Is It Normal to See White Residue After Using Anal Fissure Cream? - Surgery

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Anal fissure ointment


Hello doctor, I recently discovered a fissure during a check-up.
I applied a soft ointment for hemorrhoids yesterday, and today I noticed some white substance in my stool.
Is this a normal phenomenon?

Xianxian, 20~29 year old female. Ask Date: 2017/12/03

Dr. Ke Fangxu reply Surgery


This is normal and is likely due to the petroleum jelly component in the ointment, which, combined with friction, can appear white.

Reply Date: 2017/12/03

More Info


When using topical treatments for anal fissures, such as the cream you mentioned, it is not uncommon to observe a white residue after application. This can be attributed to several factors related to the formulation of the cream and the healing process of the fissure itself.

Firstly, many creams designed for treating anal fissures contain ingredients that can create a barrier on the skin. These ingredients may include zinc oxide, petroleum jelly, or other emollients that help to soothe the area and promote healing. When these creams are applied, they can leave a residue that may appear white or chalky, especially after a bowel movement. This is generally normal and indicates that the cream is still present in the area, providing ongoing protection and moisture.

Moreover, the presence of a white residue can also be a sign that the cream is not fully absorbed into the skin. This can happen if the cream is applied in excess or if the skin is particularly dry. It is essential to apply the cream as directed by your healthcare provider, using only the recommended amount to avoid excessive buildup.

In terms of the healing process, anal fissures can be painful and may take time to heal. The white residue could also be a result of the healing tissue or any discharge that may occur as the fissure begins to heal. It is crucial to maintain proper hygiene in the area and to follow any additional recommendations provided by your healthcare provider, such as dietary changes to ensure softer stools, which can help reduce strain during bowel movements.

If you notice any unusual symptoms, such as increased pain, bleeding, or signs of infection (like pus or a foul odor), it is essential to contact your healthcare provider for further evaluation. They may need to reassess your treatment plan or consider alternative therapies if necessary.

In summary, seeing a white residue after using anal fissure cream is generally normal and can be attributed to the cream's formulation and the healing process of the fissure. However, if you have concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for guidance. They can provide personalized advice based on your specific situation and ensure that you are on the right path to recovery.

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