ANAL FISHER

[arisa786]

please anyone suggest me the proper medicines for bleeding hemorrhoide???
i have piles and it bleeb much when paasing feces,most ot the times i have constipation but at the time of passing i hav much pain n bleeding,
i used many medicines after advice of doc but its temporarily works...
if anyone used successful medicines please share with me i try it..
May Gog bless u
thnx

[Dr Santos]

Hi,
Xylocaine,as you mentioned from your other post,  indeed aids in numbing the area. A topical hydrocortisone preparation applied to the folds of the anal verge several times a day may help relieve symptoms and aids the healing process. While chemical sphincterotomy has been attempted using  nitric oxide and botulinum toxin to relieve ischemia and pain. It has also  been shown that a local application of topical nitrates reduces anal sphincter pressure and improves anodermal blood flow.  Talk to your doctor about these options. Almost 50 percent of fissures heal by themselves but the  longer that a fissure has persisted over time, the less likely it will be to heal by itself. Good anal hygiene consisting of a thorough cleansing after each bowel movement with thick quilted baby wipes may also help. Take care and best regards.

[Dr Santos]

Hi,
Thank you for your update. If over-the-counter pain medicines are not helping, you may need stronger prescription medicines. If the bleeding persists even a year after the operation, inform your doctor about this for proper management. Unfortunately, prescription medications are usually given personally during consultation and it is difficult to do so over the net. Hot sitz bath helps heal the tissue and also helps prevent bleeding. Take care and regards.

[arisa786]

first of all thnx for reply dr rowena,,iwent to dr last month,he recommended me xhylocane tube,ointment to apply b4 passing stool,just to avoid pain i think,becose i noticed this cream temporary anesthetic to my skin..mostly they use this cream b4 surgey,
also 1 thing to tell you that i had operated my fisher a year before,,,but still bleeding remaining...
kindly tell me some cream to avoid bleeding,,not to avoid pain temporary...?????
thnx

[Dr Santos]

Hi,
How are you? If your constipation and hemorrhoids do not respond to conservative measures such as increased fluid intake, high-fiber diet, hot sitz bath ( sitting over warm water with steam),  and OTC medications, you may benefit from prescription medications from your doctor. Direct  clinical examination by your doctor will also help determine the grade of your hemorrhoids. This will determine the best management for you, whether medical or surgical. Take care and do keep us posted.