by Scientist2516 » 22 Apr 2014, 08:06
I wouldn't take too much metamucil. It bulks up your stools, and even though they are soft, they can still be traumatic to pass. Try one packet to begin with. You can increase it later if you want.
Some people find bread constipating. You could try sweet potatoes, red lentils, oatmeal and quinoa. I found those all to be excellent sources of softening fibre. Different foods work for different people, so it can be useful to keep a diary where you note what you ate and how soft your stool was. You can also note your level of pain. This provides a great way to record your healing progress, since healing can take a long time, and it's easy to get discouraged. If you can look back and see that three weeks ago your pain was an 8 and now it's a 5, it can help you keep motivated.
Multiple fissures usually is a sign of underlying disease, so it's important to look into that. Very unlikely to be cancer, but maybe inflammatory bowel disease, eg Crohn's disease, (as Havefaith says) or immunosuppression. Keep an open mind, and ask your doctor lots of questions.
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!