Question 1

I've been dealing with an anal fissure for 2 months now and haven't taken any medicines until recently. For the past 15 days, I tried coconut oil and it helped heal about 90% of the fissure, but then it came back because of hard stools. For the last 5 days, I've been doing sitz baths three times a day for 20 minutes, taking Pilex tablets, and using Pilex ointment. I've also been eating high-fiber foods and drinking more water for a month. Will this treatment heal the fissure completely or is surgery the only option? How long should I wait to see if it gets better before considering the next step? I'm really worried about this.

Accepted Answer

It's understandable to be concerned about your anal fissure, especially after experiencing a recurrence despite initial improvement. While your current treatment, including sitz baths, Pilex, high-fiber diet, and increased water intake, is beneficial for managing symptoms and promoting healing, it may not be enough to completely resolve chronic fissures. It's advisable to continue these measures and monitor for any signs of improvement over the next 6-8 weeks. If the fissure doesn't show significant healing or you continue to experience pain and discomfort, consult with a doctor, who might recommend additional treatments, including botox injections or, in some cases, surgery.

Question 2

I'm kind of worried because I think I swallowed a small chicken bone while eating yesterday. It doesn't hurt right now, but I'm not sure what to do. I've tried gargling and even eating a banana to see if it helps, but nothing's really working. Should I be doing something else, or is this a wait-it-out kind of thing? How serious could this be if it doesn't feel painful?

Accepted Answer

In this case, it is important to seek medical attention as soon as possible to prevent any complications. In the meantime, you can try eating soft foods like yogurt or pudding to see if it helps dislodge the bone. However, if the bone is still stuck, do not delay in seeking medical help. I recommend you to go to the nearest hospital for further evaluation and treatment.

Question 3

I've had this stomach issue for 7 months where it feels like there's a constant knot in my upper stomach and throat. Did an endoscopy 5 months ago showing small hiatus hernia and some erosions. Tried multiple meds like rabeprazole, levosulpride, montilucast for months with no relief. One doctor now suggests surgery but I'm unsure. What could be causing this persistent discomfort and is surgery really needed?

Accepted Answer

upper GI endoscopy,urea breath test and USG is advised.RW with the report.

I often notice that I have mucus after I eat, even if I dont have a cold. It seems to happen with any food, especially spicy ones. Can you explain why this might be happening? Do you have any suggestions for home remedies I could try?

Sputum for AFB ,microscopy and complete blood count is advised to the patient. Also steam inhalation and warm saline gargles is advised to the patient.

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