Male 36 y with H/O Constipation.. Itching.. Burning sensation with Pain..Bleed on touch Rx and T/T pls

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ANAL FISSURE WITH INFECTION

Seems to be fissure in ano But pr examination to chk out spasm adv anal dilatation under spinal and if any int haemorrhoids seen ligation is necessory on table

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Its fissure in ano. Treat symptomatically Syp lactulose 15ml OD HS Avoid straining High fibre diet Sitz bath with betadine solution TDS followed by application of Lignocaine cream + metronidazole cream Plan for fissurectomy.

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Fissure in ano sir

Bleeding Piles in 3 o'clock position. Sitz bath medicated with Betadine Soln twice daily. Avoid spicy & fat rich in food.Encourage to take high fibre diet. Tab Coamoxyclav 625mg TDS×5days,Tab Aceclofenec Serratiopeptadase (100+15mg) BD×5 days,Tab Diosmin 300mg TDS×14days,Pilet Granules 1 sachet to mix with Mithadohi BD×14days, Lactulose 6 TSF at bedtime,Tab Levocetrizine5 mg BD×2weeks.Local Xylocaine gel+ Steroids oint to apply locally P/R 5-6 times daily×14days. Review after 2 weeks. If not improved,think Haemaroidectomy , refer to Surgeon.

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Acute fissure in Ano Treatment Laxatives Topical lignocaine + metronidazole +sucralfate gel Sitz bath Tab cefixime 200 mg + Ornidazole 500 mg B.D for 7 days Tab Aceclofenac + serratiopeptidase B.D for 7 days . A high fibre diet

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Perianal fistula best treatment is fistulactomy by conventional surgery or by lasor. Till pt decides for surgery Rx cold sitz bath antibiotics like Amoxyclav 625mg 1x2times for 7daysor zifi -oz or zifiturbo 1bd yes give bulk laxatives also with antiinflamatory

Piles Calcium dobesilate 500 mg bid for 14 days OR Venusmin 300 mg bid for 14 days Local Lignocaine with steroid oint after defecation Avoid oily spicy fried food.Eat fibre rich food

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Seems fissure in ano, stretching of anal canal under General anaesthesia will help.

I agree.
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Anal fissure with pile Avoid constipation and indigestion. No pressure apply during defication. Avoid oilly and spicy food egg fish chicken burger fast food pizza. Uses veg and fruits papaya banana. Intake more water. Xylocain gelly 2 % LA Isabgol granule at bed time with water Tab zanocin oz BD Tab voveran SR 75MG BD Tab pan D 1bd before meal

Is surgery required ..
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Anal Fissure
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