Ok so yesterday i was putting in nifapine mixed with lisocaine cream and id had three bms that day, all decent but the last time i applied the cream, i rubbed against either the fissure or another sensitive spot, my anus has been spasming and narrowing since. Ive had 2 bms since then and they both felt ok using perineal support however, its like now my anus wont relax. Ive done sitz baths and no position or walking or heating pad relieves it. I am currently using proctosedyl to relieve the inflamed tissue and help speed up healing. Its lmost like i have less pain as its spasmed tightly however, the last bm pinched me at the end, reminiscent of how the problem happened months ago. A bit of a sore tailbone and gluteals which i didnt have before....anus now always feels tight like it cant relax.


My question, does this sound like a retear? If so what can i expect and what should i do/have you done to speed the recovery? Im scared as hell.

Doesn´t sound like a retear to me. Those times when I have experienced a retear then I would always be able to tell during/after the next BMs. You probaby just pissed it off by touching it to hard. This triggers pain, pain triggers spasm, spasm triggers anxiety and anxiety worsen pain. Welcome to the wonderfull world of anal fissures my friend! You should try some meditation, yoga or other stuff to relax your mind. A relaxed mind (partially) equals a relaxed anal sphincter.

I would personally be more worried about the longterm sideeffects of your cream treatment as you are using 2 creams, with a total of 5 active ingredients, amoung which 2 of them is known to cause thinning of the skin. You do not want that! It´s the Lidocaine and Hydrocortisone.

thanks lost for words, for your quick reply. i have been prescribed clonazepam for the anxiety associated with fissures. I used to meditate as regularly as i could and now it seems i can barely even focus.

i have another nifedapine compound which is made 0.2% with lanolin and vaseline, i will coat my proctosedyl tip with that as well. i find all lidocaine does is numbs the area and then you touch it more and piss it off!

i just just started proctosedyl in order to jump start the healing, is this a bad idea?

I am going to try to relax more today and ensure that my diet stays extra soft. its always a struggle for me as ive always been a 3 times a day kind of guy and now the docs want 1-2 soft bms per day... well if i have 1, i can tell you it aint gonna be soft!

and it seems no matter how much/little i eat, i always seem to have a lot coming out.

i am expermenting with perineal support while defecating to see if this helps although im not 100% sure of the technique i just place gently pretty upwards between my tailbone and anus with a gloved hand. thanks so much for your experiences :)

does anyone else feel the same? im just worried because the spasms were never this bad before but i am sure that if i retore, or was close, i would be in a considerable amount of pain? vs my last two bm's i had a bit of a pinch but thats about all for now. anus feels very swollen and puckered though. it just feels like the spasms are so hard.

now i am getting a strong feeling like my perineum is stretching.... but everyone keeps saying i am getting better, however since yesterday i feel worse, i feel like i can barely feel the fissures as they are hidden in spasm whenever i move, but the spasms themself are terrible. have you guys ever had spasms last over a day?