Can you suggest thatI have fissure!

Question #11952

46 days ago

198

Can you suggest thatI have fissure! - #11952

Kusum

I have piles, but through somedays I am feeling unbearable pain during bowl moments and it last long time I can't see any cut in anu but the pain is so hard sometimes irritating,swelling and. I have never seen any blodd yet.

Age: 23

Chronic illnesses: Piles

#plss help me to figure out #wonenfissure#digestion

300 INR (~3.53 USD)

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Dr. Varunkumar J

I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.

46 days ago

Hi Dear Kusum,
Kindly donot worry
It might be because of tight internal anal sphincter
So kindly have adequate hydration
take fibre diet
Syrup LOOZ 15ml at night for 10 days
ANOBLISS Cream apply locally twice daily for 10 days
Kindly do SITZ BATHE
you will be better in a week or two
Take care

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Dr. Yuvraj Rathore

I am Dr. Yuvraj Rathore, a medical professional with a bit more than 4 years of clinical experiance. Sometimes it feels like much longer honestly — the kind of learning that only comes from working long nights, emergencies, and quiet OPD mornings where you actually talk to patients, not just treat them. I spent 3 years as a Junior Resident in the Department of Surgery at Government Medical College, Dungarpur. Those were intense days — assisting in surgeries, managing pre and post-op cases, handling inpatient care, and running through emergency cases where every decision mattered (and had to be fast). I learned not just the techniques but how to stay calm when things got messy. Surgical OPD became like a second home — dressing wounds, following up post-surgery patients, and sometimes just listening to someone who was scared about a diagnosis. After that, I worked for a year as a Medical Officer at a Community Health Centre (CHC). It was a very diffirent pace — more about continuity of care than crisis response. I provided primary healthcare, managed acute & chronic illnesses, and worked on preventive and promotive health services for rural families. You don’t realize how much small interventions matter till you see a diabetic patient come back stable after months. Medicine for me isn’t only about procedures or prescriptions — it’s about attention, patience, and being honest with the person in front of you. I like to balance clinical precision with empathy, and maybe that’s why I never really rush consultations, even when the line outside is long. Right now I’m focused on deepening my surgical knowledge while keeping my general practice roots strong. Every patient still teaches me something new — some days it’s about pathology, other days it’s about humanity. Maybe that’s why I still feel curious every single day I walk into the ward or clinic.

45 days ago

Hello Kusum,
Present complaint:
•	Known case of piles
•	Now experiencing severe pain during and after defecation, lasting long
•	No bleeding, no visible anal fissure, occasional swelling and irritation
Provisional diagnosis:
•	Thrombosed external hemorrhoid / fissure-in-ano (internal)
Treatment Plan
Medications: If there is no pregnancy
•	Tab. Daflon 500 mg – 1 tablet twice daily for 7 days, then once daily for 7 days
•	Tab. Chymoral Forte – 1 tablet twice daily after meals for 5 days (anti-inflammatory)
•	Tab. Diclofenac 50 mg + Paracetamol 325 mg – 1 tablet twice daily after meals for 3–5 days (for pain relief)
•	Lidocaine + Hydrocortisone anal cream (e.g., Lignocort or Proctosedyl) – apply locally twice daily after warm sitz bath
•	Stool softener: Syrp Lactulose 15 mL at bedtime
General Advice
•	Warm sitz bath twice daily (lukewarm water for 10–15 min).
•	High-fiber diet: green vegetables, fruits, psyllium husk (Isabgol 1–2 tsp with water at night).
•	Hydration: Drink ≥2.5 L of water/day.
•	Avoid straining during defecation.
•	Avoid spicy food, alcohol, prolonged sitting.
Note - If pain or swelling increases, or bleeding develops, in-person examination to general surgeon is advised.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

45 days ago

Hello Kusum, I understand your concern. See, to confirm if you have fissure or not, you need a physical examination by a General Surgeon. Till then you can start these medications for your relief -
1. Tab. Amoxyclav 625 + Lactobacillus twice a day × 5 days.
2. Cap. Pantop + DSR before breakfast × days.
3. Tab. Aceclofenac + PCM twice a day × 5 days.
4. Oint. 5% Lignocaine for local application over the painful area, before going to pass stool.
5. Warm water Sitz Bath.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

46 days ago

RX
1) Tab daflon 500mg
1 tablet twice daily after meals × 10 days
2) Anovate Cream
Apply gently inside and around anus twice daily (morning and night) after washing area with lukewarm water.
3)
Your symptoms suggest inflamed piles or mild fissure causing severe pain.
Start Daflon + pain relief + sitz baths + stool softener for 7–10 days.
If pain doesn’t ease within a week, visit a proctologist / surgeon sometimes a small thrombosed pile needs simple drainage or fissure evaluation.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

46 days ago

Hello dear
See piles or haemorrhoids are associated with both bleeding and pain complicated with anal fissure
I suggest you to please get following tests for confirmation
Anas copy
Sigmoidoscopy
Colonoscopy
Cbc if recommendation by gastroenterologist
Mri pelvis
Please share the result with gastroenterologist in person for better understanding
Please donot take any medication without consulting the concerned physician
Hopefully you recover soon
Regards

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

46 days ago

Your symptoms suggest an anal fissure, which is a small tear in the anal lining causing severe pain during passing stool.
Avoid hard stools by taking plenty of water, fruits, and fiber-rich foods like banana, papaya, and vegetables.
Soak in warm water (sitz bath) for 10–15 minutes twice daily to relax the muscle and reduce pain.
Apply lidocaine or fissure healing cream like Diltiazem or Lignocaine as advised by your doctor.
Avoid straining and spicy food. If pain persists, a proctologist visit is needed for faster healing and to rule out infection.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

46 days ago

Hello Kusum,
May be you have Internal fissure/Internal piles/ Internal tight muscles.
🛑
1.Syp Cremaffin 1 tablespoon night before bed for 3 days
2.Sitz bath - Sit in warm water for 10–15 minutes (especially after bowel movement)
2-3 times daily
3.Anovate cream -apply inside and around the anus
4.🛑Most importantly- Drink 3 litres of water daily
Eat high-fiber foods: fruits (papaya, banana), vegetables, oats, etc.
Don’t worry, it just need right care and time to heal.
If problem persists, please consult a general surgeon or proctologist.
I trust this helps
Thank you

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

45 days ago

Hello
Your symptoms need proper evaluation and management. Consult a SURGEON in person for best opinion.
Meanwhile you can start this:
1. Syp. Lactulose 2 tsp at night
2. Anusol cream thrice daily
3. Sitz bath
Take care
Take care

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Dr. Kavyasri

I am working as a rehab therapist and over the years my focus turned strongly towards kids rehab, because I feel children need a diff kind of care, patience and approach when they are struggling with conditions that limit their growth or daily activity. Many pt I see come with long history of delays, difficulty in movement, sometimes speech or motor problems, and it can be overwhelming for families. I try to design therapy in a way that is not only clinical but also practical for parents to follow at home. I have seen that combining structured rehabilitation techniques with flexible methods suited to each child bring good results, and that is something I keep repeating to myself when I plan any session. Every kid progress differently, sometimes slow sometimes suddenly fast, and in that moment my job is to keep adjusting the plan without losing sight of the bigger goal. In practice I work on exercises that strengthen mobility, balance and coordination, also focus on daily life activities like grasping, walking, or posture correction. Parents often ask me about timeline for cure but I learned to explain that rehab is less about rushing and more about sustaining. Still, I feel proud when many of my patients recover with visible improvement and even reach milestones that were earlier delayed. That satisfaction is hard to put in words, but it makes the long hours of therapy worth it. Communication is also a big part of my work, since families need reassurance, guidance and clarity at every stage. I treat each case as unique, there is no single way that fit all, and that flexibility in treatment is what I consider my strength. Mistaks happen, sometimes I change plans midway, sometimes I realise a certain method is not working and I quickly shift, but that trial and correction actually helps the child get what is best for them. My way of treatment may look simple from outside but it is rooted in consistent effort, empathy and experience with many children who trusted me in their journey.

45 days ago

It might be the the reason of fissure also, its nothing but the cracks in the ends of anus if u have fissure also u wont be experiencing any bleeding please consult doctor once!

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

44 days ago

Based on what you’re describing, the severe pain during bowel movements along with irritation and swelling could be symptomatic of an anal fissure, even if you haven’t noticed a visible cut. Anal fissures are small tears in the lining of the anal canal often caused by straining during bowel movements, passing hard stools, or chronic diarrhea, and they can be extremely painful. However, the absence of visible blood is somewhat atypical but not impossible with minor fissures. It’s essential to differentiate this from other issues like hemorrhoids which can cause similar discomfort. Since you mention dealing with piles, which are swollen blood vessels in the anal region, it’s quite possible that both conditions could coexist. For self-management, focus on keeping stools soft to minimize strain, which could be accomplished through dietary adjustments like increasing fiber intake (fruits, vegetables, whole grains) and maintaining hydration to about 8-10 glasses of water daily. Over-the-counter stool softeners and sitz baths (sitting in warm water for about 10-15 minutes a few times a day) can also help relieve symptoms. Avoid prolonged sitting and heavy lifting, which could exacerbate symptoms. If the pain persists or increases, or if you notice blood, get evaluated by a healthcare professional to rule out more serious conditions and discuss potential treatments like topical medications or, occasionally, minor procedures. Anal fissures and hemorrhoids can often present with overlapping symptoms, so a professional assessment is key for appropriate management. Neglecting severe persistent pain or bleeding could lead to complications, and a tailor-fit approach will always be safest for lasting relief.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

43 days ago

Hello dear Kusum
See piles or haemorrhoids are associated with both bleeding and pain complicated with anal fissure …
I suggest you to please get following tests for confirmation -
Anas copy
Sigmoidoscopy
Colonoscopy
Cbc if recommendation by gastroenterologist
Mri pelvis
And please share reports with me …
Rx -
A) Tab daflon 500mg -
1 tablet twice daily after meals × 10 days
B) Anovate Cream
Apply gently inside and around anus twice daily (morning and night)… after washing area with lukewarm water
C) Start Daflon + pain relief + sitz baths + stool softener for 7–10 days…
Thank you

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