Hard Stools: When to Use Fucidin and Toilet Tips

Please ask your question?

Hello Dr.
Hong, I would like to ask you a question.
It seems that I have been drinking less water lately, and my stools have been harder, which might have caused some minor skin irritation.
Although there is no bleeding, I feel a bit of a sting when using the bidet, so I am hesitant to use it for now.
I would like to know if I should apply Fucidin in this situation.
I had a similar issue before where there was a little bit of bleeding, and I thought it was hemorrhoids, but after seeing a doctor, he said it wasn't and just prescribed me a topical ointment.
My family suggested using a tetracycline eye ointment, but I am unsure about its ingredients, so I wanted to consult you.
Thank you.
Additionally, should I avoid using the bidet function for now, and would drinking more water help?

Tong, 20~29 year old female. Ask Date: 2021/03/29

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Fucidin and tetracycline are both antibiotic ointments that can be used for the skin condition you described.

2.
This is likely caused by constipation and should not be related to the use of a bidet.

3.
The causes of constipation are usually due to insufficient vegetable intake combined with a lack of exercise, so it is recommended to eat more vegetables, exercise regularly, and maintain a consistent routine, which should help improve the situation.

Thank you for your question.

Reply Date: 2021/03/29

More Info

Dear Patient,
Thank you for your inquiry regarding your current situation with hard stools and the potential use of Fucidin. It’s important to address both your concerns about bowel movements and the appropriate use of topical medications.

Understanding Hard Stools and Their Effects
Hard stools can often result from insufficient fluid intake, dietary choices, or a lack of fiber in your diet. When stools are hard, they can cause discomfort during bowel movements, leading to potential issues such as anal fissures or minor skin irritations around the anal area. The sensation of "stinging" you described when using a bidet may indicate that there is some irritation or minor injury to the skin, even if there is no visible bleeding.

When to Use Fucidin
Fucidin (fusidic acid) is a topical antibiotic that is primarily used to treat bacterial skin infections. It is effective against certain types of bacteria, particularly Staphylococcus aureus. If you suspect that the irritation around your anal area is due to a bacterial infection, or if you notice any signs of infection (such as increased redness, swelling, or pus), then applying Fucidin may be appropriate. However, if the irritation is simply due to friction or minor skin damage from hard stools, Fucidin may not be necessary.
In your case, since you mentioned that there is no bleeding and only a sensation of discomfort, it might be more beneficial to focus on soothing the area rather than applying an antibiotic ointment. Over-the-counter hydrocortisone cream can help reduce inflammation and discomfort, but it’s always best to consult with a healthcare provider before starting any new treatment.

Recommendations for Managing Hard Stools
1. Increase Fluid Intake: Drinking more water is crucial. Aim for at least 8-10 glasses of water a day. Proper hydration helps soften stools and makes them easier to pass.

2. Dietary Adjustments: Incorporate more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes. Fiber adds bulk to the stool and can help prevent constipation.

3. Avoid Straining: When using the toilet, try to relax and avoid straining. Straining can exacerbate any irritation and lead to further complications.

4. Use of Bidet: If using the bidet causes discomfort, it may be wise to avoid it until the irritation subsides. Instead, consider using gentle wipes or a soft cloth to clean the area.

5. Over-the-Counter Remedies: If you continue to experience hard stools, consider using a stool softener or a mild laxative, but consult with your healthcare provider before starting any new medication.

6. Monitor Symptoms: Keep an eye on your symptoms. If the irritation worsens, or if you develop any signs of infection, it’s important to seek medical attention.

Conclusion
In summary, while Fucidin can be useful for treating bacterial infections, it may not be necessary for your current situation unless there are signs of infection. Focus on hydration, dietary changes, and gentle care of the affected area. If symptoms persist or worsen, please consult your healthcare provider for further evaluation and treatment options.

Take care, and I hope you find relief soon.

Best regards,
Doctor Q&A Teams

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