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hi I just delivered on 8/06/2013 n was blessed by a baby boy.my stiches have been dissolved but there is still sensitivity and also some times itchy I was given silverex ionic 2% gel silver nitrate can I still continue putting that any side effects also I had got constipated after 2 weeks after my delivery n because of the force that was put I have got cuts in my rectum because of which its difficult for to sit stand and even sleep at times.its been more then a week now.can u please sub crib something for the cut and pain I'm breast feeding also now I get motions properly but after that I get lots of pain. please help

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2 Answers

Dr. Puneet Madan answered : 12 years ago

Hi,

Are you sure you were given silverex ionic 2% gel over your vaginal area for the itching you had ?
I don't think there is any need or use of silverex,kindly confirm me whether you are using silverex ointment only ?
Are you facing any other difficulty expect for itching in your vaginal area or may the area where you must have got your stiches ?
For pain in perianal area you just have to use stool softners and have a diet rich in fibers like papaya and other fiber rich fruits and similarly vegetables.
Stool softner like syrup lactulose can be given for 2tsf in night time for 3 days.
For long rung high fiber diet will only help.

Patient asked followup Question: 12 years ago

Thanks for ur valuable suggestion,I am passing stools not soft not hard as well but the thing is I have a cut in the rectum that hurts every time I pass stools n then that pain is there for hours.can u suggest some cream please. N that syrup that u suggested is that OK when breast feeding.

Dr. Puneet Madan answered : 12 years ago

Hi,

Yes that is why i prescribed you with syrup lactulose so that you pass a litlle soft stools and if there is any fissure in rectum that gets time to heal up and yes that syrup is fine when you are lactating.
But that should be taken for not more than seven days and also you should take high fiber rich diet.
You can also be prescribed for local anaesthetic gel for local application around rectum area if the pain is so much but the syrup i prescribed should be more than enough.

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