Discussions By Condition: Anal/Rectal Conditions

I need some information about Anal Fissure

Posted In: Anal/Rectal Conditions 16 Replies
  • Posted By: laowai
  • October 9, 2006
  • 08:19 PM

Hi guys. I discovered on 2nd September that i had Anal Fissure. I had treatment for that fissure for some days & it was fine.Yesterday i again had some blood on my clothes. I wanna ask that is it compulsory for me to undergo the surgery for Anal Fissure?
Secondly i wanna ask about the procedure of surgery. Will they make the patients Sleepy(senseless) by giving anesthesia/chloroform or they just make the infected part senseless & do the operation? Thanks :)

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16 Replies:

  • Before you go having some surgery, try some Tinactin athletes foot cream. I have had anal fissures for years until I did a search and read that some people had used Tinactin with success. I went to Walgreens right then and bought some. In 24 hours, I was pain free. They haven't come back either. Maybe anal fissures are athletes butt? Who knows. All I know is that the Tinactin worked great! A lot better than creams my doctor was prescribing. A tube of Tinactin is about $8. Can't hurt to give it a shot!
    KC10Chief 1 Replies
    • October 23, 2006
    • 00:17 PM
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  • Before you go having some surgery, try some Tinactin athletes foot cream. I have had anal fissures for years until I did a search and read that some people had used Tinactin with success. I went to Walgreens right then and bought some. In 24 hours, I was pain free. They haven't come back either. Maybe anal fissures are athletes butt? Who knows. All I know is that the Tinactin worked great! A lot better than creams my doctor was prescribing. A tube of Tinactin is about $8. Can't hurt to give it a shot!thanks for the reply. my anal fissure is a lot better now but now i have a new problem. My stool is hard like rock & i feel severe pain during passing out of stool. any advice???:)
    laowai 1 Replies
    • October 23, 2006
    • 01:36 PM
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  • I have had AF for over 6 years, you need to seriously look at your diet and ensure your BM's are soft and fluffy.. I tried.. to manage it for years with diet and creams and fibre supps, but to no avail, i had surgery 2 weeks ago and have found great improvement.for more info, pls check out my AF specific group: http://www.analfissure.editboard.com/ goodluck
    kegggy 3 Replies
    • November 8, 2006
    • 00:40 AM
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  • hi,i had surgery for anal fissure in feb 2006 and it was the best thing i ever did.i had the fissure for about 10 years-it was agony.You have the operation done under a general anaesthetic as it would be too painful to be done whilst awake! it took less than an hour and i came home the same day.if anyone has any doubts- don't be worried-it really is worth it!
    Anonymous 42789 Replies Flag this Response
  • I too was trying to find as much information on treating and dealing with life with an anal fissure. I found some great information and help on a few forums. I can't remember them all but one of them was the following. http://www.fissurecure.com/forum/ At one point they even had a guide which you could download called the Fissure Survival Guide, it is full of information on dealing with a fissure. I don't know if they still have it since I'm all headed up now, but if they do have it you should check it out. Good Luck!
    bullfrog 1 Replies
    • February 19, 2008
    • 03:17 AM
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  • Hi,here you can find some info about home treatment of anal fissure - they sound reasonable:http://www.anal-fissure.net/home-treatment/
    Anonymous 42789 Replies Flag this Response
  • Hi i have had anal fissure for about 10 years now i have seen about 6 or 7 doctors. It got to the point where i was bleeding really badly almost to the point where i would cry and not go to the toilet anymore then i found a doctor who new what he was doing.After years of using steriod ointments he put me on caneston or clonea a antifungal cream i though this time i will stick with this so i used it religiously 2 times a day for 4 weeks this got rid of the problem (itchyness) then he put me on hydrocortisone cream i use this half with the antifungal cream i cant believe it, no more bleeding no more itching fissures gone wtf, all i can say mate is give it a go.There are so many **** doctors out there please try this i thought i would die with this illness. GOODLUCK
    Anonymous 42789 Replies
    • December 13, 2009
    • 02:37 PM
    • 0
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  • Hi i have had anal fissure for about 10 years now i have seen about 6 or 7 doctors. It got to the point where i was bleeding really badly almost to the point where i would cry and not go to the toilet anymore then i found a doctor who new what he was doing.After years of using steriod ointments he put me on caneston or clonea a antifungal cream i though this time i will stick with this so i used it religiously 2 times a day for 4 weeks this got rid of the problem (itchyness) then he put me on hydrocortisone cream i use this half with the antifungal cream i cant believe it, no more bleeding no more itching fissures gone wtf, all i can say mate is give it a go.There are so many **** doctors out there please try this i thought i would die with this illness. GOODLUCKI've had the same problem for about three years. I've had Botox, creams, diet, nothing works. The itch and blood on the stool comes and goes. I don't know what to do.
    Anonymous 42789 Replies
    • January 6, 2010
    • 03:45 PM
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  • I've had the same problem for about three years. I've had Botox, creams, diet, nothing works. The itch and blood on the stool comes and goes. I don't know what to do.I had anal fissure from Oct. 2008. The condition deteriorated in a few months time. I tried all sorts of creams including hydrocortizone, these creams made me feel better for a few weeks and then the condition actually worsened. I used to scan the web daily to find a solution. Finally I tried a claim by one site. The fissure gradually faded and disappeared. Please try it, I am positive it will work for you. Which site? Google for fissure. Click on the top of the result list (the first one) and be patient!
    Anonymous 42789 Replies
    • January 30, 2010
    • 01:48 PM
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  • Hi Everyone, I had anal fissure for 2 years. And for almost 2 months now I have no problems what so ever. So my advice to you:1. Consult your Dr., may be your fissure is bad and you really need the surgery. Down there, you have 2 muscles that hold your stool in, one is voluntary the other is not. Your problem is that your unvoluntary muscle is contracting so hard, this causes 2 problems. One, when you pass stool, this muscle contracts (especially if you have pain) and thus you have to push the stool against it which injures your rectum even further and causes more pain and this more contraction, and so on. Two, when you are not passing stool, again because of pain, this muscle is contracted, this causes the blood flow to the injured area of your rectum to be very limited and thus makes healing very very slow, and since you injure it again when you pass stool, it never heals. Since this muscle is of very minor importance for holding stool (the voluntary one is much stronger), here is what they do in surgery. The muscle is a circle around your anus/rectum, so they just cut it (usually towards one side). They could cut in the muscle as far as your fissure goes, or, cut it completely if that's necessary.Now away from surgeries, I will explain my problem in details then how I managed to solve it. My problem was that I get occasional constipation, when I am constipated I get minor injury in my rectum. Problems start 1 or 2 days later when I try to move my bowel for the second time, this muscle I am talking about is strongly contracted because of pain, I push against it, get injured even more and so on.... 2-3 days after I first had constipation, I am having a hard time passing stool at all because the thing is soo ***n contracted that I cannot get stool to pass even if it's soft. The other problem is, the longer the stool stayes in your bowel, the harder it gets.. you can see that this makes things even worse.My solution was a couple of things combines together, I used something called Proctoglyvenol supp. which contains lidocaine. Lidocaine is an anesthetic which removes the pain and thus removes (partially) the crazy contraction. The other 2 things are laxatives, if I have a very hard time passing stool, I use sodium-picosulfate, 10-15 drops on a cup of water before sleeping at night will make sure you pass stool the next day and that the stool will be soft. I also take lactulose, I now take that everyday, around 5-15 ml/day, usually with meals and if I forget I take it at night before sleeping. I take it with a lot of water. The exact dose depends on what I ate, if I ate salads and stuff then I don't need a lot, if all my food was bread, pasta, rice, meat, cheese, then I take more (towards the 15 ml). Lactulose is completely safe to use everyday, it is also usually found in large bottles (I get 1 liter bottles very cheap, around 6 Euros/liter). Lactulose is a type of sugar that your body cannot digest, but luckily, the bacteria in your large bowel can. They eat it and produce ammonia which attracts water to the stool making it larger and softer. On the other hand, DO NOT use sodium-picosulfate on daily basis every because it affects the way your body absorbs food. I would recommend using it for a maximum of 7 days.Little warning, lactulose causes some gasses (almost odorless), so postpone your dose if you are going for a dinner with your wife/girlfriend.I hope this helps somebody, I have been doing this for 2 months now and I couldn't be better. Please let me know if it works for someone else.
    Anonymous 42789 Replies Flag this Response
  • My Road to HealingAbout 8 years ago I suffered with a serious bout of anal fissures. At first I thought it was just bleeding hemorrhoids, which I occasionally have. I tried all the creams on the shelf to no avail. Hard bowel movements were excruciating painful. I got to the point where it was hard to stand or walk. One morning the pain was so bad I had to go to the hospital. The doctor knew right away that it was either anal fissures or Crohn's disease. He scheduled an appointment for a deeper look. He confirmed the fissues diagnosis but also took blood to check for Crohn's. It turned out to be negative on the Crohn's, thank Heaven, but said the only thing he could do was a sphincterotomy (cut the muscles in the anus). Turns out that this runs in my family and that my sister had this operation but regretted it. Now she has no control of her anal muscles and wishes she had never had the operation, although the fissures have been healed. The doctor scheduled a colonoscopy (I was 45 at the time). He found three non-pre cancerous polyps and removed them. After the colonoscopy I still had the same anal fissures problem. I was determined to avoid the sphincterotomy and set upon a self-healing course of action. I did 10 main things; (1) Eat a lot of fiber, (2) exercise regularly, (3) avoid fatty foods, (4) avoid caffeine (coffee, tea, chocolate) - caffeine depletes the colon of water, (5) drink plenty of water, (6) get plenty of vitamins and minerals, especially Vitamin C since that helps skin wounds to heal, (7) eliminate all artificial sweeteners from my diet permanently, (8) go on fasts from food for 2-3 days at those times when necessary to allow the skin to heal, (9) lubricate the bottom inch of the anus with vaseline before every bowel movement, and (10) most importantly trust that God will lead me through this difficult period in my life. Step #9 was my own invention. I wanted to ensure that every bowel movement was fast and smooth so adding some lubrication made sense to me. I still do this to this day because I fear the pain that will come if the fissures reappear. Eliminating artificial sweeteners from my diet was a discovery I did not make until after about 2 months of little success on getting the fissures to heal permanently. Doing some research on the web I found that one of the many bad things about artificial sweeteners was that they impeded skin wounds from healing properly. I was always a heavy drinker of Diet Pepsi and I immediately took it out of my diet. Lo and behold, after about 6 months I was finally healed. I have been fissure-free for about 8 years now and I still do the vaseline thing and do not consume any artificial sweeteners.Praise God from whom all Blessings flow. I truly believe that He may have put me through this experience in order to force me to depend on Him more and also to thank Him for preventing a probable bout with cancer of the colon. Your fissures problem may not be as severe as mine but have hope, trust God, and do sensible things to help your body heal.Ray
    Anonymous 42789 Replies Flag this Response
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  • I had an anal fissure, and was appalled to find out the medical world didn't know much about healing them. Surgery is a last resort and I respect my doctor for telling me that, being female - I was not a candidate- I would lose control of my sphincter muscle - horrors!I went to a Naturopath and this was the regimen prescribed that worked wonders for me - all over the counter products - "Calm" a magnesium supplement - 2x a day - brings water into the colonL-Glutimine - an amino acid that helps repairs on a cellular level- 2 x Intestinal repair formula by 'bionutrients' 2xHerbal astringent rectal suppositories - by Earth's botanical Harvest - very soothing- at bedtime.keeping the stool soft is crucial!good luck - this made a difference for me within 24 hours - I hope you have the same results - its been 4 months - and I expect to continue this regimen for another 2 months - intestinal cell growth is about 3 months - so 2 cycles should have it completely healed
    Anonymous 42789 Replies
    • November 27, 2010
    • 01:10 PM
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  • I, too, have dealt with this terrible problem. I really feel for any of you that do. When it's at its worst, it takes over your life. I went through a 6-month period this year where every bowel movement was bloody and extremely painful, with intense soreness for 8-12 hours afterward. The pain was hot and sharp, and nothing relieved it, no matter what creams I used or if I stood, sat, laid down, nothing. On days I only had one bowel movement, I could manage, but having multiple movements in one day was almost intolerable.During most of that time, I figured I had hemorrhoids. I'd been diagnosed with them a year prior after a colonoscopy (which was clean), which my doctor ordered after I'd had some rectal bleeding. I was told that we all have hemorrhoidal tissue, and that they would subside over time. At that point I wasn't having pain, just bleeding. Then this year I went on a high-protein, low-fat diet that causes big, hard stools and, at some point, a tear. And the pain ensued. I waited it out as long as I could before finally going to a specialist.The good news is that there is hope. I promise. After seeing a colorectal specialist and getting a proper diagnosis, I am now completely pain free without any surgery involved. I was diagnosed with one severe fissure several inches into my rectum (the main source of the pain) as well as several smaller ones near the surface. I was also diagnosed with IBS (irritable bowel syndrome), mainly due to the stress of the pain, which caused the muscle down there to spasm, exacerbating the pain and causing frequent bowel movements. It was an endless cycle of constipation for 2-3 days and then a day of 2-3 bowel movements and intense pain without any relief.Here's what worked for me.1. Initially I was prescribed Anucort (1 suppository at bedtime x 10 days) and lidocaine ointment. The first couple of doses of Anucort were pretty painful, but they healed up the deeper fissure within a week. It coated my rectum, which helped keep things lubricated during bowel movements, and sped up the healing process. My doctor also gave me some lidocaine ointment to help with pain after bowel movements. Very helpful, though only as a short-term solution..2. The specialist also recommended hot sitz baths. This seems simple (I remember thinking, I came to the doctor for this?), but they have been enormously beneficial. I never even use epsom salt; hot water has been enough. They helped relieve constipation when that was an issue, soothed the pain after bowel movements, and relaxed the muscles down there. I could usually only manage 1 a day, but 2-3 a day for 10 minutes or so is ideal. These have also reduced my issues with IBS dramatically. And they're just relaxing. Enjoy them.3. The most important thing for me has been regulating my diet. Regardless of how you treat the fissures, if you don't regulate your diet, you're doomed to the same fate sooner or later. I still manage a high protein diet (125-150 g/day), but I mix in a lot of fiber and water and enough healthy fats to keep things moving. I also take Metamucil (the Wal-Mart version, which is very cheap and works great) twice a day. Between that, whole wheat bread, and fruits/vegetables, I make it my goal to get 25 g of fiber a day. (Kashi GOLEAN cereal is great, too. One cup has 10 g of fiber. Don't overdo it, though.) I also eat a little extra virgin olive oil every day, which helps make the stools softer and easier to pass. One tablespoon in the evening (try dipping some whole wheat bread in it) is generally enough. I much prefer this method instead of relying on artificial stool softeners. And, finally, I drink plenty of water -- at least 64 oz. a day. Otherwise the fiber backfires, you end up severely constipated, and you're back to square one. I used to drink 1 or 2 diet sodas a day, but I found that these tended to dehydrate me and cause bigger/harder stools, so I eliminated them altogether for now.I hope this helps. I was in so much pain from this that I could not possibly see an end in sight without some sort of surgery. There is hope! One thing the doctor told me is to be patient with these tactics. They do work -- I'm pain free at this point -- but she said they require a lot of diligence to reach full recovery. Which sucks, but it's still better than surgery.
    Anonymous 42789 Replies
    • December 1, 2010
    • 05:34 AM
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  • I've been on this message board a lot the past 8 months and I wanted to share my Anal Fissure experience and how it treated it. I hope that those who read this will feel more informed and be less apprehensive about the various medical options so they can recover quickly from this incredibly painful condition. Anal Fissures are embarrassing, control your life, and can be totally debilitating. You feel like you can't talk about it with anyone, so please know that you aren't alone. I'm a 28 year old male and began experiencing rectal pain in September 2010. I never had pain during bowel movements but I would experience incredibly painful spasms for about 5-8 hours after using the bathroom. I figured it was an anal fissure...I've had acute fissures in the past so I took stool softeners, drank lots of water, and kept a bland/high fiber diet. Nothing seemed to work and the pain got worse over the next few weeks. I saw a Gastroenterologist in early November 2010. He didn't find an anal fissure so he scheduled a colonoscopy because my older & younger sisters both suffer from IBS (Ulcerative Colitis and Crohn's respectively). The colonoscopy found evidence of Crohn's so he started treating me for that. He prescribed Entocort, Pentasa, and Canasa for the Crohn's. Ultracet (Tramadol Acetaminophen) and Lidocaine cream were prescribed for the rectal pain. In January 2011, the pain got so bad that that I scheduled an emergency doctor appointment. My regular Gastroenterologist wasn't in so I saw one of his colleagues. He immediately found an anal fissure in the 6 o'clock position. Naturally, I decided to switch to this doctor right away. He told me to take Sitz baths as needed for the pain (ah, he relief!) and Nifedpine 0.2% cream. I also took Metamucil 3 times a day and 3 Colace pills before bedtime. This made me feel a little better but the monster always poked his head out again after a few days. It got real bad after about 3 weeks, so I saw the doctor again. He did a sigmoidosopy and closely examined the fissure. He also took a biopsy to see if there was any correlation between the fissure and the Crohn's disease. Luckily, there wasn't. In fact, my Crohn's isn't active and never has been. Hopefully, it will stay that way.The Gastroenterologist recommended a colorectal surgeon so I made an appointment for the following day. The surgeon was adamant that we try Botox injections because surgery could cause problems later on if my Crohn's disease ever became active (I liked him already)! The Botox provided huge relief because it paralyzed the internal sphincter muscle (I didn't know that we have two) and the internal spasms were my biggest problem. I was able to control the external Sphincter spasms with sitz baths and Lidocaine cream. From February to mid-March the pain was at a level 3-5 instead of a 10.However, the Botox never fully healed the fissure. The surgeon said that Botox isn't as controlled as surgery. The Lateral Internal Sphincterotomy surgery (LIS) reduces the pressure in the exact area of the fissure. Botox achieves the same result but it isn't permanent and spreads out over a greater area.I saw the surgeon a month later for my follow-up. He said that we explored all medical options and that the only way to fix this was with the LIS surgery. He opted not to do a fissurectomy, which he said just creates a bigger Fissure. We talked about the risks of incontinence and he assured me that he'd done the surgery at least 100 times a year (he's been practicing for over 20 years) and never had any instances of permanent incontinence. He said that the biggest thing to worry about was infection, which is normal with any surgery.I had the LIS a week ago (Monday, 3/28/11) and I was incredibly nervous the week prior. I just buried myself in my work (when I was able to stay out of pain) so I wouldn't think about it. Luckily, I can work from home so my boss is allowing me to stay home for two weeks after the surgery. I only needed sick days for the first 3 days.Sunday night, I stopped eating and drinking at 12 o'clock. I took a fleet enema, which isn't fun when you have an anal fissure. The next morning I took another enema and a sitz bath. They put me out for the surgery, so my mother drove me to and from the hospital. The anesthesiologist also gave me a "block" in my lower spine, which kept me numb for the next 12 hours. The LIS was a breeze. I was in and out of the hospital in 5 hours. The doctor prescribed me Vicodin, which I only took for the first day as a precaution. I'm not even sure that I needed it.The next day, I was sore but it wasn't too bad. I was able to walk and use the stairs. I had some trouble sitting but I was still able to do it for short periods. I was really nervous about the 1st bowel movement but it never came. I finally had a bowel movement two days after the surgery. I was really nervous that it was going to hurt but it wasn't any worse than the pain before the surgery (the Botox still hadn't worn off). Actually, it was better than that and felt like a healthier pain (no spasms, just consistent soreness). I'm pretty sure that that this was from the surgery and not from the fissure. I still have blood in my stool and on the toilet paper but I expected this after the surgery. The blood is decreasing everyday and it looks like it will stop in a few days.I started to feel a lot better by the 4th day and I'm now on Day 6. I still take sitz baths after bowel movements but I no longer feel an urgency to do this immediately. I still am, however, because old habits die hard. Two to three hours after I move my bowels and take a sitz bath, I experience "pressure" in the fissure/surgery area. It's really just discomfort and I wouldn't call it pain. Another sitz bath takes care of the pressure and I'm fine for the rest of the day. The "pressure" lessons everyday.I EXPERIENCED NO INCONTINENCE ISSUES AT ALL!It's been a rough 8 months but I finally feel like I'm starting to have my life back. I'm beginning to feel like I can be active again and live days where I don't have to make plans around my bowel movements. If you have rectal pain, don't wait to get treatment. They're embarrassing but fissures are very common. I'm glad that I explored all medical options before having the LIS. If all else fails, please feel confident going for the LIS. It's really a walk in the park. The recovery isn't that bad and the incontinence risks are over-exaggerated. Best of luck to everyone dealing with Anal Fissures!
    Anonymous 42789 Replies Flag this Response
  • I suffered from anal fissure and eventually settled with a sphincterotomy. Many may feared going for the procedure (especially after thinking about cutting at that area), but it was really a simple operation. Read more about it here : Sphinterotomy http://www.sphincterotomy.netYou can read about experience of others and share yours there too.
    bobson 3 Replies
    • September 10, 2011
    • 05:33 AM
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  • Hello,I am really sorry you suffer from this terrible condition. More information and support you may find on special support board http://anal-fissure.orgHope this can help you.
    igrik1986 3 Replies
    • September 30, 2013
    • 04:16 PM
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