by Okaybum » 25 Dec 2018, 16:20
Hmm...to be honest, it doesn't to me but I'm not an expert and fissures can be different. I've had fissures throughout my life. They all start the same. A hard, large poo that that scrapes coming out. Queue the blood in the toilet. Now every time except when I was 16 and then again last year and this year, those fissures healed up without doing anything.
Last year, I had 2 internal fissures. As soon as I took a stool softener, they were fine. I had to take it for about 12 weeks but I was healed early on.
This year, I had a hard, large BM, and nothing happened. I proceeded to have 6 more hard BMS that fateful day and out if dryness or something else, by the end I felt a slight, sharp pain and a pop of my skin coming apart. There was no blood. However, the soreness repeated. Now I tried to get my BM soft. I did stupid things that week though and things ended up super sore and bloody.
Funny thing is, two doctors have looked at it and said it's too small to be classified as a fissure.
Main differences between this fissure and the others last year: just soft isn't good enough. I had to have diarrhea BM for about 2.5 months, this required a boatload of stool softeners. I had to buy a new toilet seat as our other was too big and the pressure caused that dumb thing to almost pop open.
I've never had the pop open feeling before. It was on the outer part so it also felt like a papercut and would sting after BM.
I'm sure it's healed now at almost 14 weeks. I've relaxed my diet, I'm ok. Still on 3 movicol and two doses of docusate sodium but I've slowly started to reduce. This reduction is going to take many more months and I think I'll stay on a single dose of movicol throughout Aussie winter as it always seems to hit me at dry, winter.
Now, the only time I get pain around my anus was when I wasn't relaxing during a BM or if I ate spicy or citrus foods.
I recommend breathing in and out, deep breaths before and during a BM. It was recommended to me and helps to relax your muscles to allow a BM. That may help you.