I saw a specialist about a month ago cause of my AF, which is chronic, I have had bleeding for over a year but pain for only about 2 months.
He adviced rectogesic and because of my age, against surgery.
He recomended fiber which I probably dont get enough of.
I have tried to avoid the rectogesic and havent tried it yet as it seems harsh, I can control pain through diet but the problem is after afew days I get sick and weak from lack of meat then I will have a chicken roll or something and it will put me back to square one. I need some diet tips from people, I want to give this one last shot before I start using the rectogesic, which I have some questions about.
For those of you that have used it, do the headaches last the duration of the effect 12 hrs? And does lowering the dose or starting off with ramping the dose work? If I go on it which I think I most likely will have to, I plan on starting off with a barely effective dose and working my way up.

Hey, i used rectogesic for about 3months i only used 1/2 cm and i got no headaches i think i was one of the lucky ones. Why dont u want to use it if u dont mind me asking?

Hey there,
I used Diltiazem for my fissure and didn't have any problems with headaches. I think nitroglycerin is more likely to give the headaches. Maybe you could get diltiazem or nifedipine if the nitro causes headaches.
I would be a little bothered about bleeding for over a year and only pain for the past two months though. Have you had a colonoscopy?
There are many good diet tips in the diet and supplement threads. The best advice I can give you is to get a good stool softener like miralax/movicol, Eat a fair amount of fiber- more fruits, vegetables and cereal, avoid foods that cause hard bm's or constipation like red meat, cheese and dairy. Also avoid sharp food like chips, nuts, pop corn, taco shells, basically anything that can scratch coming out.
Good Luck!

I'd like to add: you can use a fiber supplement such as benefiber, citrucel or metamucil, but have to experiment to see what works the best for you...Just be sure and drink Plenty of water when taking fiber!! Well drink plenty of water with a fissure period. I didn't have such good luck with the supplements and just decided to eat 20-25grams of fiber along w/ a stool softener and plenty of water.

As far as getting protein, have you tried soy foods? I can eat soy products (all that fake meat stuff) without any problem and tofu too. I've been eating the Morningstar Farms products. Also, there are supplement drinks such as a Pedia Sure which is lactose free, it does have some iron though I believe which can be constipating. But once you're on more fiber and stools are easier to pass, that may be a non issue. Beans are very high in protein, such as black beans, lentils and pinto beans, they also have omega 3's. High in gas too though until you get used to them. There are high fiber/protein breads also.

I was advised to use Rectogesic just before bed, that way you can sleep off the headache although I used it in the morning as well and soon got used to the headache, I found that if you stop using it for about a month or so then restart the headaches were worse than ever.

I had headaches and lightheadedness the first 2-3 days of nitroglycerin but after that they were barely noticeable (and often not at all) unless I used way too much. Most people do build tolerance over time. For me the headaches only lasted maybe 5-10 minutes after application.
It's true that nifedipine and diltiazem generally don't cause headaches at all and could be viable alternatives if you can't tolerate nitroglycerin.
I don't get the bit about your age not being a good fit for LIS though. Is the doc implying you're too young or too old?

Also, diet wise, for a fissure I like a heavy (make that VERY HEAVY) dose of boiled veggies with almost no red meat. For protein I was okay with chicken and fish but people differ here. Also, lots of people get good results from fruit, although fruit tends to give me diarrhea so I personally didn't really eat much when I had my fissure.
A good stool softener is a must. I'm not sure if you're taking one but a lot of us like Miralax (Movicol in the UK).
Add in a lot of water and you should hopefully have soft stools that allow the fissure to be tolerable. Mine was real bad despite a good diet, and didn't become tolerable until I added Miralax to the regimen, so I can't stress the importance of an effective stool softener enough.

Thanks for all the replies.
The doctor is a colorectal surgeon and he did briefly examine me and it is not anything more serious thankfully.
I didnt want to jump into retrogesic because the doctor said to use it for 2 months and then when I expressed my concern he said or I could atleast use it for 2 weeks minimum until the pain goes away. To me logically it seems if I could just keep the pain away it would be as good but I guess I am wrong.
He told me not to use a laxative, but to use metamucil which I have been but not every day.
Another reason I am not keen on retrogesic is I already suffer from the side effect symptoms without taking it, I get headaches and lightheadedness I think because I am boarderline Anemic.
Has any1 with Anemia used it? I heard its a contrandication.
Sorry I didnt elaborate more in my original post. I am 27 and the doctor told me I really do not want the surgery especially at my age.
I forgot about beans thanks, I think I will make this a staple in my diet.
I am definitely not okay with chicken, I am going to try fish only now.
Is psyllium husk sufficient for a stool softener, I am still unsure if just compensating extra meat intake with more psyllium husk would help, and does it matter when I have the fiber? I am under the impression you should have it with a meal.

The consensus here in the UK is that people of certain ages are considered too young because of the risk of incontinence, but it's perfectly ok to have it if your older (like me), in other words, they don't care about older people becoming incontinent lol.
As for the stool softener, I only use Ispaghula Husk which is a fibre drink/bulking agent, typically it does the same as Psyllium Husk and works fine for me, I've had LIS though, so passing bulkier more formed stools is easy.