Hello everyone :)
I called my doctor yesterday and left a message in her voicemail to let her know that there is for sure a cut inside me, that I've been discussing my symptoms online, and that most people with the same symptoms think I need an oitment, and stool softeners. Her secretary called me back and told me she re-prescribed me an oitment. I'm glad that I have already picked it up.
The common brand name of it is PROCTOL, or, PROCTOSEDYL.
This oitment consists of: "PROCTOSEDYL, FRAMYCETIN & ESCULIN & HC & DIBUCAINE 10&10&5&5M AXC". Has anyone come across or experienced any of these ingredients? Or, even better, know exactly what each one would do for me?
Also, these past couple of days after my bath (always right after a bowel movement), I've experienced worse pain than any other time; working, sitting down for a long time, or excersizing. May it be because the water is too warm during this hot weather here in Canada? Or is it because I'm maybe staying in too long (approximately 1 hr)? I used epsom salt, and I've bathed without it as well and the same thing happens, it feels like someone is pulling on my hairs trying to rip them out.
My last question is: when I was gently cleaning my area, I felt a bump/lump about the size of a tic tac breathemint / a small tylenol pill. I looked at it, and that's what it looked like. I read up on that, and found a post by a doctor saying that it's tissue attatched to the tissues along the canal that are repairing the fissure. Is that correct or is there another reason for it?
I'm just beginning my third week with this fissure, the pain seems more normal now, but I am not getting any more comfortable or confident. Although when the pain strikes I do think of this forum, and the people that are here with me, and I feel a lot better :)

Hi Adam,
I will answer as best as I can,and hopefully others will chime in.
I have never heard of the ointment you have been gave.
The ointments usually prescribed for fissures are diltiazem, nitroglycerin or nifedipine. They are commonly given to fissure patients by CRS( colorectal surgeons). Many doctors are clueless about what ointments are used for fissures who don't specialize in butt problems, such as CRS.
Your bump could be inflamation or possibly a skin tag developing from your fissure. I'm not sure, but it is common for skin tags to develop with fissures. I'm not sure if it's still too early for you to get one of these, but I know I developed one and it became pretty big and noticeable at about 3 months after having my fissure.
Hopefully someone else can come along that will have other ideas...
Pain after a bowel movement is very common with fissures. It can come on suddenly or hours after. It is most likely spasms that come along with the wonderful fissure. Warm baths are very good for aiding in healing. It will not make a fissure worse or pain. In fact all literature advises that warm baths are essential in the healing of fissures. Most CRS advise us to take them a few times a day for atleast 20 min. Anything longer is good. It helps the blood circulation and the muscle to relax to aid in the healing.
Hope this helps! Take care.

Hi Adam - unfortunately, I also don't know anything about the meds the doc gave you. I agree with what Dawns said, though. I think you might want to double-check with your doctor about whether or not the meds you got stop the spasms because that is what will promote healing. And baths are a definite must. The bump you describe could be a skin tag (it's often called a "sentinel pile"), but if it starts to ooze anything, definitely get it checked out.
I hope you feel better soon!

Here's some info. I found Adam.
http://bodyandhealth.canada.com/drug_info_details.asp?brand_name_id=946
I personally wouldn't use anything but one of the ointments above that promote blood flow and reduce anal resting pressure. I wouldn't use anything with hydrocortisone :roll: Just my opinion....

Thank you both for helping me out.
I visited my doctor again today and she seen the lump I had, and she said I have quite the haemorrhoid. The size of the lump/haemorrhoid grew from just the size of a tic tac last night to double (about the size of an almond)! This lump seems to be what is the cause of my pain, because whenever I make a little movement, it is constantly being rubbed. The fissure pain seems to be almost gone, my bowel movement this morning was about 50% less painful from the first day it occurred. The haemorrhoid/lump wasn't a problem or pain during the bowel movement thankfully.
The doctor said the FRAMYCETIN & ESCULIN & HC & DIBUCAINE 10&10&5&5M AXC (proctosedyl ointment) is what I need to rub onto the haemorrhoid, I mentioned about the hydrocortisone being a problem and she didn't think it was.
The baths were not causing the pain, it was the heamorrhoid, I guess it just being wet and in the process of drying after the bath, rubbing against the skin, was causing some bad friction.
So my doctor said to just apply the ointment on the outside, on the haemorrhoid, and not inside the bum. So maybe the hydrocortisone is okay on the outside I hope Dawn.
The doctor also said to put an ice pack wrapped in a tea towel right in there for 15 minutes, once every hour today, and I will for days after for the haemorrhoid. You were right hope to heal thank you. I drove home from the doctor's sitting on an ice pack from my cooler the whole way back (20 minutes) and what a difference that made - the pain from the heamorrhoid was almost gone!
ONCE AGAIN, THANK YOU all for your priceless concern, understanding and advice. If I didn't have all this, I'd be just getting worse or would've just stayed the same for a longer period of time jeapordizing my situation. <3

Hey Adam,
I wouldn't use the hydrocortisone for more than a two week period. It thins the skin and can ulcerate it. If you read the back of preperation H, it tells you to not use over a two week period. I have had two CRS's and GI tell me that it is basically useless and not to use it at all. I'm sure it won't hurt for a short period, but I wouldn't use it over two weeks. I made things worse on myself by doing so.
Hopefully what you have is a hemmy. I am kind of skeptical because of my own experience with this. I was diagnosed with a hemmy in the beginning of my fissure saga only to find out later it was a skin tag that developed because of my fissure. I had it removed with my LIS.
Adam, you may have already said this, and I apologize if I had missed it, but what kind of Dr. are you seeing?

Yes, that's a hemmy cream. I've been prescribed it 3 times (!!!) for my AF before seeing a CRS who confirmed that it either won't do anything (if you're lucky) or could make it worse (which I think it did). I was told, though, that although they recommend not using the cream for more than 2 weeks, you can use it for up to 4 if you have to (but then need a significant break before maybe using it again).

Thanks Dawn and Bernie :)
Dawn, I seen my family doctor that I've had for about 7 years now whom I might have visited twice for bad colds; I'm usually a normally healthy person. I've been going to the same clinic though since I was a baby, and my doctor since then retired so I have this one now.
I will only use this ointment twice a day after bowel movements. So far today I would say this ointment is not making a difference after it's applied. This skin tag or heamorrhoid, whatever it is, is the source of all my pain right now. If my fissure is causing any pain at all, it's being disguised by the pain of this lump. Dawn, when you had your skin tag that was first diagnosed as a haemorrhoid, did it encase all your pain like mine is?
How long of a chance should I give this ointment to start showing either pain relief or healing progress? Right now I think I'll give it until Sunday night, because this pain of this lump is still chronic from last night, where I can't even stand without feeling the glass-like pain, so just imagine how I walk lol. So obviously work (construction) is out of the question for tomorrow. If it stays the same I'm going back to my doctor on Monday and asking her to send me to a specialist because I can't work like this, and I definitely need to work.

Hi Adam. Personally, I think the pain of hemms are totally different from fissure pain. I have had three surgeries for hemmoroids and also had a thrombosed one. The fissure gives spasms inside your rectum which have the sensation, in general, of someone turning knives this way and that when you are having a BM, and the painful spasms afterwards. Hemmorhoids are more of a 'heavy' pain, and they throb and can be truly excruitating in a totally different way. They usually go down in a few days of ice packs. A thrombosed one you will recognize...you won't be able to move. Anyway, whichever it is, lots of people here to help. Hope you are starting to feel better!

I would add to all the other good advice:
Whether it's a hemmy or a fissure: Keep your stools soft, using Miralax/Movicol, it's been a bit of a "magic potion" for many people here. (It's a powder you dissolve in a glass of water once or twice a day). It doesn't - for me at least - make one go more often to the loo, it just keeps things soft, which is an important tool in making anything heal up "down there". And it makes the BMsituation a little less like hell ...
Good luck.