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I have a burning sensation at the anus and frequently

Customer Question
I have a burning...

I have a burning sensation at the anus and frequently experience hard stools. How should I treat this ?

Doctor's Assistant: How long have you been dealing with the burning? Are you experiencing any other discomfort?

About 10 days, and have no other symptoms or discomfort

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

YES, for about two months I have excessive and unusual amount of gas for at least a month

Submitted: 7 months ago.Category: Medical
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Answered in 5 minutes by:
1/5/2018
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,118
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Answers here are for education and information.
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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Your symptoms are suggestive of anal fissure which is treated by warm sitz bath, avoiding straining, keeping the stools soft and local application of the ointment like Lidocaine. Following is the detailed advisory;

1) Avoid constipation by not postponing the urge to defecate; Many over-the-counter options helps speed bowel movements and decrease straining. Duphalac is best. A soft stool helps in decreasing the irritation and associated burning of anal fissure.

2) Eat a balanced, high-fiber diet; Increased dietary fiber of 25-30 grams / day. High fiber cereal can help reach this goal quickly.

3) Drink plenty of water and liquids (about 2 liters a day)

4) Regular exercise; this helps in relieving constipation / hard stool.

5) Avoid excessive pressure and straining during defecation. Don't sit for extended periods, limit this time as much as possible.

6) Avoid irritant foods, chillies and hot herbs and substances.

7) Warm sitz baths; this is universally soothing for burning. This is done thrice a day for couple of days and then twice a day (15 minutes each time).

8) Local ointments applied in anal canal which contain xylocaine and vasconstrictors (OTC product).

For excessive gas, following would be helpful;

1) Avoid

a) Cabbage

b) Beer

c) Legumes

d) Cheese

e) Beans

2) This may help;

a) Bismuth subsalicylate

b) Activated charcoal

c) Simethicone; (Maalox, Mylanta); Simethicone causes gas bubbles to break up.

d) Beano; contains an enzyme (alpha-galactosidase), which helps to breakdown certain complex carbohydrates.

All are available without prescription.

Avoid foods that appear to aggravate symptoms. These may include milk and dairy products, certain fruits or vegetables, whole grains, artificial sweeteners etc. But this is based on the personal observation for the aggravating food.

Discontinue the following if you do them;

1) gum chewing,

2) smoking,

3) drinking carbonated beverages, and

4) gulping food and liquids.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

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