by Guest » 17 Nov 2007, 08:45
The first and most important thing I would recommend is to get 25-30g fiber a day, every day, with no exceptions. I have never taken stool softeners simply because I have a very high-fiber diet. Eat a cup of All-Bran every morning and eat fiber-rich foods throughout the day. When you eat your All-Bran or anything very high in fiber, drink a big glass of water during and after you eat it. This is super important otherwise you don't get the full effect of the bran. In fact drink 8-10 8oz glasses a day, this will also keep your stool soft. You can google "fiber" to find out what has fiber in it, but make sure you get both insoluble and soluble fiber. Good things are vegetables, beans and lentils, whole grains, etc. Fiber will soften your stool and make it much less painful. It is crucial that you avoid constipation at all costs, and avoid holding it in no matter how painful it is.
AVOID eating the following: anything spicy, acidic (ie. tomatoes, citrus fruit, etc), alcohol. Decrease your intake of dairy (esp. cheese) and red meat. Chew your food well.
After you have a bowel movement, hop in a warm bath right away. This will ease pain a great deal. During the BM don't strain, it will rip the fissure even more.
Pain medications like Tylenol or ibuprofen are indeed very tempting when in pain but please don't over-consume, as they are constipating for most people.
I hope you find a surgeon soon and don't despair!! If you have any questions at all, please ask us, we're all really open-minded here :)