Anus pain and burnning without bleeding.best management???? Already hemarrhoidectomy

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Symptoms suggest PROCTITIS Rx avoid fry and junk food excessive chillies Tab cefixime+ofloxacin 400mg 1od Antiinflamatory Cap pantaprazole 40mg 1od Locally anometerogyl oint twice daily Xylocaine gelly for instant relief frequently Bulk laxatives
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Syrup Cremaffin plus two tsf at 8 pm with warm water, Tab Bandy plus one Tab stat, ointment Thanks- OD apply locally twice daily
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Acute fissure.. In fissure digital examination is contraindicated but generally you can. Feel the anal sphincter tone If spasmodic.. may be catch of piles between anal sphincter.. Tab. DAN -P BD FOR 5 DAYS CREMAGEL H OINTMENT SOFTOLAX SF POWDER 2TSP H/S WITH LUKE WARM WATER..
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Avoid oily spicy and fast food. Analgesic antiinflammatory orally. Anovate GN oint locally bd. Xylocaine jelly before and after defication bd. Luxative suspension HS. Plenty of liquid daily and diet containing high fibre content.
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Proctitis, antibiotics like local anometrogyl gel,xyclocaine hot water sits
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? Acute fissure. Do PR. Lignocaine gel application. Rule out constipation.
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