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Question
Posted by: anne | 2009-10-22

Anal Fissures

Please can you help me. At the beginning of the year I had my piles surgically removed. I was fine for a few months, but now it seems that I have a tear that just wont heal.

I have tried prep H, and sheriproct (spelling?) and I even used tissue salts, and it got slightly better with treatment, but now it is back. I tried treating it again, but nothing seems to help.

I will NEVER have the surgery again!!! it was the most painful thing I have ever gone through.

Should I see a specialist doctor, or should I just keep trying to treat it?

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Our expert says:
Expert ImageCyberDoc

Hi Anne
A persistant anal tear can be very painful and irritating and it is difficult to treat. Usually it is caused by spasm of the anal muscle and everytime you have a bowel movement it may open up again. See this article re the treatment of chronic anal tears: http://clinicalevidence.bmj.com/ceweb/conditions/dsd/0407/anal-fissure-standard-ce_patient_leaflet.pdf
I suggest you see your doctor for an evaluation to see how big the tear is and if it can be treated by topical medication rather than a operation.
Dr Bets

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

1
Our users say:
Posted by: cyberdoc | 2009-10-22

Hi Anne
A persistant anal tear can be very painful and irritating and it is difficult to treat. Usually it is caused by spasm of the anal muscle and everytime you have a bowel movement it may open up again. See this article re the treatment of chronic anal tears: http://clinicalevidence.bmj.com/ceweb/conditions/dsd/0407/anal-fissure-standard-ce_patient_leaflet.pdf
I suggest you see your doctor for an evaluation to see how big the tear is and if it can be treated by topical medication rather than a operation.
Dr Bets

Reply to cyberdoc

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