Hi
Wondered if anyone could offer some advice?
Been suffering with fissures on and off for 10 years or so, but fairly mildly, so no big deal. But the last 18 months have been off the scale bad with the whole tearing, healing, re-tearing cycle and PAIN. Essentially it never got healed properly in the first place and so you come off the meds thinking it's healed as no pain/blood etc, but actually it's too soon to come off the meds.
Doing all the usual things, diet, drinking, exercise, squatty potty, fibregel. You know the drill.
So finally saw a colorectal bloke who pointed out I really needed to be on the GTN for much longer than the 8 weeks. So I'm back on that, with the option of moving onto a different cream if I feel it's not working.
He also isn't a fan of bulking fibre anymore, as makes poo bigger to pass, so no more fibregel. Just as an aside, I've never been constipated, I'm a fairly regular 1/2 times a day sort of person with no straining.
So he switches me from fibregel to a macrogol.
Now my question is this: how many sachets do people take of this to achieve "soft" poo?
I started on 1 and it did nothing, in fact I'd say it made going "sluggish". So I upped to 2, one morning, 1 evening. Still not really doing what I imagined. I mean things are soft-ish, but what is soft enough? Given I am not constipated, is 3 a day too many?
It's really stressful trying to working out what is best as I just want to heal, and right now when going to the loo I'm bleeding and there's a bit of pain (nothing compared to when it's fully blown bad, that is off the scale painful), so it's managable discomfort. But I'm conscious of it not healing if i don't get the macrogol/poo softness thing right.
Ok, I've written a lot.
Thanks for taking the time to read.