At the end of April I was put on cymbalta for my depression which in turn made me go through 3 weeks of constipation. Then I got sick with a stomach virus that gave me diarrhea but I noticed alot of blood in the toilet with it which freaked me out. I then noticed some blood in the toilet paper when I would wipe twice a week after a bm and this past week I started noticing some pus ooze out.
I went to the doctor and she did a rectal exam and said she felt a fissure. A WHAT I asked?? She said it was no big deal that it would heal on its own and sent me home with a prescription for proctofoam. She didnt really explain much about it.
Ive been using the proctofoam and bought tucks for a week but I still have the dull ache, mild itching and pus that i see when I wipe with toilet paper. Itching is worse when I get hot from being outside.
My question is should I be on antibiotics for the pus and is pus normal to have with a fissure????
Thank you.

Hi Kahra and welcome!
I got my fissure after a bout of *severe* diarrhea brought on by a stomach virus.
After about three weeks of pain, I went to my GP. Then my story proceeds exactly like yours, the difference being my doctor *saw* the fissure rather than "felt" it. He tended to ignore THAT and said I had a hemorrhoid and prescribed, you got it, proctofoam.
The proctofoam was worthless, and if you research AF on the internet, you'll find it, basically, nowhere as a treatment. I think it is for hemorrhoids. I'm not telling you not to use it, just a heads up that too many GPs really don't know how to treat AF and prescribe things like proctofoam and hydrocortisone suppositories, which as a rule don't help.
I think the antibiotic for the pus discharge is probably a GOOD idea, as it is a sign of infection which, down there, can lead to a fistula or other serious problems.
Hopefully you'll read through the threads and see what it really takes to treat AF ... here is a thread that has lots of good information to begin...
http://anal-fissure.org/general-anal-fissure-discussion-f2/i-have-an-af-what-should-i-know-t1849.htm

Kahra,
I wanted to say "welcome." I have never b/4 heard that Cymbalta causes constipation. I took the A/D Lexapro for about 1 1/2 years, and it had no noticeable effect on my digestive system. I don't think it is normal to have pus with an AF.

So sorry to hear all of that : (((...
No, pus discharge is definitely not normal
Hope you will find a doctor who will treat your condition with appropriate meds and procedures : ((
Wishing you all the best

Thanks everyone. I called my GP and the nurse said she had called in a prescription for me. I found out that it was a steriod pack but I dont know why she doesnt send me antibiotics. Its Saturday and I still got some pus today when I wipe (gross sorry).
I tried calling the drs office today but they are closed. My husband wants me to start taking a packet of amoxicillin that we have at the house but I dont feel comfortable with that. I guess I'll wait until monday and call again. Why doesnt she feel that I need antibiotics??
I am so scared of getting a fistula or sepsis. I suffer from generalized anxiety disorder and I am so stressed out over this imaging that I am going to die and that every second that goes by I am making whatever infection I have worse.... Im not scared of the blood or pain of the fissure I am scared of the pus because I dont know how to fix that part.
I am so grateful for this site and all your help. Hope everyone has a good and painless weeked.
Thanks

Given your fears, could you go to a prompt care this weekend so as not to suffer from extra worry, which will not help your situation one bit???

Oh Kahra!
Do try to relax! :D As bad as the pain can be, and even with the worst-case scenario with the "pus" (which is really in all probability JUST a minor infection -- no way are you going even come close to dying from all this, not even remotely close.
AND if you wait a couple days, the infection will not progress to any degree until Monday, it will still be fully treatable *if* your doctor feels you need the antibiotics. I think sepsis is highly unlikely, and if you did get a fistula, it is treatable!!
Just wanted to calm your fears, please don't dwell on such things, I wouldn't let a little pus worry me too much, especially as it really hasn't been treated yet.

Thank you kim and cherylk for taking the time to give me your advice. You made me feel better. Im not taking anything for my anxiety since i stopped the cymbalta so its really hard right now. I got on cymbalta for my anxiety because zoloft had stopped working.
I will go on Monday and see what happens. I will try and stay alive until then hahaha...

Could you try Lexapro for anxiety??

Please help me,
After 3 days of anal fissure operation(surgery), I'm getting little pain again & also pus is discharging with bad smell.
Please anyone tell me what can be the issue?
thanks