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Hi. I have always suffered from anal fissure and used apple cider vinegar and nitroglycerin paste. But it's not helping this time. Please help. I have attached a photo of the condition. Should I start antibiotic.

Category: General Surgeon

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Category: Pediatric Surgeon
 30 Doctors Online

Thank you for your query at
I saw the picture and it appears like internal haemorrhoids.
Fissure is a crack like condition inside the Anal canal. It causes pain while passing stool and bleeding sometimes. As it is inside, it cannot be seen clearly.
In haemorrhoids, there will be more bleeding.
Please consult a surgeon in person to have it checked. Please confirm whether it is a Fissure in ano or haemorrhoids or combination of both.
Your stool should be soft. For this you should take high fiber diet, drink plenty of liquids, eat fresh fruits and vegetables.
There is no role of antibiotic since there is no infection involved.
You should take stool softener solution like Lactulose or Sodium picosulphate in the night at bed time.
If there is no response to above measures, Surgery has to be done.
Nothing to worry.
Hope I answered your query.
If you have any questions, I will clarify further.
Wish you good health and speedy recovery.

Dr. Hari Charan Perigela
Category: Pediatric Surgeon
Fellowship: DNB, General Surgery, National Board of Examinations, New Delhi, 2001
Residency: MS, General Surgery, Sri Venkateswara Medical College,Tirupathi, 2000
Medical School: MBBS, Kurnool Medical college, 1995
Dr. Hari Charan Perigela and 4 other Medical Specialists are ready to help you

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