. Firstly, have plenty of water & fibre rich diet; avoid red meat (if you are non-vegetarian). Secondly, for healing of fissure at anus, you have to do sitz bath with lukewarm water 3-4 times/day; followed by application of fidonal/cremagel-l cream at anal verge after every sitz bath. Thirdly, to make your stool smooth, you may need stool softener (syr. Cremaffin plus- 15 ml at night). Finally, it is always wise decision to physically attend a general surgeon or proctologist for clinical examination & assessment. Thank you.

Anjanjyoti Sarma · Answer

Hello lybrate-user, please understand that anal fissures are known for recurrence and hence do not get frustrated once it recur. U can try another ointment. Escot or anorelief, to be applied with your finger inside the anus approx 5 cm, before going to pass stool. It will work better if you combine it with hot sitz bath..

Aamir Sohail · Answer

Hi. Using proctosedyl alone is not beneficial. Please add these in your treatment plan crema gel l syp cremaffin plus 30 ml at night avoid complete non veg, avoid spicy foods eat banana, vegetables lots of water 3l/day sitz bath follow this for a month. Thank you.