kindly tell me whether surgery is needed for anal fissure. 
hello doctor,
i am feeling severe pain when i pass stool. also, have a couple of blood veins flowing out in the anus. i visited a hospital, the doctor said i had cut which is called fissure. should i go for surgery? but i do not want to. is there any way that with medication or any other way it can be cured?
hello,
welcome to icliniq.com.
i have gone through your complaints. looks like you have a fissure in the anus. you need to understand one thing. it is not going to heal unless you stop straining while passing stools. as it is a wound at the passage it causes your anal sphincter to go into contraction in pain further causing you to strain and it becomes a cycle. you need a high fiber diet. you can supplement with psyllium husk powder. also, there is a procedure where dilatation of the anal canal is done to help relax the anal sphincter to facilitate wound healing thus avoiding surgery.
if the source of infection is not adequately removed, then the incision may continue to discharge. new fistulas may form since you may have a propensity for infection in the area. there are conditions that make the area prone to fistulas such as crohns' disease. see more... Hello Sintia, Thank you for the question.



How long has this complaint occurred? Ulceration is a dry wound. Sores can occur when there are sores on the skin that can be caused by injuries such as blisters or punctures, infections of the skin (viral, bacterial, or fungal infections), or because of other skin problems such as eczema or psoriasis. To overcome this condition you must first know what the main cause. If it is caused by an infection or certain skin conditions, then treatment is also intended to overcome this. Maybe this ulcer does not heal because the handling is not right. In addition, if you experience nutritional deficiencies or certain medical conditions such as diabetes, then this wound is also usually difficult to heal.



If it doesn't heal, the best step is to see a doctor. The doctor needs to do a direct assessment of the ulcer before the doctor decides the next treatment. Meanwhile, avoid peeling scabs. You can clean the scabs slowly with a clean, damp cloth. Keep the area clean and dry. Don't forget to consume nutritious food regularly to avoid nutritional deficiencies.



I hope this helps. Good morning, thanks for asking at HealthReplies.com. Tracheostomy is one of the health procedures performed to overcome problems in the respiratory system. This procedure is done by forming a hole as another way for air to get in and out because the normal respiratory path does not allow for the process of breathing normally.



  

After the extraction, it is normal for the hole formed by this procedure to close by itself and no sewing is carried out because it can actually lead to other complications. As long as it has not closed naturally, the hole will be minimally covered by gauze to ensure no impurities will enter.



  

As for your case, with a fairly long time span, our advice should you go back to the doctor who used to handle you to see firsthand the condition, what if the cause of your recovery is hampered. It should be seen if you have diabetes or other medical conditions that must be treated first so that the hole can close. If in the end it cannot close, other treatments will be considered more permanent in your case. If for one reason or another you cannot see the same doctor, at least look for another surgeon in the same hospital, or at least a fellow surgeon. In essence, the conditions that you experience will be treated differently depending on your current situation, and it really requires a direct examination by a competent doctor. So, hopefully answering your question. that sounds rough, i am sorry you aren't feeling well. my advice is just go to a different hospital to get a different view on your situation. please don't hold off on it, this problem really needs to be taken care of. hallo worried hernia<br>a hernia will not cause blood in the stool. if it was just a little bit when you wiped, it could have been a hemorroid. if it is more ( tablespoons full), mixed with stool or splasing in the bowl you need to see your doctor as this could be signs of dangerous bowel diseases<br>dr bets would advise an exam by your doctor to be sure. see more... it's likely either a thromboses hemorrhoid with the surface slightly ulcerated, if so it will resolve on it's own or it's a small perianal abscess which if draining will also likely resolve. if your symptoms persist for more than a few weeks or recur see your doc. see more... brief answer: take probiotic, rifaximin detailed answer: hello! thanks for putting your query in hcm. i am a gastroenterologist. i can understand your concerns feeling of incomplete evacuation is a complaint to be treated symptomatically i will advise you to take a course of probiotic, lots of... You are so kind to be this active due to the distress of a stranger. I'm touched by how much you care. I can also see why you are horrified!  
  
Maybe this woman is too far along with the prolapse, but I do know that there is something called a pessary that can generally be inserted to hold the organs in place. I'm surprised this wasn't done long ago for this woman. The nursing home maybe didn't have care of this woman until it was too late.   
  
You seem to be doing everything you can, and you're right in not wanting to get the nursing home in trouble since they aren't the problem. Contacting the urology department of your local hospital may yield some results. Perhaps there's a program for people who are in such dire situations. Please let us know what happens.   
Take care,  
Carol a specialist. if the surgeon who did the procedure is still around. also physical therapy should help improve the range of motion. and strength. see more...