Hi all . I have been having problems with tight spinchter for 2.5 years. I had my first rectal bleeding 2.5 years ago. Hoped it was hemorroids and ignored it. Then year with no problems, but last christmast I had very painful povel movement and blood. This Problem did not go away, so I started diltiazem cream, with great success. My spinchter was completely relaxed. In march I finally stopped using the cream and soon BANG new pain with povel movements but no blood so I took sitz paths and hoped for the best. I finally went to a doctor this summer and he saw small fissure. I started diltiazem again, but it didnt work nearly as well as before also my skin around anus turned red and felt like sand paper. After some time I stopped cream again and got new fissure. I tried nitro ointment with very little effect and after a while I think I got some kind of allergic reaction to it, because skin where cream touch turned bright red. It cleared in few hours thank god. At the moment I am using nifedine ointment it helps a little and so far my skin tolerates it. I also ordered some L-arginine cream and hope I can use it. Almost forgot I use around 100 g of plums to keep my povel movements soft. Clorectal surgeon doesnt think my condition is severe enough to do the LIS.
All doctors I have seen about this have said that my fissures are small, but they still are the biggest factor affecting my quality of life. By the way I also have rare sarcoma and at the moment I am trying to deal with 20 brain tumors and fissures really hurt more. BELIEVE ME! So fissures really are a bitch.
Because I have tight spinchter I keep having new fissures all the time. I think I had new fissure evey moth during last 4 moths. I think they appear in slightly different places.
I feel like I have tried everything self dilation, physical therapy, pecan nuts. I once stopped pazopanib (one of my cancer drugs) to heal fissure,but then my headaches turn intolerable, so I am back on the drug.
I am scared of my fissure pain turning intolerable or fissure turning into fistula. Any advice?