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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 10341
Experience:  14 years as clinician in the field of Family Practice
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Every time i have a bowel movement during it feels like

Customer Question

every time i have a bowel movement during it feels like things are tearing. i know i have hemorrhoids from a previous dr appt. i just recently had a son in march and had a 3rd degree tear. i have been using prep H suppositories and taking more fiber. it was better for about a week and then all the sudden its back and i dont know what to do
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: no i cant really afford a doctor appt. and only fiber and the prep h
JA: Anything else in your medical history you think the doctor should know?
Customer: no not that i know of
Submitted: 1 year ago.
Category: Health
Expert:  Anthony Bray, MD replied 1 year ago.

Hello !

It could be pain related to an anal fissure or could be due to hemorrhoids ...

I agree with your measures ...PREP H is fine ( Vaseline similar idea apply to a bonus daily for 2 weeks to promote prtection and healing )

Stool softener daily may reduce friction of BM to lower rectum or anus

Regimen daily if option 1 Surfak 260mg capsule is over the counter

Option 2 generic docusate 100mg capsules >> 2 caplets daily

Option 3 -- Mineral oil 1 tablespoon daily

The soluble fiber is fine too to help keep regular BMs ( Metamucil for example helps to keep it as middle of road daily ) ok to use Stool softener plus Metamucil ...

If pain or rectal bleeding should be ongoing then I would advise that you consider be checked by a general surgeon ( that specialist actually deals most frequently with this issue )

I hope that this information is helpful for you

Let me know if you have further questions or concerns

I will be happy to get back with you

If my answer has been helpful and to your satisfaction then please remember to leave positive feedback

Thank you and Best Regards,

Anthony Bray MD

Customer: replied 1 year ago.
do you think i should just give in and go to the dr. office
Expert:  Anthony Bray, MD replied 1 year ago.

That would be fine -- Yes ...get it checked and go from there I agree would be most prudent and my opinion best way to proceed ...

I hope that you feel better soon!

Best regards!

Anthony Bray MD