I've been dealing with an anal fissure for about two months now and just started using pilex ointment and tablets two days ago. I'm wondering if the ointment is actually going to help heal the fissure or if it's just going to stop the burning sensation and pain. I noticed that the burning is actually worse with the pilex ointment when compared to using coconut oil. Should I keep using the pilex ointment or switch to coconut oil instead? Which one would be better for healing the fissure? I'm really confused about what would work best.

Answered by 1 Apollo Doctors

Dr Chandra P

General Practitioner

MBBS
5+ Yrs

Consult Now

Using Pilex ointment and tablets can help in healing the anal fissure. The ointment will not only provide relief from burning sensation and pain but also aid in the healing process. If you experience more burning sensation with Pilex ointment, you can switch to using coconut oil. Coconut oil has soothing properties and can also help in healing the fissure. Apply a small amount of coconut oil to the affected area for relief and healing.

Dr. Chandra Suggests...

Consult a Colorectal Surgeon

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Answered 04/07/2025

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I've been dealing with this small lump about the size of a pea near my anus for months. After I have a bowel movement, it gets bigger and really painful, and I'm also dealing with constipation. I've seen a couple of doctors, and one said it's an anal abscess and gave me meds, but there's been no change. Another doctor gave me different meds that were supposed to be more effective, but no luck there either. I did some reading online and found information on hemorrhoids, so now I'm not sure if it's an anal abscess or hemorrhoids. I read abscesses can be caused by anal sex, but I've never had anal intercourse. I'm really confused and could use some advice on what this might be. Can you help me figure it out?

If it was abscess, then it should have been investigated further. Many times, abscess require surgical drainage. I would suggest you get it checked out by a general surgeon in person for further evaluation and management.

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Can eating chapati or fish affect a fissure? I'm really worried about what foods might irritate it more or slow down healing. What should I avoid or include in my diet to help it improve?

yes,

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