Gastrointestinal

Anal Fissure

بادی بواسیر

Painful defecation with bleeding per rectum after a history of constipation. Per rectal examination (PRE) is contraindicated.

Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.

Symptoms

Step 1 of 4

Fruit (guava and pomegranate with seeds), salad and cucumber as a compulsory part of the diet; melon and watermelon
Drink more water; exercise
Avoid oily things and bakery products

Step 2 of 4

Prescription

LactuloseOsmotic laxative / stool softener

Doseas per laxative dose

Brand Duphalac

Also sold as Duphalac, Lilac

Dose2+2+2 tsf (morning, noon, evening)

Brand Syp Cremaffin

Step 3 of 4

GTN cream + Xylodid ointment, mixed in equal quantity and applied (per the Urdu note)
GTN = glyceryl trinitrate (vasodilator); Xylodid = xylocaine (topical anaesthetic)

Prescription

DoseEqual quantities mixed and applied

Brand GTN cream + Xylodid ointment

Also sold as GTN cream, Xylodid ointment

Step 4 of 4

Prescription

Dose1+1 (sample: 1 as needed for pain)

Brand Tab Voren 50 mg

Also sold as Voren, Diclo, Dicloran

Male, 25 y, painful defecation for 3 days, bleeding per rectum for one day: GTN cream + Xylodid ointment mixed in equal quantity and applied; Syp Cremaffin 2+2+2 tsf; Tab Voren 50 mg 1 in case of pain. Eat guava and pomegranate with seeds; salad and cucumber compulsory; melon and watermelon; drink more water; exercise; avoid oily things and bakery products.