I was diagnosed with internal AF 4 weeks ago. From what I can tell it's quite far inside to the back right. DR has given me rectogesic - on week 3 of using now.

Has anyone else had an internal AF quite far inside? What advice would you recommend?

I make sure I drink plenty of water. I've cut out caffeine. Don't drink much alcohol. Plenty of fibre - fruit & veg. Very little dairy. My stools are usually soft. I have 2-3 BM per day (always have like clockwork). Trying heat pads/baths - which brings temporary relief. I take magnesium, l glutamine, multivitamin & psyllium husk daily.

I'm trying not to push during BM as this causes pain. Over the past few days/weeks it did appear to be slowly getting better, with a few set set backs.

Today the 2nd BM was painful & I had a lot of pain afterwards for about 10 minutes where the fissure site is. I managed to get everything to relax, which stopped the pain. No bleeding - never have bled. (Possibly too high up & too much pressure to bleed?)

This set back followed 2 days physical training (mandatory for my job). Including a fitness test. Seemed to go okay at the time but I had some discomfort at the end of day 2. I possibly aggravated it with the exercise.

I am concerned that it is fast approaching the dreaded 6 week chronic stage. Is there anything else I could do to speed up recovery? Sorry for the long post.

Don't worry too much about the 6 weeks deadline, that's pretty arbitrary. I would stay away from heavy physical activity till you are better though. Try a non bulking fiber instead of the psyllium. I tried L glutamine too and found it constipating. I think it's just a hype honestly.

Thanks. I'm taking it easy on the exercise for now. Thankfully the l glutamine doesn't affect me like that. I used to take it after a workout to speed up recovery. The psyllium husk seems to help keep things soft & not too bulky if I just take it once a day.

Hi psyllium worked well for me for quite a while it seems to work for some and not for others. Do t forget to do as many sitz baths as possible.
I never really found a correlation between exercise and how bad my fissure was. Other than walking helped and stairs were a no no
Everyone is different and heals at different speeds I don't really think a fissure is chronic until the 12 week mark especially if resting tone is normal, or at least that's what my most
trusted CRS says
Good luck

Thanks for the advice. So glad I found this forum.