by Deleted User 5 » 18 Dec 2007, 06:52
GG, sorry to hear that things have gotten worse, much worse it sounds. There is quite a bit you can do to manage things and hopefully get healing underway, but if your fissure becomes chronic it may take long-term efforts on your part to bring the pain levels under control.
1. avoid junk foods as much as possible, and eat soft foods whenever you can. Lots of fruits and cooked vegetables will supply your stools with fiber so you stay regular and son't (hopefully) get conmstipated and/or have hard BMS, both of which will increase your agony.
2. Drink plenty of water but don't overdo it.
3. Use a stool softener like colace everyday to keep your stools soft.
4. Take warms or even hot baths as ofetn as you can, up[ to about 4 times a day. This will speed the healing and give you some extra relief.
5. Don't strain while on the toilet and never avoid using the toilet. As the stools "back up" they get harder and harder and will make your next trip horrible if you wait.
6. Conservative measures like diltiazem or nefedipine creams, or nitro cream, will relaz your anus/sphincter and make passing the stools easier.
7. Botox or surgery may be an oiption if healing doesn't occur within a reasonable time.
READ the posts here and you will find tons of other advice and helpful hints at fissure management.