by IronicTwist » 25 Nov 2016, 09:34
You will have better and worse days. A fissure is unpredictable.
I have days when I wake up with pain and days when I feel like I did before the fissure. It's a nasty little ailment. Once you think you're on the right track, it shows its ugly face and attacks again.
Learn to accept it until you get LIS and find ways to make it manageable.
Pain and spasms. Try a sitz bath. Get painkillers that dont constipate. If you're alone, put a dab of vaseline on your pinky finger and massage the sphincter. Sounds gross but it does relieve the pressure a bit for me when everything else doesnt. Ask the pharmacist or your GP for GTN and apply about an hour after a BM. I try make sure I am regular so that I can fit this into a schedule. Work about 30g of fibre into your macros and get the most in during breakfast with some soluble and insoluble throughout the day. A morning shot of coffee and about 4 prunes with midmorning snack to get things moving. By 10am I usually have a soft BM. Wetwipes with no alchohol to clean(I use about 6 or 7 making sure its clean till nothing stains the wipe, even if it means gently putting some inside to clean out more) or if you're at home, clean up with warm water on a bidet or sitz bath. Then once the fissure starts acting up, which in my case is between 30 to 60 minutes later, apply GTN. It is a hassle, I know but it is manageable. Find out what works for you and listen to what your body tells you. Keep a food journal with movement times and pain levels in the footnotes.
Other than that, give it a name and just treat it as that difficult relative you just have to learn to live with and keep calm.
Better days will come.