by happyass » 30 May 2011, 10:05
hi andrew,
well, i had a vicious anal fissure that bled, drove me nuts, throbbed, always made me squirm when razor blades feeling was almost always present at time of BMing.
but despite all that, i still trained for three marathons!!! which meant lots of jogging/running during the year. continued with my yoga practice and well, made lots of round trips from DC to TX driving on my own.
i know that may not sound comforting but i think if you believe yours is a superficial AF then you too can find a way to continue your living with trekking, swimming, and riding that super cool Yamaha!
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i am concerned that you have been using diltiazem for such a long time! specifically, how long have you been using it?
what would help you along with the diltiazem is if you could get a prescription for lidocaine 5% gel. you apply this before a BM and thereafter when you have lingering pain. this will help you a lot. some people initially report a burning sensation but then it alleviates. i did use the diltiazem and lidocaine and they both worked beautifully for me....it was immediate and the very next day that i had started it, i was on a 13 hour plane ride to Japan! when i was there for 10 days, it was almost like i never had an anal fissure! and that was that i had my AF for almost 8 years.
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the diltiazem won't help with pain but the lidocaine 5% gel will.
when was the last time you went to a Colon Rectal specialist for treatment/diagnosis? was there ever a discussion about diet and/or LIS as an alternative?
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the other lubricate that i would recommend to have is just plain old vaseline. apply some before BM. if you have a huge BM coming on, try to squat over some newspaper and crap on that! by using squatting, it helps with reducing to minimizing your straining to get a BM out.
do you strain when you BM?
what is your diet like?
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if you believe your AF is chronic, then you will want to seriously consider having an LIS. it took me years to get it done cause im a big chicken, but i tell you, the surgery was the easiest thing out of all those years of suffering. i still can't believe i can now say i am an LISer!!! LOL.
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you are 22 and hopefully, you will do what you are comfortable with doing. i spent most of my 30s with an AF!!!! when i hit 40.5, i just said, i am not going to live like that in my 40s!!!
find yourself a good CRS.
good luck.