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Asking For Self, Male, 25 Years old, multan
Since Dec 2025, I have been suffering from a chronic anal fissure with significant pain and discomfort. I used GTN and lignocaine regularly but have had minimal improvement. The severe pain has reduced, however I still cannot pass stool completely without pain. The area feels very tight and sensitive, and there also seems to be a small pile/swelling present. Recovery feels very limited so far.
you need minor surgical procedure. Its very efective and we do it regularly as day care case.
U need examination
GTN isn\'t going to work.
Happy to see you in my clinic.
Will have to examine to take things further
Have a consultation session with a General Surgeon to plan curative treatment strategy
get General surgeon consultation
You will have to get it done examined first before anyone can offer you any treatment. Since you have been using medicines for a long time now might be the right time to think about a surgical option. You have two. Open surgery or Laser Surgery.
You need surgical treatment, please get appointment
go for surgery
Consult Gen Surgeon. U need examination
use Diltiazam cream 2% along with GTN & Lignocaine, Sitz baths 15 minutes daily or may be twice, High fiber diet with plenty fluids. Movicol satche one daily or Lactulose 10ml twice for two months. In case of severe pain take oral pain killers. After two months write to me your condition.
since you have been using this treatment for 6 months and it\'s not completely resolving, you need a consultation with General Surgeon for further evaluation and treatment.
aoa this should be managed by surgery then, can help in this regard
Need Surgery.
salam dear. such condition need visit for management. However, fibrous dite, sitz bath with GTN cream improve the issue.
Consult general Surgeon
without surgery it\'s completely treatable after taking some medicine don\'t you worry detailed history required kindly book appointment with me
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