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Asking For Self, Male 26, Gujranwala
Assalamualaikum Doctor, I am facing pain near the anal / potti area for the last 7–8 days. It started after a strong pressure/fart. Since then, the pain has been gradually increasing. I feel pain while passing stool and even while passing gas. Sitting and lying straight is uncomfortable. I also feel mild swelling in the area and have night sweating, but there is no bleeding. I took medicines from a nearby pharmacy: Colonil MR 200 mg capsules Rheugin SR 100 mg tablets Daflon 500 mg tablets After taking these medicines, the pain reduced by about 30%, but 70% pain is still present, and the medicine course has finished. I am concerned about the cause (anal fissure, infection, or muscle spasm) and would like your guidance on proper diagnosis and further treatment. Thank you.
show urself to a general surgeon for proper treatment
visit general surgeon for examination.
Visit general surgeon, you need clinical examination
Apply xyloaid gel 5% on that area locally before and after passing stool and get yourself examined
Book an appountment with myself
Also daflon is not necessary for this condition, symptoms are suggestive of Acute anal fissure
looks l8ke acute anal fissure
apply 2% gtn and 5% xylocain jelly before and after passing stools and take luke warm water in a large tub and sit in that for 20 mins( sitz bath) that will resuce swelling
if you are from Karachi can visit me
It may b fissure or may be any small abcess as u have swelling too .needs proper examination in clinic
It need clinical examination to rule out
Yes need examination it may be anything ranging from peri anal hematoma to fissure. Kindly get yourself checked by general surgeon in your areq
need examination by general Surgeon, need to diagnose, anal fissure / perianal hematoma, need treatment accordingly
Walaikum us salam
Where are you from Gujranwala?
Can you visit in Gujranwala?
By first sending picture of the effected side then by booking an online appointment in 100 Rs you can call me. My online consultation charges are 100 Rs.
This could be due to Haemorrhoids because I have cured such patients in past.
Diseases name can be changed with little changes. Complications due to clogged Anal glands can cause fistula too.
If you will enforce suppression by upper medicines then you will suffer again after sometime.
I always diagnose the root cause first and treat the root cause to cure,Not Suppression.At the end doctors do surgery.But we can treat this with medicine.
You can save my name.
If this will subsides now due to any medicine,this will revert back again after some months then you can book an appointment for permanent solution.
Proper diagnosis can be done after your clinical examination, till then please avoid constipation by doing 30 minutes walk, taking plenty of water and dietary fibers, also take stool softeners, avoid straining while passing stool, avoid prolonged sitting
Use GTN plus Lignocain cream thrice a day apply on anal verg, use any suitable painkillers, it will take some time to heal
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