Has anybody suffered with anal fishers or splitting due to being constipated. I suffered in the past with it and ended up having to go into hospital for to have an anal abscess cut and left open to heal from the inside out. Now I am having same problem again after getting constipated again. Sore bottom all the time. Been to the doctors and I seem to be getting know were. They just keep prescribing ointment which is not working and I have a problem with being damp at my back passage which means I have to put a sterile dressing in to wick away dampness.
Any help would be appreciated.
Regards Kingfisher 0101
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Kingfisher0101
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Welcome Kingfisher, sorry to hear you are struggling, yes I have had anal fissures too. Not as bad as yours, but usually for me it is mechanical damage when passing a large stool. It is very sore, but an antiseptic cream usually works for me. Normally I have the opposite problem, D, but if I take Loperamide, it can sometimes slow me down enough to end up with a small fissure. Have you tried anything for your C? Some people find magnesium works. Other people on here seem to get relief by eating a couple of kiwi fruits a day. I suppose you need to find what works for you.
My diet is quite good I eat plenty of fruit including kiwi every day. Drink about two ltrs of water a day. I have to take fybor gel and small amount of lactalose a day to be able to go to toilet without pain. Doctor has me on antibiotics the now for seeping which is possible anal ulcer again. I did have constipation after a barbecue the following day and it hurt me when I went to toilet resulting in me bleeding then ended up with piles. What I am left with now is burning and rawness around anus possibly because of being wet down there with seeping.
I have had severe constipation since I was born and been on medication for it almost as long too. I had a fissure which started about 2001 ( I was aged 33 at this point) and I was in agony for almost three years. I saw lots of NHS consultants and none of them helped me. Eventually I went private and a wonderful man sorted me out- I had a sphincterotomy operation because my sphincter muscle was too tight and I have never had fissure problems since, although my constipation remains the same and I know I will be on medication for that for the rest of my life. Could you get your doctor to refer you to a consultant in these matters?
Thanks for reply. This has been going on that long over my adult life it’s like part of my life now. The anal fisher keeps opening up after I have hard stools. The last time this happened years ago I had to have operation for anal ulcer as it kept weeping which meant I had to have a gauze between my bottom to wick away fluid. You talk about sphincterotomy operation what was involved in that.
Hi, I’m sorry to hear of the struggles you have had- where do you live? Healthcare varies so much depending on your location I find. The operation I had was only small, I can’t believe the huge difference it made to my life. I had sphincter tests ( balloons of air/water inserted into rectum to see how much you could tolerate before your sphincter expelled them) and I was told they had never seen anyone who could ‘hold so much’ without expelling before. Mr Shorthouse said my sphincter muscle was so tight it was pulling the skin thus stopping the fissure healing. I believe the op just cut the sphincter muscle to stop it being so tight. I just had a small hole in one of my bottom cheeks when it was over ( I think that was where the camera went, I think the tool which made the incision went in through my anus). The fissure was also ‘tidied up’ and it then healed on its own. I felt much better immediately after the op and went home the next day. This was about 16-17 years ago now and I’ve never had a fissure since. If you think this may be an option for you, I think the first thing you would need to ask for is the sphincter measure tests. Good luck 👍
I think that could be the case as when everything is soft and moving I did not have any issues. It was only after constipation I started having this issue again. Thanks
I have prolapsed bowel too. Currently my medications are 2 x Prucalopride ( Reselor) plus 2 x bisacodyl every night before bed. I had surgery on my shoulder in November 2019 and I’ve had to take some pain killers since for it, which has enhanced the constipation so I had to self-increase the bisacodyl to three tablets daily ( increasing the prucalopride made no difference). I see my gastro consultant Wednesday so he may well change my medication then but I’ve pretty much worked through all the different meds during my 52 years on this planet, unless he’s got a new one for me to try. He told me that prucalopride only tends to work for 12-18 months before your body gets used to it but I have been on it for 30+ months now. Good luck getting the right treatment 👍
I have heard that botox anal injections may help. This can be done on the NHS and does help.
I have been getting them since having piles removed some years ago. Initially through the operation I was a big AH and when the healling was done I became a small AH. Some say I'm still an AH anyway you look at it! The reality is that constipation is the cause and it is desirable to ensure this does not get too bad. So I use not quite ripe/green fresh fruit and during the summer months I drink more water and take a laxative each day when doing heavy physical work. I eat canned peaches as an alternative from time to time. Never found prunes did anything for me though. Basically I keep the rouffage and fluid intake up as much as possible. I have had the problem long enough to know when I'm likely to require taking preventative measures and do so as the alternative is very uncomfortable.
Looks like you have had similar issues to me. Yes I would say before constipation I was ok it’s just keeping everything moving nice and easy to stop fishers from coming back. Everything you are eating is similar to what I am eating now which does help.
Regards. Kingfisher0101
It is difficult for people to understand such health problems until they have to deal with such things themselves, including medical staff. I basically have had to sort it myself. Who ever came up with the term "you are what you eat" got it right.
Mushroom omelet can get me close and definitely does with my wife, depends on the amount of mushroom in the omelet, usually 4 medium button mushrooms to 6 eggs.
Did you ever have issues with really itchy anus and being very hot as well when you were sitting down. I am having to some times sit on a gel cushion which takes the heat out of my bottom which easies the itching. Because ones you start to scratch you don’t want to stop.
Absolutely, a pain in the butt! At times I wanted to rip my AH out. A bit like lemon juice in a cut finger.
I used hand moisturiser to get through those days. Stopped the air and anything else getting to it while sooooothing the hole, sorry, whole problem.
I find if I can't laugh at my problems I can only get bitter and twisted over them. Easy for me to say in hindsight!
Most definitely no joke at the time. Never had the internet in those days and no body I knew talked of such things until some brave sole spoke up first. So it never happened.
I got fed up with Dr's feeding me more and more medications that made me feel like crap each day and those that told me I had to live with it, BS to them all.
I choose to go as hard as I can for as long as I can in life. Definitely no puns intended there. Hard being relative to my retired lifestyle.
Yes I will have some downsides eventually, but the upsides for now are a hell of a lot more fun than I was having.
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Is this IBS/Collitis or something else? 
Anal Fissure the cause?
Anal fissure
Anal probz
