Anal fissureitching burning problem - #11346

Hello sir See as per clinical history it seems either infection or ulcerative colitis. It is good that there is no liver,kidney ,thyroid or constipation issues but still itching in anal fissure do suggest chances of crohn disease or gerd. Before you start any medications or gonfir invasive procedures,get following tests done Sigmoidoscopy Stomach ultrasound Rectal physical examination Urine analysis Anoscopy Esr CBC Please share the results with gastroenterologist or laproscopic surgeon in person for better clarification. Hopefully you recover soon Regards

Hello, If you have anal fissure then you need to follow some lifestyle modification like eating High fiber food,avoid spicy and oily food,do daily exercise,avoid seating for long hours and reduce stress levels… As per medicines are concerned,you can use ointment like Anovate,do Slitz bath three times a days and can use some laxatives like Lactulose… Let me know if you have any more questions

I understand your concern, but I cannot make calls. Anal fissure–related itching and burning can persist even without constipation, especially if there is irritation from diet, infection, or incomplete healing. A gastroenterologist or colorectal surgeon can examine you to confirm fissure vs. fungal/skin issue and may prescribe topical medicines (like diltiazem/nifedipine ointment, antifungal creams, or soothing sitz baths) for long-term relief. Since your reports are normal, it’s good — but to stop recurrence, keep stools soft, avoid spicy foods, and maintain local hygiene.

Anal fissures can cause itching and burning sensations due to the tear in the skin around the anus, which can be exacerbated by bowel movements. Since you mentioned that you don’t have constipation and other body systems are functioning normally, we can focus on the management of the fissure itself. First, make sure to maintain good anal hygiene, gently cleaning the area and keeping it dry. You might consider a warm sitz bath, where you sit in a few inches of warm water for 10-15 minutes a couple of times a day, which may help provide relief. A high-fiber diet is also essential, even if constipation is not an issue. Fiber helps in softening stools, reducing the chance of re-injury when passing stools. Over-the-counter topical anaesthetics or hydrocortisone creams may temporarily relieve itching and discomfort but use them sparingly and according to the package instructions because prolonged use can cause thinning of the skin. You mentioned antihistamines like levocetirizine—while these are more for allergy-related itching and might not address the fissure directly, they might still help if there’s any allergic component. If symptoms persist despite these interventions or if you notice bleeding, it’s important to consult with a healthcare provider to see if prescription medications or other treatments like nitroglycerin ointment or Botox injections might be appropriate. In cases not improving with initial treatments, your provider may consider a more in-depth evaluation or procedures like lateral internal sphincterotomy, but this is more reserved for chronic or severe cases. Prompt attention from a medical professional is advised if symptoms worsen or if there are significant changes.