My soft poop diet regimen

Discuss changes in diet that have helped you manage your fissure, or any supplements or medications/creams that have been effective.

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My soft poop diet regimen

Postby NeuropathicGuy » 21 Aug 2009, 10:03

Hey there guys, so as most of you know, I'm still in an early phase of my fissure battle, and will likely decide on botox or LIS as the next step within the next couple of weeks here. But I just wanted to share a diet I've been using lately that's at least given me some temporary relief (not full relief but a noticeable reduction in pain and spasms) this week. It basically goes as follows:
BREAKFAST:
1-2 cups of Fiber One cereal (I usually go with the cardboard-tasting bran version) with a few cups of water. This gets my bowels moving.
LUNCH:
Veggie soup (boiled broccoli, cauliflower, cabbage, carrots) OR sushi (with brown rice if I can find it).
DINNER:
More veggie soup, but with small portions of boiled chicken and boiled fish, OR crab meat on the side (I use king crab legs or fresh local whole crabs). If I'm still hungry then I eat soy beans or more cereal until I feel full.
LAXATIVES:
I take a full dose of Miralax everyday. Half a dose after lunch, and half a dose after dinner.
MEDICATIONS:
Before a BM, I take one 5 mg Valium, and if there's time (the poos happen pretty urgently most of the time), I apply nifedipine or nitroglycerin ointment (I have both and use one every other day) and dibucaine (Nupercainal) to the anal area. After a BM, I take one moer 5 mg Valium and apply a bit more nifedipine or nitroglycerin. I don't think Valium is commonly used for fissures, but I honestly think it's the one single thing that's done the most for my spasms.
I know this regimen probably isn't very nutritionally balanced, as I'm still losing weight on it, but it's given me the most easy to pass poops I've had since the fissure started. Usually I feel pain when the bowels first open (probably the sphincter stretching), but after that the rest of it usually exits without too much commotion. And of course there's still some pain and discomfort for a while after the BM is over and done with. Anyhow, I won't claim to be cured, and I won't claim that I'm even making any real progress (I know how setbacks can happen so easily), but just wanted to share this in case it gives other in desperate shape something else to try. So take it for what it's worth, from a fissure suffer who was on his knees before and is now trying to get up off of them.
Cheers and happy Friday everyone!
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Re: My soft poop diet regimen

Postby busymom » 24 Aug 2009, 10:37

My cereal of choice as well! The other thing that has really helped me over the last few weeks is a cream that I learned about from a post on this site. It's called Calmoseptine and it's helped with the burning and pain. I've wondered if a low dose of Valium would help my situation as well.
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Re: My soft poop diet regimen

Postby NeuropathicGuy » 24 Aug 2009, 14:10

Yeha Fiber One is awesome stuff :) I usually eat only 1-2 cups for breakfast, but if I'm still feeling hungry after dinner, then I eat more Fiber One until I'm full. So some days I get several times the daily RDA of fiber. Usually the Miralax can soften it up nicely. Yet the smallest piece of meat will remain as hard as ever on its way out despite the Miralax. Go figure.
I just looked up Calmoseptine online, it looks interesting -- never heard of it, thanks for the tip! It's cheap, too, so I may give it a try, doesn't look like there's much to lose. Is it the case that you apply it before a bowel movement so the stools have a barrier as they exit?
The Nupercainal (active ingredient dibucaine) I'm using costs about $12 a tube, and it is somewhat effective. I don't put it inside the anal canal, though, I just rub a little around opening of the anus and maybe just barely around the circumference of the sphincter. But there's a $60+ tube of 5% lidocaine ointment called LMX5 that I've been eyeing for a little bit. The price is giving me some second thoughts about it right now, but lidocaine is one of the stronger OTC topical analgesics, so it looks like a good bet and is definitely tempting.
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Re: My soft poop diet regimen

Postby busymom » 24 Aug 2009, 21:34

I'll have to check out the Nupercainal. It sounds similar to RectoGel and that has also been a help. As for cost, I think there should be a "pain and suffering" discount for these items! We need them to survive! It sounds like we have similar diets - I also cut out red meat though and while I sometimes miss it, I sure don't miss the pain of having it leave me.
The Calmoseptine is like a thicker, more soothing rash ointment. In fact, it says on the label that it is also for fissures. You can put it on anytime and it stays on for good! So, you don't have to rush in before using the bathroom and try to get it on when you have to go. It's been great and the price is definitely right! I have it shipped to me and just order it online.
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Re: My soft poop diet regimen

Postby NeuropathicGuy » 25 Aug 2009, 02:34

Ah yes, the joy of rushing to the bathroom trying to put on ointments as quickly as possible before the stools demand (more like DEMAND) to be released :) I get that one nearly every morning within 5 minutes of waking up. Now I don't even wait for the urge to hit anymore, since I know what's coming, I basically roll out of bed and then it's time to pop a Valium and see the wizard of butt creams immediately, fingers crossed in the hopes that they will take effect before other events can no longer be denied. Because of the daily Miralax I'm taking, the urge to poo can announce itself rather quickly. So certainly some value to a longer lasting butt ointment there.
The lack of ability to eat meat and fried stuff really is a bummer. Everytime I drive past a McDonald's (I was a big fan before the fissure struck me down) I can just imagine that Big Mac with a side of nice hot fries in my mind ... and the best part, having it inconspicuously leave my system without even my noticing :)
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Re: My soft poop diet regimen

Postby Deleted User 5 » 25 Aug 2009, 07:11

The lack of ability to eat meat and fried stuff really is a bummer. Everytime I drive past a McDonald's (I was a big fan before the fissure struck me down) I can just imagine that Big Mac with a side of nice hot fries in my mind ... and the best part, having it inconspicuously leave my system without even my noticing Smile

I ate meat when I had my fissure, just small amounts. I still just eat small amounts! :)
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Re: My soft poop diet regimen

Postby NeuropathicGuy » 25 Aug 2009, 09:56

Kim wrote:
The lack of ability to eat meat and fried stuff really is a bummer. Everytime I drive past a McDonald's (I was a big fan before the fissure struck me down) I can just imagine that Big Mac with a side of nice hot fries in my mind ... and the best part, having it inconspicuously leave my system without even my noticing Smile

I ate meat when I had my fissure, just small amounts. I still just eat small amounts! :)

Kim, you are more of a man than me for sure, my friend :) The only "meats" I can eat in large quantities right now are boiled fish and crab meat (I get either frozen king crab legs from Safeway or live dungeness from the Asian market). Both are fairly high in protein but for some reason my GI tract is perfectly happy and adept at breaking them down. Oh and very small amounts of chicken (cut into small pieces and boiled thoroughly) seem to be safe. After my turkey burger experience last week, where the turkey got its revenge on its way out of my body, I'm Image Image Image of anything other than those safe choices. I'm usually not much of a meat eater to begin with (famous amongst my friends for consistently turning down filet mignon in favor of McDonald's Filet Of Fish sandwich), but ever since this fissure erupted, every steak or hamburger patty has just looked like ambrosia to me -- gotta love how human nature works :)
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Re: My soft poop diet regimen

Postby Deleted User 5 » 25 Aug 2009, 14:57

Oh, come on! I am not more of a man, I just could not control my cravings for red meat! :D
Yes, I know you are fish/seafood guy now! I LOVE fish and seafood, but i am just afraid to eat it regularly (I think we've had this convo before but I am always on broken-record mode!)
You turn down filet mignon? You need to be SHOT! Image
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Re: My soft poop diet regimen

Postby NeuropathicGuy » 25 Aug 2009, 16:09

If it will eliminate the fissure, please shoot away Image
Yeah steak is one of those things I've never cared for. Ribeye, kobe, filet mignon, it all tastes the same to me, and none of it is as good as a Big Mac or blackened cajun style catfish fillet :)
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Re: My soft poop diet regimen

Postby Deleted User 5 » 25 Aug 2009, 16:10

...and none of it is as good as a Big Mac or blackened cajun style catfish fillet Smile

Yum, I'll take one of each!
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