I have been suffering from anal fissure for almost a year. The first time, it never totally healed but I managed to get it under control with very careful diet. However, out of the blue, it has started to cause me a lot of agony again, I am even thinking seriously about quitting my job and get it sorted out properly (but am worried that I will get even more depressed without a job to distract me from my pain).
In the past few weeks, I have been having BM that takes forever to come out. I have the urge, and the poo is already there, but the peristalsis had either stopped or not enough to push it out without me pushing so hard that I start to shake (I am not straining at the opening, but rather, pushing internally from further up - if that makes sense?). Needless to say, it is very traumatizing to my AF and makes it bleed everytime and remain very painful for the rest of the day.
When the stool finally comes out though, I found that they are not massively big or hard. I would say they are about type3/4 on the Bristol scale. I have passed this type before without this much difficulty. I am already taking lactulose daily. I take coconut oil and almost only eat the following: boiled egg, cereal and milk, porridge, boiled veggies, fruits, and smoked salmon and lots of water. I used to have mostly “type 5” stool with the same diet but these days my gut has changed even though my routine (one BM every morning) hasn’t changed. But even with type3/4 stool, I never needed to push so hard!
Back then, the first one was always harder and took longer, but the rest used to just slide out without too much effort. But these days, I have to push hard for every bit. It feels as if my rectum had stopped contracting once the poo reached the opening, or my body has somehow forgotten how to poo!
I wonder if anyone has any tips.. and what else I could do to reduce my poo to type5?