by trying2bbetter » 22 Mar 2012, 01:18
I am about 99% sure the pain I am experiencing is an anal fissure and having worked the last 7 years in a pharmacy, you name the treatment and I've met a patient who has tried it. That being said, there are certain circumstances that prevent me from being properly diagnosed and treated. My pain and discomfort is essentially my own fault as my suspected fissure is a result of an almost defeated eating disorder. My dilemma is that I'm still in rehab for another 2 weeks with only a the daily therapist and once weekly NP, who essentially just verifies we are on the "right" path, for consultation I'm at a loss of how to handle my situation. Forget laxatives, forget stool softeners, and forget trying to avoid certain foods. None of that is allowed here. Same goes for any medication, only pre-existing medications can be handed out during the four designated times. I should also mention water intake is monitored, recorded and restricted at certain times, because yes, there are girls here who will use it to manipulate their weigh-ins. Another factor working against me is allergies, I am deathly allergic to Acetaminophen (so there go your top prescribed pain meds) as well as Palm, i.e. coconut. Does anyone have any suggestions as to some type of temporary treatment? There is some bleeding during BMs, but nothing severe, and the pain is moderate. What I find most unbearable is the pain that occurs about an hour or two post BM & the itching that follows. (onset about 6-8 hours post BM) This has been going on for about 3 weeks now and what started out as tedious has turned into excruciating. And as far as the creams/ointments go, what seams to be the best, Diltalizem, Nifedipine or Nitroglycerin? Vaso-dialators increase blood flow yes, but the antiepiletic factor of the CCB (calcium channel blocker) stops the spasms, which is better? Also has anyone tried the rectal rockets? (lidocaine & nifedipine in a suppository) If I ask the NP for anything I basically have one shot and seriously need to make it count. Any input would be helpful, and I'd be happy to answer any pharmacy questions anyone has. Thank you.