Medications for anal fissures?
A doctor in Taiwan diagnosed me with anal fissure.
A doctor in the United States prescribed a topical ointment called Rective.
I'm wondering if there is a similar ointment with the same ingredients available in Taiwan?
Josephine, 40~49 year old female. Ask Date: 2016/10/19
Dr. Ke Fangxu reply Surgery
Due to the annual reduction of drug prices by the National Health Insurance Administration, there are currently only about 4-5 types of hemorrhoid ointments covered by health insurance in the country.
I couldn't find any relevant information on the ointment you mentioned (perhaps it was misspelled?), so I cannot provide details about its ingredients or confirm if there are any ointments with the same components.
However, there are certainly ointments that local physicians commonly prescribe, and if you are not accustomed to them, you may have to bring alternatives from abroad.
Reply Date: 2016/10/19
More Info
When dealing with anal fissures, it's essential to find effective treatments that can alleviate pain and promote healing. In the United States, medications like Rective ointment are commonly prescribed for this condition. However, if you are in Taiwan and have been diagnosed with an anal fissure, you may be wondering about the availability of similar ointments or treatments.
Firstly, it's important to understand that anal fissures are small tears in the lining of the anus, which can cause significant discomfort, especially during bowel movements. Treatment typically focuses on relieving pain, promoting healing, and preventing constipation. Common treatments include topical anesthetics, stool softeners, and in some cases, prescription ointments that may contain ingredients like nitroglycerin or calcium channel blockers to help relax the anal sphincter and improve blood flow to the area.
In Taiwan, while specific brand names may differ, there are several alternatives that can be considered. For instance, ointments containing lidocaine or other local anesthetics can provide temporary relief from pain. Additionally, products like hydrocortisone cream may help reduce inflammation and promote healing. It's also worth noting that some over-the-counter products designed for hemorrhoids may contain similar active ingredients that can be beneficial for anal fissures.
Since you mentioned that your doctor in the U.S. prescribed Rective, it would be prudent to consult with a healthcare professional in Taiwan. They can evaluate your condition and recommend appropriate treatments available locally. They may also suggest lifestyle modifications, such as increasing fiber intake, staying hydrated, and using stool softeners to prevent straining during bowel movements, which can exacerbate fissures.
If you are looking for specific ointments, it may be helpful to inquire about products like "XYLMOL OINTMENT," which has been mentioned as a suitable alternative for similar conditions. However, always ensure that any medication you consider is approved and recommended by a healthcare provider.
In conclusion, while Rective may not be available in Taiwan, there are various alternatives that can be effective in treating anal fissures. Consulting with a local physician will provide you with the best guidance tailored to your specific needs and ensure that you receive the most appropriate care for your condition. Remember, managing an anal fissure often requires a multifaceted approach, including both topical treatments and lifestyle changes, to promote healing and prevent recurrence.
Similar Q&A
Understanding Anal Fissures: Symptoms, Treatments, and Management
Hello Doctor: Since late April to early May, after experiencing diarrhea, I began to have issues with anal fissures. Initially, the pain was very severe, and about a week later, I visited a clinic for treatment. After applying medication for about a week, I felt no discomfort. Ho...
Dr. Ke Fangxu reply Surgery
1. If the stool is hard, experiencing pain during bowel movements is a normal phenomenon and does not necessarily indicate an anal fissure. 2. If it is a self-paid purchase, I believe it is unnecessary because flavonoids are classified as food products and have not received medi...[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Management
Effective Over-the-Counter Ointments for Treating Anal Fissures
Hello Dr. Ke: I have already been to the hospital for examination, and the doctor diagnosed me with an anal fissure. However, the clinic provided a compounded medication rather than a complete ointment. I have been applying it for several days, but my condition has not improved. ...
Dr. Ke Fangxu reply Surgery
Hello: In response to your question, the treatment for anal fissures generally shows that suppositories are more effective than ointments. Over-the-counter hemorrhoid suppositories are commonly used. However, improving bowel habits and taking warm sitz baths can also be beneficia...[Read More] Effective Over-the-Counter Ointments for Treating Anal Fissures
Managing Anal Fissures: Effective Use of Topical Treatments
Hello, Dr. Ko. Since July of this year, I have been experiencing pain and bleeding during bowel movements, with symptoms that fluctuate. There is a swollen, yellowish lump outside my anus. Initially, I thought it was hemorrhoids, and in August, I purchased a suppository from Take...
Dr. Ke Fangxu reply Surgery
1 & 2. The main function of this ointment is the petroleum jelly component, which serves as a lubricant. Since petroleum jelly is not classified as a medication, this ointment is eligible for health insurance coverage. Therefore, either option can be applied. 3. It is accepta...[Read More] Managing Anal Fissures: Effective Use of Topical Treatments
Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Hello Dr. Ke: A month ago, I inquired and returned for a follow-up with the doctor. The situation is that I have applied two different ointments. The first one is Yizhi Kang, which causes itching when applied to the anal area, so I had to stop using it. The second one is Xiyu Zhi...
Dr. Ke Fangxu reply Surgery
1. It is personally not recommended to apply irritating ointments, as I have not heard of any evidence suggesting that irritating a wound can aid in healing. 2. If only a sphincterotomy is performed, then the skin will not be excised. 3. A sphincterotomy involves making a small...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Related FAQ
(Surgery)
Post-Anal Fissure Surgery(Surgery)
Chronic Anal Fissure(Surgery)
Anal Fissure(Gastroenterology and Hepatology)
Hemorrhoid Ointment(Surgery)
Anal Itching(Surgery)
Anal Sex(Surgery)
Post-Anal Fistula Surgery(Surgery)
Anal Papilloma(Surgery)
Anal Bleeding(Surgery)