Hello. I'm very glad to have found this forum, as I am in phenomenal pain right now from external and internal fissures going on 3 weeks or so. The pain is getting so much worse, not better, and I was prescribed some medicated suppositories that were made by pharmacist, but most of the time, they exit with urgent BM in a few minutes. It won't heal. I can't get comfortable, nothing is working. Stool is soft as can be (I drink tons of water, high fiber diet), but pain is excruciating none the less.
Can I do anything for the pain?
How can I HEAL? I'm over it. I can't live this way anymore, it's torture....I feel like I've been cut open inside with no stitches and it won't heal.
How can you heal a wound in your canal given the location, and constant conditions counter productive to healing?
Thank you in advance for your tips, no one else can really understand (If I do tell them what I have) so it's nice to have a group to talk to . :)

Welcome to the forum.
I'm new here too, I'm not cured :( but I'll tell what made it a little better for me (at least regarding the pain):
-hot baths (stay 20 minutes twice a day with your butt in hot water)
-to facilitate stool passage/pain during stools, before you go to the bathroom, use some Calendula officinalis cream (I read Vaseline works great too and I believe any ointment should)

TLTOSU wrote:fissures

Many?
Had one, felt better then got another and so on (I am at the 3rd or 4 th now) that's why I'm asking

Hi there! We know your pain, believe me .
Your fissures are 'only' in the chronic stage, and this is the time to 'catch' them with a doctor who knows what they look like and what to do. This is the time to get it healed before it gets worse.
Are you seeing a Colon and Rectal surgeon? They know what is what when it comes to fissures. I was also prescribed suppositories in the beginning, by my GP. Painful and useless. What you need for fissures is either Diltiazam, Nifedipine (both calcium channel blockers) or nitro (Rectiv, or something at 0.2% made up by a good compounding pharmacy). Ask the doctor, sooner rather than later.
Have you got a Sitz Bath? A useful thing as warm water after a BM brings blood to the area (one reason anal fissures don't heal is the pressure there stops blood flow to the area, and heat helps to restore it). I only use my Sitz bath for a few minutes afterwards. I bought it on Amazon, but they are available at Rite Aid too (presuming you are in the US as you refer to fiber and not fibre).
What I do: never 'wipe', only pat with damp Cottonelle TP, and then I also pat with a damp and warm Johnson and Johnson gauze pads until everything is clean down there. Then dry GENTLY, pat a couple of times with Cottonelle paper and apply a LITTLE petroleum jelly (among its many uses, it is used to protect and prevent moisture loss of the skin of a patient in the initial post-operative period following laser skin resurfacing, so it's good on the delicate tissue of our behinds). When I first got fissures, I did not 'know' my arse...times have changed
Hope this info helps, and any more info, feel free to ask.

Hi thanks for replies. Yes, I'm in the U.S. I've had these before, but mainly, I bled for a long time, no pain, and they would heal on their own, or with those compound suppositories. This time, the pain is throbbing, radiates all over, and is constant. I'm going to get liver/stomach issues from all of the pain relievers I have to take just to take the edge off :(
I have a heated car seat, and have instinctively been using that, and will continue since you have told me that heat is necessary for blood flow. It amazes me how LITTLE (aside from the RX's and sitz bath/wipes) that my GI doctor tells me.
She said the suppository is supposed to reduce the swelling, but I can't keep it in...
Should I buy a heating pad and sit on it at work all day? Would that help with blood flow as well (or extra well)? I sit for 9 hours, and it hurts!!
I was given a card for a surgeon, but was afraid that they would try to perform surgery on me so I haven't gone or called. Do they give other tips/medication BEFORE they push for surgery?
Thanks again!
From what I gather from reading, the key is to heal, and then NEVER let a hard stool happen again, because some of us are lucky to have thin tissues, or whatever and this will happen again and again, right? I want to keep saying, 'why me?' I have a healthy diet, I'm NOT constipated at all.

P.S. I'll do the petroleum jelly too, thanks!

TLTOSU wrote:I sit for 9 hours, and it hurts!!

Got an idea for that:
GET A DONUT PILLOW ASAP :)

I started using it totally unrelated to the anal fissure! I have been using one for a while because I also have problems with my vertebrae(like this pain in the *** is not enough!), I have scoliosis and my coccis used to hurt due to sitting on the chair for too long. Then I read on the Internet it is also called... hemorrhoid pillow It protects you from sitting directly on your fissure/hemorrhoids.
I heard long walks and easy exercising can increase the blood flow. I have started exercising today and I aim to do it for a while to see if anything improves!

savaici wrote: never 'wipe',

That's indeed a great tip! I have made worse one of my AF when I didn't know about it.
It's very hard to get used to, even now I sometimes forget I shouldn't wipe