- Female
- 30 Years
- 29/01/2025
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
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
Answered 04/07/2025
0
0
More Gastroenterology/GI medicine Health Queries
View allI'm dealing with some bloating and was wondering if it's okay to take 40 mg of Pantoprazole before breakfast for a week? Is that something that's typically done for bloating? And what exactly does this medication do? Are there any side effects I should be aware of?
Pantoprazole is a proton pump inhibitor (PPI) that reduces stomach acid production. _Purpose_ 1. _Gastroesophageal reflux disease (GERD)_: Treats symptoms like heartburn, regurgitation, and difficulty swallowing. 2. _Peptic ulcer disease_: Heals and prevents ulcers in the stomach and intestines. 3. _Zollinger-Ellison syndrome_: Treats excessive stomach acid production. _Dosage and Duration_ For bloating, your doctor may recommend 40 mg Pantoprazole before breakfast for a short duration, typically 1-2 weeks. _Common Side Effects_ 1. _Headache_ 2. _Dizziness_ 3. _Diarrhea_ 4. _Nausea_ 5. _Abdominal pain_ _Less Common but Serious Side Effects_ 1. _Allergic reactions_ 2. _Severe diarrhea_ 3. _Bone fractures_ 4. _Vitamin B12 deficiency_ _Precautions_ 1. _Inform your doctor_ about any medications, allergies, or medical conditions. 2. _Monitor magnesium levels_, as long-term use can lead to deficiency. 3. _Avoid long-term use_ unless necessary, as it may increase the risk of osteoporosis and fractures.
Answered by 1 Apollo Doctors
I'm dealing with some bowel issues for about a year now. Sometimes things seem to get better, but then it starts acting up again after a few days. My colon just doesnt seem to empty properly. Sometimes the bowel is really hard, and other times there's a mucus-like thing, which causes gas and acidity. No matter what type of bowel movement it is, I struggle to pass stools and have to apply a lot of pressure, which sometimes leads to rectal pain. Even then, my colon still doesnt feel empty. I'm wondering if there might be some kind of obstruction or if it could be irritable bowel syndrome. It's really affecting my daily life, and the discomfort is too much to handle. Can you help clarify what's going on?
While Irritable Bowel Syndrome (IBS) is a likely cause of your symptoms, its important to consider other possible conditions, such as intestinal obstruction, IBD, or pelvic floor dysfunction. Given the persistence and discomfort of your symptoms, I highly recommend consulting a gastroenterologist to undergo a thorough evaluation, including tests like a colonoscopy or imaging, to rule out other potential causes and get a proper diagnosis. Treatment may involve a combination of dietary changes, medications, and possibly physical therapy for pelvic floor issues.
Answered by 1 Apollo Doctors
I've been taking Dulcoflex for about a month now to help with constipation, but I'm noticing some weird side effects. I'm going to the bathroom a lot more often and I'm always hungry, even after eating a big meal. I've also noticed I'm losing weight and there's some itching around the anal area. I've done a bunch of tests but everything comes back normal. Could you suggest what might be going on or recommend some medication that could help? I'm really worried about these symptoms.
The symptoms you're experiencing, such as high urination, excessive hunger, weight loss, and anal itching, despite normal test results, may be related to the laxative Dulcoflex (bisacodyl); consider stopping or reducing the medication and switching to a fiber supplement like Psyllium Husk or methylcellulose to manage constipation
Answered by 1 Apollo Doctors
Health Articles for you
View all
.webp)
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.