Is recurring pain due to a fissure or internal hemorrhoid?

Question

Hello doctor,

Six months ago, I faced an anal fissure problem, which resolved through diet and medicine. One month ago, due to constipation, bleeding started during the passing of stool. Now, one inner hemorrhoid has protruded about 0.3 inches in size in the anal area. This creates pain for six hours after the passage of stool. Please suggest treatment.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

You must be having a recurrent anal fissure (fissure-in-ano). You need to see a surgeon so that you do not miss anything else. For fissures, the following remedies work wonders:

I suggest you do a Sitz bath thrice a day for 15 minutes each time. A sitz bath means you should sit in a tub of lukewarm water.

I suggest you take Nitrogesic (Nitroglycerin or Glyceryl trinitrate topical) 0.25 % ointment for local application thrice a day. Apply a small quantity to the area of the anal canal. Kindly go through the instructions properly given along with the ointment.

Cremaffin (Milk of magnesia and Liquid paraffin) syrup 10 mL at bedtime. Consult your specialist doctor, discuss with him or her, and with their consent, take the medicines.

These have to be followed strictly for a week.

I hope this helps.

Kindly revert in case of further queries.

Thank you.