hemorrhoids, anal fissures and proctalgia fugax.

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hemorrhoids, anal fissures and proctalgia fugax.

Postby Please go-away! » 19 Jul 2013, 14:39

Maybe I have this, I feel it by my tailbone, any how I'm going to show this to my Specialist.
What's Going on Back There?
By Robynne K. Chutkan, MD, FASGE
Burning, itching, bleeding. A sharp pain in the rectal area that wakes you up from sleep. A feeling like hot coals during or after a bowel movement. Not easy stuff for most people to talk about with their doctor, despite the fact that these are all common conditions. Let's discuss 3 of the most prevalent and bothersome: hemorrhoids, anal fissures and proctalgia fugax.

Hemorrhoids are really just veins in the rectal area that everyone has. When they become engorged or inflamed we call them hemorrhoids or piles. Flare-ups are usually caused by constipation, straining, or frequent loose stools. Pregnancy can lead to hemorrhoids as a result of pressure from the enlarged uterus and increased pelvic blood flow. Hemorrhoids inside the anal canal (internal hemorrhoids) usually cause painless bleeding while hemorrhoids at the opening of the anus (external hemorrhoids) usually cause pain. Both kinds can become engorged with blood (thrombosed hemorrhoids) resulting in an excruciatingly painful swollen lump.

I find that hemorrhoids respond best to bulking up the stool so it can be more easily expelled. This can be done by increasing your fiber intake with a goal of at least 30 grams a day, accompanied by a liter or more of water to keep the stool moist. Most patients benefit greatly from a fiber supplement like psyllium husk. In addition to aiding passage of the stool and shrinking hemorrhoids, the psyllium leads to what I like to call "the clean wipe" – a big, bulky, magnificent stool that falls easily into the toilet and leaves no messy schmear on the toilet paper.

Anal fissures are caused by constipation as well as spasm of the anal sphincter, although large non-healing fissures can also be seen with Crohn's disease. Fissures are basically a tear in the lining of the anus. Signs and symptoms include blood in the stool or on the toilet paper, and pain both during and after the passage of stool. Fissures respond well to warm soaks (sitz baths), stool softeners and increasing the amount of fiber and water in the diet. I also recommend lubricating the toilet paper with petroleum jelly prior to wiping. Nitroglycerin ointment and calcium channel blockers help to relax the sphincter and for refractory fissures injection of botulinum toxin A into the anal sphincter can also help with healing.

Proctalgia fugax is manifest by deep pain in the rectum that feels like a severe muscle cramp –d which is exactly what it is: a cramping of the pubococcygeus or levator ani muscles. It frequently occurs at night and may also occur after intercourse. Some patients describe an urge to defecate although the rectum is usually empty. No one knows for sure what causes proctalgia fugax but thickening of the internal anal sphincter muscles is present in many people who suffer from this condition. Although warm baths, enemas, botulinum toxin, fiber supplements, anti-inflammatories and analgesics have all been used with varying success, I find that biofeedback and other relaxation techniques are the most useful for treating this recurrent condition.

Hemorrhoids and anal fissures are visible on rectal exam - something you might be hesitant to have but should be sure to request. When people are embarrassed about having me examine their rectum, I remind them that for me it's like looking at their elbow. A carefully done rectal exam should cause minimum if any discomfort and can yield lots of useful information, so don't be shy about talking to your doctor about what's going on back there!
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Re: hemorrhoids, anal fissures and proctalgia fugax.

Postby Please go-away! » 19 Jul 2013, 15:05

I forgot to add, I'm feeling kinda down, still very sore, Maybe it was to good to be true and my fissure is back, I know crying doesn't help, who knows, Well it's good to vent any how.Image 
My lunch, steamed kale, spinach and other greens, not to mention the yummy turnip and carrot mash, hasn't come out yet,I had a BM after my breakfast(oatmeal) that felt tight. Is it my IBS that caused it? Don't know
Now I'm scared, could it be slowly coming back.:roll:
How can I go back to working with this ...oh my.Ya I can scream..why can't they FIND A G_D DAM cure. it's killing us.oh my, hay venting is good, sorry don't mean to scream, can't see the key board between the tear's..lol.
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Re: hemorrhoids, anal fissures and proctalgia fugax.

Postby puzzledbutt » 19 Jul 2013, 15:21

awwwwwwwh wee p.g.a dont cry! u r doing great u r just having an off day tomorrow will b better. isnt it weird how we can feel so good one day then bad the next and then great again! i guess its just the path to cureing. i got the botox 4 wks ago and still get devastated when i have a bad day so we all feel for u pet. i really hope u post in the morning and say ur having a great day. thinking and praying for u p.g.a all my love and healing xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
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Re: hemorrhoids, anal fissures and proctalgia fugax.

Postby Please go-away! » 19 Jul 2013, 15:25

THANKYOU. going to check my emails and then , put the heating pad and ointment on.
Luv yu all.
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Re: hemorrhoids, anal fissures and proctalgia fugax.

Postby Ever the Optimist » 19 Jul 2013, 16:50

Aw bless you Please Image
Let it ALL out and then take some deep breaths, a hot bath and distract yourself by doing something nice. Be kind to yourself and try to relax the best you can......
Getting all het up and stressed will make things so much worse because it will make your body physically more tense and your BM more difficult to handle.
Take each day, day by day, hour by hour and just repeat in your head or out loud that you ARE getting better and you ARE healing day by day. Even if you don't genuinely believe it right now, just repeating those words constantly, will create a positive effect. The brain and body have a powerful connection and you just have to force yourself to believe that everything is going to be OK!!........Play some relaxing music, get some fresh air, have a little lie-down......you're simply having a bad time right now, that's all, and later on, you will feel better. Just stick with it and remember, bad day, good day, good day, good day, maybe not so good day!!......... That's the pattern of a fissure! BUT you will get through it - honestly!!
Deep breaths & hope you feel better soon xxxxx
Chronic Fissure diagnosed December 2011
Healed by Diltiazem around Feb 2013
Anal Fistula followed burst abscess in June 2012
2 internal troublesome piles remain & suspected, but undiagnosed, ongoing Levator Ani type symptoms & flare-ups
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Re: hemorrhoids, anal fissures and proctalgia fugax.

Postby owmybum » 20 Jul 2013, 11:50

Aargh!! It's so soul destroying when things take even the tiniest downturn. ETO is right.... It's very up and down with a fissure... Then one day it'll be all up, up, up!
I hope you have a better day today.... And we're all here if you don't.!
Image 
fissure after hem banding and tag removal feb 11
Pelvic floor therapy
Diltiazem
Botox June 13
Nitro
Internal flap July 14
EUA and polyps removed Nov 14
Diagnosed with neuropathy Jan 15
Diagnosed with HS EDS type 3 (causes poor wound healing )
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Re: hemorrhoids, anal fissures and proctalgia fugax.

Postby Please go-away! » 20 Jul 2013, 12:25

Thank you Eto and Omb, for the kind words. It feels a little better today, but still after a BM, pain reaching a maybe 3, stingy and sore.
Painful to sit got to stand by my computer..lol.
I am trying to be positive, since I can't sit, I'm going to walk the pain away..Image
and keep repeating as I'm walking around my place (don"t care if any one thinks I'm talking to my self...lol) I will get better, I will heal..we all will heal.Image 
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Re: hemorrhoids, anal fissures and proctalgia fugax.

Postby Ever the Optimist » 20 Jul 2013, 14:49

Good for you please!
Keep fighting!!
Image
Chronic Fissure diagnosed December 2011
Healed by Diltiazem around Feb 2013
Anal Fistula followed burst abscess in June 2012
2 internal troublesome piles remain & suspected, but undiagnosed, ongoing Levator Ani type symptoms & flare-ups
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