25 y/o male with burning pain perianal region

25 y/o male complaining of burning pain perianal region during and after defecation x 2 months Diagnosis and management?

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? ANAL FISSURE .. NEED'S .. BS..ANTIBIOTICS WITH..NSAIDS AS PER REQUIREMENT.. STOOL SOFTENERS .. AND .. SYMPTOMATIC T/T WITH CLINICAL CORRELATION .. SURGEONS OPINION ..

Dear Dr. Vijay Kumar Singh Sir, Advice for the case by Ayurveda. It's fissure. Apply Shuddha bilona gau ghruta. Tab. Arshkuthar Ras 1ds. Eranda Bhrasta Haritaki Churna 1/2 tsp at bed time with 1 1/2 glass warm water.

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1

IT'S LOOKS LIKE A CASE OF ANAL FISSURE TO ME. RX,,, APPLY PILOROUTE OR PROCTOSEDYL OINTMENT BEFORE & AFTER GOING DAEFECATION. TAB ACENAC-SP BD TAB CHYMORAL FORTE BD. TAB AUGMENTIN DUO 625 MG BD CAP PANTOCID-L TWICE A DAY BF IGOL POWDER 2 TEASPOONFUL IN A GLASS OF WATER BD SYP CREMAFFIN PLUS 30 ML HS XYLOCAINE JELLY BEFORE GOING TO DAEFECATION APPLY. LOT OF ROUGHAGE IN DIET HIGH FIBRE DIET LOT OF GREEN VEGETABLES AND FRUITS. LIFESTYLE MODIFICATION SITZ BATH TWICE DAILY SOS FISSURECTOMY.

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Anal fissure Adv- Diltiagesic cream LA before defecation Xylocaine jelly LA after defecation Syp duphalac 20 ml hs 10 days Tab oflox oz bd 5 days Cap pantocid L

POSSIBLY ANAL FISSURE NEEDS. MANAGEMENT ACCORDINGLY

Anal fissure??

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1

Fissure in ano T.augmentin 625mg two times daily for 5 days afterfood T.flagyl 400mg two times daily for 5 days afterfood C.pan-d morning and night 1 for 5 days beforefood T.zerodol-Sp morning and night 1 for 3 days afterfood Oin.smuth for local application Syr.duphalac 20ml night only for 5 days Adv:adequate water intake High fibre diet Review after 1 week..

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