Pregnant and in Pain

Anal Fissure while pregnant

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Re: Pregnant and in Pain

Postby Pregnantandinpain » 19 Feb 2018, 10:00

Thank you! And sorry Marko for the misunderstanding -your English is good!

Mypoorbutt I'd be so scared to have an LIS. I suppose because of the possibility of being incontinent, esp with loose BM's. I pray I can get over this before baby comes and makes it worse :groan:
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Re: Pregnant and in Pain

Postby Mypoorbutt » 19 Feb 2018, 10:12

I think the risk of incontinence is less than 0.2 and even then it’s just light soiling. To be honest it really didn’t bother me I would have quite happily settled for that to get rid of the spasms.
I have crohns and 90% of my BM are just liquid when I’m having a flare and I often don’t get much warning but I can say I haven’t had even one slight incident of incontinence. I know in the U.K. on the NHS they never cut the full length of the IS so that reduces any risk.
There is a chance that baby may not make it worse, I know after my first child my hems were extremely swollen and I was in pain for a few weeks. But with my second child they were fine...think it depends on length of delivery. Fingers crossed the creams work for you
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Re: Pregnant and in Pain

Postby Pregnantandinpain » 19 Feb 2018, 16:11

Thank you mypoorbutt, I appreciate the hope! Interesting about your surgery, unfortunately I don't think here in the states we have that good of a risk. If it goes to the point of surgery I'll know now to see if they cut the full length or not.
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Re: Pregnant and in Pain

Postby Allthepain » 19 Feb 2018, 23:22

I'm due a couple of weeks after you and also have a fissure. I've had mine for over 9 months now so I know it's not going away any time soon. Mine is a little different because it's caused by and affected by constipation. I have to try every thing I can think of to have soft stools. It's a struggle and I use Miralax when I get too much pain or bleeding.

I went to the doctor right before I found out I was pregnant and haven't been back since. I feel like it's useless for me to try and heal until after birth and the severe constipation goes away.

I'm mostly terrified of delivery with a fissure. I'm not sure if it will actually get worse or not. I tried to find some information online but it mostly seems to be speculation about what will happen. I will discuss it more with my OB when it's closer to time, but I'm not sure how much experience they will have in that area. I'm just scared it will get much worse. I know there's another lady on here that's due a little sooner than us and has the same concerns about delivery. Please keep in touch and share whatever you find and I'll do the same.
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Re: Pregnant and in Pain

Postby Pregnantandinpain » 20 Feb 2018, 10:47

Hi Allthepain, thanks for reaching out! Congrats on your pregnancy! I am SO sorry to hear about your fissure. The pain is unbelievable!

I hope you get to your ob soon, I think mine has been way more helpful than my pcp or gi Doctor. Surprisingly! Although ob has more experience with them postnatal they have more support - especially since yours are from constipation and they see that all the time.

It was my ob who told me to stop taking extra vit c (I was for healing and the flu epidemic is so bad). Sure enough Vit C makes everything more acidic which I know is what was killing me with pain.

I encourage you to eat as little meat and dairy as you can. I ended up going plant based whole foods but before I did I took the smoothie challenge. I haven't been constipated since. You make a huge smoothie (an entire pitcher) in the morning, either drink it all or through out the day then eat anything else you want. You end up feeling so good and full you start eating more fruits and veggies as they taste so good. It's about 75% packed greens then fruit, flax seeds and water or almond milk. I have more of a sweet tooth and it was delicious. I'll send the link if interested. I think I'll start up again, it would be so healthy for babe.

I totally agree there is not any information out there for us being pregnant and how to manage and heal. Let alone what is good for our growing babies. I see my ob Thurs and will discuss delivery more with her. Is this your first baby? It should be such a happy time, hang in there.
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Re: Pregnant and in Pain

Postby bryony » 23 Mar 2018, 08:40

Hello, been reading these posts on and off for a while and I just wanted to give my experience of having a fissure and being pregnant. I know very well how unhelpful doctors, nurses and non-specialists are when treating a fissure, especially when pregnant. I unfortunately haven't been able to see a specialist yet, although I think it will be happening quite soon. I got my first fissure before getting pregnant with my first child and needless to say, when I did get pregnant, I had to live with it for the entire pregnancy, using all the creams possible, taking metamucil, magnesium, sometimes colace, not being sure whether I could take miralax/movicol but trying it anyway....The pain was unbearable as we all know and like anyone pregnant with a fissure, was dreading the birth. I wanted a natural birth, but the thought of it ripping the fissure open even more scared the life out of me. So, when I did give birth, everything went fine...the fissure was surprisingly tolerable afterwards. It was like the weight of baby was no longer there and so seemed to help a little. I battled with it for a few months, what with the breastfeeding, and then gradually it went away. I didn't change anything I did before the birth, just metamucil, magnesium and trying to eat well. I did have nitroglycerin but was told not to take that. However, I did use it ever so often when I had flare ups. This was last year and now I am pregnant with baby number 2...had a thrombosed hemorrhoid and voilà, either my old fissure opened up or a new one formed...back to square one. I am obviously worried about the birth, but if all goes like last time, this thing will heal and I will continue my old habits, which I never gave up anyway. That's pregnancy for you I guess.
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Re: Pregnant and in Pain

Postby Allthepain » 23 Mar 2018, 10:30

Thank you for adding your story bryony! I've never had an active fissure while giving birth and there's not much doubt that I will be this time since I can't get it to heal. It's very reassuring to hear that you gave birth with one and it didn't get worse. My worst fear is everything ripping! I'll probably speak to my doctors but I have a feeling they won't be much help.

When are you due?
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Re: Pregnant and in Pain

Postby bryony » 23 Mar 2018, 10:56

I'm due the start of September, so still early days, not too much pressure from the baby yet! Honestly, I didn't think too much about the fissure while I was in active labour, just about getting baby out! Afterwards, I took colace, metamucil and drank loads because I was told labour can be constipating. It worked, I went like usual. I'm still wondering about whether to take miralax or not, I have a stash of it but never got a straight answer on if it was safe while pregnant. Meta works, but can have reverse side effects strangely enough, havent work out why as I drink loads of water. Anyway, I have spoken to my doctor, two in fact and they say the same stuff...not enough research blah blah, and so don't have much to say apart from take sitz baths, tylenol and keep bowel movements soft. Was just prescribed anusol with hydrocortisone in it... :roll: What keeps me going is that the pain is just the morning and ok most days...except today for some reason or another.
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Re: Pregnant and in Pain

Postby Allthepain » 23 Mar 2018, 19:54

My doctor told me Miralax was safe to take everyday if I wanted, but if you look online, you will see there is some controversy about it. I felt ok using it when things get really painful. I know plenty of people have used it without issues so I use it when things are bad. I tried using Metamucil but things were still painful.

Pregnancy made my constipation and fissure a lot worse at first, but I've finally found a diet that's super simple and has been working almost as well as Miralax. I have this pasta made by Birdseye that's made of zucchini and lentil beans. It's in the freezer section and they have several flavors. I really can't tell much difference from regular pasta. Anyways, I usually have that for lunch and then I make a kefir shake in the evenings. I have 1 cup kefir, 1 cup ice, and usually some grape juice concentrate or something to sweeten it up. You can find the Lifeway brand at most stores. These two things everyday have made a HUGE difference for me. It's the only diet change I've made that actually works consistently, and I otherwise eat what I want. It's still not enough to cure me, but it keeps my pain and bleeding to a very minimal amount. Hopefully it might help you too. It actually cured my very severe pregnancy constipation so I'd recommend it!

I'm due in July so I'll probably be hanging around the boards for a while until I can finally get treated and healed.
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Re: Pregnant and in Pain

Postby Pregnantandinpain » 27 Mar 2018, 21:21

Hi all, and congrats bryong!

I haven't been around much. I ended up healing my fissure and got distracted, thank the Lord. Hopefully it'll stay healed. I ended up getting off the Calcium I think that with multiple stools was not helping. I ended up being diligent with the Dilitazem. 5-10 minutes before a bowel movement and morning and night. I think that made all the difference. Speaking to a perinatologist was what I needed! All of us mommas need one. They only worry about the baby and there should be no reason we don't get adequate care because we are pregnant. I also did a sitz after every BM with epson salts, applied a barrier cream before a BM. Wiped only with witch hazel pads. I strongly encourage a plant based diet. It is impossible to be consitpated on a plant based whole foods diet. Our bodies need the nutrients. Another thing is Miralax is plastic, please think before ingesting it. Why not a spinach smoothie instead, they are so good and you can dr it up where you never know its spinach.

Good luck mommas, this is the worst ever. Keep searching for answers and the right care. I wish you all well! I'll be hanging around.
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