by Guest » 27 Apr 2013, 08:50
If you are bleeding that could mean two possibilities. Your diet is not producing soft bms or your skin has become very sensitive. Using cream for a long period sometimes makes the skin very thin and therefore prone to tears. Apply olive oil to repair it and use Diltizem only if there is inflammation. Take vitamin E capsule every day. Beware of calcium, protein and iron intake. Instead of cereals, try eating homemade breakfast. Cereals are fortified with vitamins and minerals that may cause stools to dry. Drink every hour a medium glass of water (9 glasses at least). Have sitz bath after every BM for 20-30 minutes. You should have at least two BMs everyday because the longer your stomach holds your BM the harder it will get. If not, have a stool softner such as Miralax and check your fiber intake (25 g Women and 40 g Men). Please do not have fiber supplements. They just swell with no nutrients. Use fruits and cooked vegetables as your fiber therapy. This is the only way to help you have a complete BM because whatever stays back will become hard next day and the friction will cause the tear. Have a heavy breakfast so by 10 am you will have another BM because of your heavy breakfast intake. While going try to touch and press just below your tailbone so that you are free from spasm and your sphincture muscle stays relaxed and open. Sit only when you get a strong reflex. If not, drink a big glass of water. This will develop in pressure that will lead to a strong feeling to go. I am mentioning these tricks because this is the only way to prevent any more tears. You can have 10 fissurectomies but if your bowels are not trained, the tears will keep coming. Now to answer your two questions. Yes, fissurectomy is a good solution for healing that big nasty cut. Sitz bath, creams, diet and water can only help small tears. The big ones need surgery. It will take you around three weeks to heal from a fissurectomy given that you stick to the recommended diet faithfully. A diet that has Vitamin A, C, E and magnesium in abundance. Having said that, fissurectomy takes care of your existing fissures. The surgery will heal it no matter what. You will be free from that nasty tear once and for all. :-)