by Scientist2516 » 02 Apr 2015, 07:23
Hi Kswim,
It's difficult to say whether this is a fissure. If two health care providers both say they don't see a fissure, maybe it isn't one? Did they mention hemorrhoids? Hemmies can bleed. External hemmies can be quite painful.
Tell us more about the pain. Does it feel like broken glass in your rectum? Do you get hours of pain after a BM (sometimes with an hour of no pain before the spasms begin)? If this doesn't sound like you, maybe you have not got a fissure.
Obviously something is wrong down there, so maybe ask your pelvic floor therapist again. There are other things it could be. If the PT doesn't know, see a colorectal surgeon.
Too much fibre can make bulky painful stools, and you do need to stay hydrated, so drink lots of water.
I don't know how long it takes a fissure to become chronic. It's probably a gradual process that varies from person to person. Keep your stools soft, drink lots, use gentle heat to soothe the area.
Good luck!
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!