apollo
  • male
  • 30 Years
  • 14/08/2025

I had a fistula surgery 8 months ago which went well but now I have a small fissure again. My surgeon checked with a finger test and just advised me to eat a balanced diet and keep my stool soft. My question is - is it okay if I only clean the outside after passing stool and not put my finger inside to clean like doctors do during the anal exam? I'm worried that inserting a finger might cause infection in the fissure and lead to another fistula

Doctor 1

Answered by 1 Apollo Doctors

Post-fistula surgery fissure cleaning externally is sufficient.Resisting internal cleaning is okay;if symptoms worsen,consult your surgeon.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

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I've had a fissure near my anal area for a while now and there's some mucus-like discharge coming out. What could be the actual issue here? If it's a fissure, can you suggest both regular medicines and ayurvedic treatments? Also, is it possible to heal this completely without needing surgery?

u need to meet a surgeon who will thoroughly take your history and examine you and treat you accordingly...physical examination is needed in your case so please meet a surgeon

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I've been dealing with anal fissure pain on and off since late 2019 and have been using Anovate cream with laxatives, plus increasing fiber and fluids. It's really disruptive and painful I want to get rid of it for good. Does surgery work better than these treatments? For now, I'm trying sitz baths and fiber supplements but would like to know if there are better options

While your current approach with Anovate, laxatives, increased fiber and fluids, sitz baths, and fiber supplements is a good starting point, it's understandable that you're seeking more definitive relief after experiencing anal fissures for several years. Surgery, specifically a lateral internal sphincterotomy, is often a highly effective option for chronic or refractory anal fissures, but it's also associated with a small risk of incontinence. If medical treatments haven't been successful, discussing surgical options with your doctor is a valid next step

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