by Scientist2516 » 11 Sep 2014, 14:12
Hi Thieftaker (interesting name!)
Yes, sadly, the pain can be bad - really bad. With an active fissure, the pain is exactly as you describe. It comes and goes. The BM itself is often painful, and then, sometimes 30 mins-1 hour afterwards, the after-spasms start, and they can be agonizing.
I'm sorry. We all know what it's like, and you are in good company here.
I will say that if rectogesic is helping you, that is excellent news. If you can't stand the headache, ask for nifedipine or diltiazem, as they tend not to give headaches. Some people don't find them as effective, but you may be one of the lucky ones. Still, if you can keep using rectogesic, do keep on it, and this thing may heal without surgery. You want to cure this as quickly as possible so it doesn't get chronic.
The pain won't last for ever - it will gradually improve. I know it's intolerable right now, but hang in there and keep on using your stool softeners and medication - it will get better. You'll notice an improvement even before it heals completely, so endure for now, and keep posting on the forum so we know how you are getting on. Ask any questions you want to. We are here to help, and we know what you are going through.
Nifedipine/lidocaine, no help
Diltiazem, effective, but caused major rash
Nitroglycerine, effective.
Topical estrogen for final healing.
Gentle heat to bottom - pain relief, muscle relaxant
Kondremul mineral oil
Time - lots of time.
Status - Healed!