Chronic anal fissure is killing me

[Gabe1982]

Hi and thank you for taking the time to read my post

Suffering right now like mad guys.

Don't know why it started.

My problem is that I never was constipated. I was doing gym and having a diet with lots of fruit and vegetables. Going to the toilet doesn't give me any pain. Its the afterwards that kills me. A sharp pain and burning up to 10 hours. Doctor told me its a fissure

Also the muscles around-the- area tend to become so tense the pain gets so bad. I'm taking cicatridine suppositery and rectogesic cream.

So the cream relaxes the muscles and the supportery should work on the cut.

7 days gone, 3 times went to the toilet. I love food and started to refusing it as the pain gets excruciating. Wished death upon me twice already. Before starting the cure I am now ended up on the floor and I couldn't breathe or move. Surviving on soup at lunch and a slice of bread at dinner. Sometimes I skip it. Especially now with the covid its impossible to stand in line at the supermarket. Never felt so low in my life. If I don't go to the toilet the pain is bearable with sits baths. Or water bottles. Dreading tomorrow as I know I'll have to go. Surgery is out of the question at the minute but I would do it right now to just go back to my normal life

[Galen70]

nhs.uk/conditions/anal-fiss...

If the pain is this severe, and the rectogesic isnt helping enough, you may need to go back to the GP. Was this a phone or video consult ? were you examined ?

[Gabe1982 in reply to Galen70]

Phone call, done a research on my own once the pain was really at the highest pick. And told her I wanted to try that cream. She said yes. Pain still there but it did calmed down a bit

[Galen70 in reply to Gabe1982]

May I ask if you are a gay man, or had any recent unprotected anal sex ( receptive ) ?

is the skin outside the anus intact ?

[Gabe1982 in reply to Galen70]

Yes I am, same partner for years

[Galen70 in reply to Gabe1982]

is the skin intact outside the anus ?

[Gabe1982 in reply to Galen70]

Honesty don't know Can't seem to feel anything wrong. Although before the covid the doctor examined me and with her finger managed to tell me that the fissure was a problem. . When I put the cream on I do it all of inside and outside as well. Started using sudo cream in the afternoon as it seems its getting better

[Galen70 in reply to Gabe1982]

If it is improving with treatment, then it may just take time. If the pain is very severe and really causing you problems , sexual health services are still seeing emergencies, call your local unit. They dont stock other medicines like diltiazem cream, but may be able to give you an outside prescription for it. Mainly it would be to exclude other potential causes like herpes simplex, which can cause a very severe proctitis ( inflammation in the bum ) and which can occur even in monogamous relationships. Also perianal bacterial abscesses which can be acutely painful. However if your symptoms have lasted for weeks rather than days, this is highly unlikely ( for herpes )

[Gabe1982 in reply to Galen70]

Thank you so much for your suggestions first of all. Have been diagnosed with fissure since last July, was supposed to have surgery but they cooked it for December 22. I'm a chef and had a work place fully booked for Christmas day. So had to cancel for work. Using just cicatridina suppositeries healed bit and now exploded again with two massive hemorrhoids. Got nearly rid of them with proctosedyl and now working with the fissure. Fingers crossed. Today had a bowel movement and the pain mild to medium appeared after 3 hours. That's a record

[Galen70 in reply to Gabe1982]

thats great and well done on treating yourself. If it has been there for that period of time you may indeed require surgery if failing to clear with topical therapies. Make sure you are back on the waiting list via Gp referral.

[Gabe1982 in reply to Galen70]

Thank you

[Galen70 in reply to Gabe1982]

you are most welcome

[Hidden]

Have you tried diltiazem cream? This is used to help - it aids the healing of the fissure. Ask your doctor. Good luck.

[Helpfulideas]

have literally tried everything except surgery for Reoccurring fissure.. The pain has been unrelenting for almost 2 years. I wanted to pass this on as I know that any relief or ideas are appreciated!!!

As of a month ago I tried Aztec Secret Indian Healing Clay

100% Natural Calcium Bentonite Clay that’s great for facials, body wraps, clay baths, foot soaks, hair masks, chilled clay knee packs, insect bites & more

Can buy it from Amazon. You can mix with apple cider vinegar and put directly on the area, soak in it or I even read make suppositories with it. This is the only thing that I can attribute to long stretches of relief and not retearing.

I know we're all different, but I had to share as this is such a painful and debilitating at times problem.

[gazaeee]

Hi everyone.

I've had a fissure for years. Sometimes I don't notice it and at other times I feel this heavy uncomfortable pressure down there that doesn't go away. It is re-occurring and what seems to trigger it is a dry stool. More often then not it seems to be the first 10-20% of my stools that can be dry which gives a fair bit of pain to push out and then my soft stools are fine.

Problem is that the dry/hard part does the damage. I usually go once each morning but once the dry stools come along the bleeding and soreness starts all over again.

I haven't taken anything for it but the doctors just prescribed me some cream (Gryceryl Trinitrate) and something for constipation (Macrogol compound) although I'm not sure you'd classify what I have as constipation. My stools are soft but it seems If I do not completely empty, whatever is left, drys out and is the cause of problems the following day!

Any advice would be most welcome as it happens quite regularly.

[ShivaDas]

Hi. I am suffering from the exact same problem. I get fissures frequently because the initial part of my stools are as hard as rock sometimes and difficult to pass. If I strain hard to pass them they cause a tear in the anal wall with bleeding leading to a fissure. I too cannot call it constipation because the rest of the stools are soft. I tried various kinds of diets and remedies to no effect. I found out that this happens for no rhyme or reason and cannot be related to anything I do or eat. The closest word to describe it is fecal impaction but I am not sure.

My workaround for this nasty problem is to use an enema bulb whenever I feel it is too hard to pass or when I have a fissure. Fill the bulb with tap water or luke warm water and inject in the rectum. Better do this when you don't have an immediate urge or wait for the urge to subside and then inject. You can use a lubricating ointment on the nozzle and also on the anal wall if you prefer. After this you will have a strong urge in a few minutes. Now release slowly, let a little water out first (not all) and then release completely. The hard part will pass out easily along with the rest of the water either in one piece or in bits.

If you happen to develop that fissure again, you can try applying Vicco Turmeric ointment sprinkled with turmeric root powder on the anal walls after defecation. I do this every time I have a fissure and it heals within a week. I also take B complex capsules with vitamin C during this period.

Do let me know how this goes and also if you find a better or permanent solution.

The following are the links to the items mentioned, though you can source them or similar items from anyplace else that is more convenient:

amazon.com/Clear-Non-Toxic-...

amazon.com/Vicco-Turmeric-C...

amazon.com/Sunfood-Turmeric...

amazon.com/Natures-Bounty-S...

[digar]

Have you had bloody stools? I have them for months now and I’m getting super worried.

[Hate-this-pain]

Hi, how did you end up with the pain? It was like talking about me. How long after that you got healed? And how..thanks