A new question is answered every 9 seconds

Anal fissure and constipation caused flat deformed stool

Resolved Question:

My fiance is suffering from an anal fissure and constipation that comes and goes. This morning sh gave herself an enema that produced an incredibly irregular shaped stool, very flat and compacted. I have a picture?

Category: Family Physician-GP

Ask Your Own Question

Category: Family Physician-GP
Dr. Mayank Bhargava is online now

Expert:  Dr. Mayank Bhargava replied 4 Days.

Welcome to Doctor Spring Forum.

Let me know the associated details along with mentioned.
Is she suffering from constipation since long time?
Does she has abdominal discomfort/ abdominal heaviness/ excessive flatulence?

With the available details and uploaded pictures, it can be concluded that deformed stool
shape is due to persistent constipation with anal fissure.
Pain while passing stool due to existent anal fissure may cause spasm of anal sphincter with
deformed stools.

Picture also showed dark colored stool which also signify persistent constipation.Persistent constipation could be due to decreased gastrointestinal motility, decreased fibre
intake, decreased water intake.

She should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.She should also go for complete blood count, thyroid profile, blood sugar, serum calcium and xray abdomen.

She should take plenty of water, increased physical activity (daily walk > 5 KM per day enhances gastrointestinal motility), high fibre diet.
She should apply Diltiazem ointment at anus under guidance of treating doctor.She should also take hot sitz bath (helps in relaxation of anal sphincter), and laxative (helps in easy passage of stools and recovery).

Take care,
Let me know your other queries.
Get well soon,
Dr. Mayank Bhargava

Patient replied :

Thank you Doctor.
She has been constipated on and off for seven months, it started after a colonoscopy.
Yes with abdominal pain and heaviness and a feeling her buttocks are being pulled apart. No excessive flatulence.
Severe pain comes on rapidly, yesterday she had a pain free period of two hours then her stomach started hurting and immediately went to her buttocks, rectum/anus. her buttocks cannot be touched when the pain is at it's worse.
She takes two sitz baths per day but has stopped this weekend because it is so hard to sit. Applys the ointment twice per day. Physical activity is next to zero the past few weeks because of pain.
Thank you so much for your answer, we are going to emergency today to have this looked at again.
Best regards,

Expert:  Dr. Mayank Bhargava replied 3 Days.

She should perform increased physical activity, increased water intake and high fibre intake as I have already advised.
She should also start hot sitz bath, and apply Diltiazem ointment.

Get well soon,
Dr. Mayank Bhargava

Dr. Mayank Bhargava
Category: Family Physician-GP
Fellowship: Gastroenterology, Chotiram Hospital & Research centre, Indore, 2009
Residency: General Medicine, Rajasthan University Jaipur, 2008
Medical School:  MBBS, Rajasthan University Jaipur, 2004
Dr. Mayank Bhargava and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.

Specialists from
UK, US, Ind,
Aus & NZ

48000+ consults
in 2015

98.1% Satisfied

100% Satisfaction

How it works

  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News


Make informed and better medical decisions.

Close x

Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.