by jr2 » 03 Jul 2012, 09:39
Hi Richlen,
Healing fissures requires a lot of patience unfortunately as they frequently do recur. A few things can help. Bowel movements need to be soft and easy to pass with no straining. Whatever it takes to get your system to achieve this. It usually takes a lot of experimentation with diet, fiber levels, and some kind of stool softener for most people. Keeping the area clean as you would any wound. Sitz baths for pain relief and to relax the sphincter. A prescription for a topical ointment that either contains nitroglycerin or nifedipine or diltiazem to apply to the internal sphincter to promote blood flow and relax the sphincter muscle. Those are the basics of fissure care. Beyond that there are countless different things we all try, some of them with varying levels of success and failure. The area where the fissure is, even when it does heal, will always be an area of vulnerability because scar tissue is not as elastic as the original tissue, but the vulnerability in the area is the greatest for the first 6 to 8 months or so following healing. If all conservative measures fail, surgery can be considered.
We all understand wanting to get back on with life. it is a very painful affliction, physically and mentally, and affects all aspects of our lives.
Browse around these great forums which are full of wonderful tips and supportive people.
Wishing you the best of luck with your healing.