by jr2 » 30 Dec 2013, 17:24
smh
The re-tear cycle is super common with fissures because healing happens in stages. So, in the initial stages you might feel a great deal of relief from pain because the fissure is no longer as deep and the muscle isn't spasming as violently in response. But the area where the fissure is located s still very vulnerable, like tissue paper, and can easily tear again. Even a very long time after healing, that area will always be more vulnerable to fissures because it will never be as strong as it was before the injury. But, over time, it does regain a lot of its strength with the laying down of collagen in the wound healing process and won't be nearly as vulnerable as it is in the initial weeks and months.
As far as stool softeners, the majority of doctors advise they are safe for long-term use. Some people are even advised to stick with them permanently. Stool softeners work by drawing more moisture into the stools, so generally aren't thought to create the same kinds of troubles that stimulant laxatives do.
Anal fissures can be stubborn and difficult to heal and require a HUGE amount of patience and diligence with diet. As painful as they are it is normal to wonder if something more serious is going on, but really, they are super common and are rarely indicative of anything more ominous. Of course, a CRS (colorectal surgeon) is the best specialist to confirm this for you.
Wishing you a brighter 2014 that brings you forever healng.