Introduction & Help!

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Introduction & Help!

Postby psb146 » 24 Feb 2013, 19:02

Hi guys,
Really glad to have found this forum
Just thought I would introduce myself. I have been suffering from anal fissure for over 2 years now but it has been on and off. I was just after some general advice really and hope to cure my problem naturally rather than having an op etc
I have been in agony for quite a while now but it is usually on and off. I have been to see a specialist a few times who confirmed I have fissure with an external tag (linking to the fissure). I am an indian vegetarian and mostly eat indian vegetarian food. I try my best to keep to a good diet but occasionally I can eat something which can cause me some serious problems in the morning.
Sometimes stools are hard causing the fissure to hurt again (maybe re-tear), causing me nothing but pain for a week or two. After applying cream, taking stool softeners and generally relaxing I am okay again until it happens again. During the time I am in so much pain - I can barely walk. I am scared to go to the toilet. The skin tag inflates and causes alot of pain also. My anal passage is very tight in general and I believe this is the main problem.
I usually eat healthy food. My anal passage is so tight that any stool I pass hurts it. If its slightly harder than usual it will cause it to re-tear and hurt again.
My question really is, has anyone every experience this with their anal passage being so tight, if so how can I make it looser? Should I be continuously having stool softening medicine? I have applied nitroglycerin only once, should I try this again? Should I be bathing in hot water? What can I eat to increase fiber? Is there something I can take which will help to soften my stools? What do I do? :(
This is really stressing me out and any help is appreciated
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Re: Introduction & Help!

Postby marg6043 » 24 Feb 2013, 20:13

Hi there, psb146 and welcome, something that you learn the hard way with fissure suffering is that you can never let your guard down even if you have surgery.
You most keep the stools soft and easy to pass, that is the key, to avoid irritation, burning and pain you need to apply Vaseline or any other ointment before and after a BM.
Nitro works but it takes a while, if you only use it sporadically is not going to do you any good.
Your fissure now is considered chronic, so you know that is coming back when you stop doing what help you feel better.
The anal spams are the ones making you muscle tight so that is why you need the cream to help relax the muscle.
Keep using the cream and the tightness will ease eventually.
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Re: Introduction & Help!

Postby coconut » 24 Feb 2013, 21:01

There are a couple of us vegetarians on this board. It seems unfair, since the diet recommended is basically a healthy veg diet. The meat eaters have a lot of trouble transitioning to eating our way and its tempting to feel superior, but here I am, having the same problems as they are, so who's superior now, huh? (answer: not me!) The sad truth is that diet is a major factor for many chronic fissure sufferers, but NOT ALL of us.
I had to address my tight sphincter. My fingers are crossed that my current regimen will heal me. I have had some progress, but only time will tell if I'll heal this way.
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Re: Introduction & Help!

Postby psb146 » 25 Feb 2013, 10:37

Hi guys
Thanks for the reply. Its strange, today I have been perfectly fine. Stools passed through fine and it did hurt a little but the pain didnt last for long.
I sit in an office and occasionally it can hurt when I am just sitting for hours.
Usually its my skin tag that makes things worse for me, it swells up and it becomes difficult to do anything. So when its swollen - i find it difficult to apply cream. Over a year ago, the specialist asked if I wanted it removed which I should of thinking about it but I got a little scared of having an op in that area.
Is it worth looking into removing it? Or should I try having sitz baths and applying nitroglycerin? Will nitroglycerin relax that area and eventually make it less tight?
My doctor once advised me to try and use anal dilators to try and expand my anal passage which would help me pass stools easily - is this true - would it help?
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Re: Introduction & Help!

Postby psb146 » 25 Feb 2013, 10:38

coconut wrote:I had to address my tight sphincter. My fingers are crossed that my current regimen will heal me. I have had some progress, but only time will tell if I'll heal this way.

How did you address your tight sphincter?
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Re: Introduction & Help!

Postby coconut » 25 Feb 2013, 10:43

^ I apply diltiazem cream. Its by prescription.
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Re: Introduction & Help!

Postby coconut » 25 Feb 2013, 11:10

psb146 wrote:Hi guys
Thanks for the reply. Its strange, today I have been perfectly fine. Stools passed through fine and it did hurt a little but the pain didnt last for long.
I sit in an office and occasionally it can hurt when I am just sitting for hours.
Usually its my skin tag that makes things worse for me, it swells up and it becomes difficult to do anything. So when its swollen - i find it difficult to apply cream. Over a year ago, the specialist asked if I wanted it removed which I should of thinking about it but I got a little scared of having an op in that area.
Is it worth looking into removing it? Or should I try having sitz baths and applying nitroglycerin? Will nitroglycerin relax that area and eventually make it less tight?
My doctor once advised me to try and use anal dilators to try and expand my anal passage which would help me pass stools easily - is this true - would it help?

Anal dilators have been largely discredited as effective treatment. A few people around here have used them successfully, but according to sound scientific study, there is a better chance that they will actually cause more damage.
My experience has been this. Regular doctors don't know jack about anal fissures. The only actual good care I've received has been from a CRS. (colorectal surgen) He did not suggest surgery right away and has me on conservative treatment. The GP was worse than useless and caused a great deal of harm. The gastroenterologist gave me inadiquet care and went so far as to tell me that soft stools aren't a factor in healing fissures. Image
Hot baths, high fiber gentle diet, stool softeners, dialator creams like the nitro you mention; these are good, standard treatment. My doctor also wants me to work on enlarging that area, but he has me using bulking agents like wheat fiber.
As for removing the tag, I don't have any experience with that. My tag doesn't hurt. Sounds like it might be a good idea, but who am I to say?
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Re: Introduction & Help!

Postby marg6043 » 25 Feb 2013, 11:30

psb146 I have a large skin tag or sentinel pile that for years I believed to be a hem, but I was wrong.
Yes it does get irritated, red and swollen, when the fissures is active and painful, it does get hard to touch the skin tag and it feels like the whole problem is related to it.
My doctor in my last app. this month while discussing surgery I asked him about having the tag removed, he refused in the basis that the skin tag is just skin and once the fissure heals the tag will only be leftover skin.
Some members in the board had problems after the tag removal, some have it removed with the LIS, with no problem at all, I guess it depend on the doctor.
Now that my fissure is feeling better the skin tag has substantially shrink back inside.
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