I'm really struggling with anal fissures because of constipation for over a year now, and I've been in a lot of pain. I tried seeing a gynecologist, and they gave me some meds for five days, but nothing's changed. I'm usually on a routine in the morning with bowel movements, but it's been painful for so long. I've switched up my diet to include more fiber and fluids, but I still feel the pain. The only relief I get is from using Cremaffin Plus syrup at night and nifecaine cream around bowel movements, but if I miss the syrup even for a night, the pain is unbearable the next day. We're thinking about having kids, but I'm concerned if these medications might affect conception. How long can I keep using the syrup without any long-term effects? Is there a solid solution for my situation, and what can I expect if there's a treatment?

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

Consult Now

It sounds like you're experiencing chronic pain due to an anal fissure, which can be aggravated by constipation. Despite your efforts with diet and medications, if the pain persists, it might be worth seeking a second opinion, as other treatments like topical nitrates or botox injections could help. Regarding conception, Cremaffin Plus and nifecaine cream are generally safe for short-term use, but it's advisable to discuss them with your doctor during the planning phase. Treatment duration and improvement vary, but typically, with proper management, healing can occur in a few weeks to months.

Dr. Mubarak Suggests...

Consult a Gastroenterology/gi Medicine Specialist

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Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.