Anal Fissure Support Forum

[Rachael 1984]

Hi Davo, I am a newbie on here! Have had AF now for 8 months. Tried Rectogesic, which did help, and on movicol. Doc and CRS have told me now the 8 weeks is up not to use Rectogesic! I am in pain and on painkillers. I am having Botox on 4th April! Ages to wait on NHS and I am suicidal! Time off work again! Ruining my life. Do you know of anything else I can use to sooth in the meantime??

[Rachael 1984]

I also forgot to add I have IBS. This is hard to deal with as well as the AF and diet and fibre!! Eek I am going to a dietician in March as well! Any IBS sufferers who have tips? I used to run a lot for BM, but now have hard BM without movicol!

[Davo]

Hi Rachael,
Sorry i never saw your message before my last note.
After 8-12 weeks on Rectogesic (GTN) the human body starts to become accustomed to it and the cream becomes less effective however if it was working for you i can't understand why the doctor would tell you to stop taking it.
For pain relief during the BM use a cream called Lidocaine Gel (this is available from the pharmacy section in Boots) - apply this about 3-5 minutes before a BM and it will act as a anaesthetic and lubricant during the BM.
If you can no longer use the Rectogesic then the only other suggestion i would make is to use vaseline (the aloe vera variety is best) to keep the area lubricated and stop it rubbing. Paracetamol or ibruprofen can be used to help with the pain however i am sure you have already tried this
Davo