Anal fissure, how to apply Rectogesic cream

Dear Helen

You could try a cotton bud with the cream on the end. The alternative is to try inserting the finger after a hot bath and pushing as if having a BM. I found it helped to use my little finger rather than the preferred index finger. It is worth persevering. For me Rectogesic does give a certain discomfort but its better than the sharp pain. 

 

Hi Helen, My thoughts are with you and all of us that really suffer with this problem.Like you i could not insert my finger because of the pain.What i do which i think is a good idea have you been using a cream Anugesic, If so it would have come with a plastic stem which you fit over the tube to insert the cream.

I now use the stem to insert the Rectogesic cream i first cover this with a ky jely then spread the oitment around this.

Hope this may be of some help for you.

Hi Helen, Really hope your feeling much better asi  do all of us.I forget to mention if you insert a cotton bud inside the tube to stop any infection.

Also wash the tube in hot soapy water after every use.

Clive

Like you, there is no way that I can insert the cream, but to start with I have been using a slightly reduced dose and just applying it on the outside. I have applied three doses now and have had two bowel movements, and so far, that awful crippling pain that used to start about three hours after I had been to the toilet and would last for 7-8 hours has not begun, so I can only assume that it the Rectogesic is working even though I am not applying it internally. I spoke to a pharmacist before using it and she said that it would be fine to apply externally - maybe not quite as effective as applying it internally but still better that not using it. I know your post over a year old, but perhaps this answer will still help someone battling with this crippling pain.

Hi Helen,

Really hope your feeling a lot better yes i had the same problem inserting the cream, because it was to painful to insert the ointment inside myself.

What i did which seemed to help was to put the ointment around the outside of my Anus,this did help to relieve the pain.

Because i felt that i could no longer carry on using the ointment for the rest of my life was admitted to hospital as a day patient.I had a General Anesthetic which i was told would take about 10/15 minutes.

I had a chat with my Consultant to ask what will happen he said he will use Botox which im told is like a Polly Filla to go inside the Fishure for it to heal.

Since my operation im feeling a lot better yes there is a dull ache after ive had a BM

but this is understandable after surgery i guess,im still taking Laxido powder before i go to bed to keep my stools soft. I am due to back at the hospital in 6 weeks time.

It feels odd not using the ointment anymore,but its personal choice to opt for surgery.

Hope this helped you Helen send me a message anytime if i can help you.

Clive

 

Hello all, many thanks for your advice on the application of rectogesic ointment ! .... The saga continues....for me ..good days & bad .....I live in the Middle East which doesn't help with the heat and dehydration situation but I manage ok by using lactulose and glycerin suppositories. I'm  Going to opt for Botox first as this has been going on for about 3 years now on & off and it's getting silly . Trouble is I get a few months of pain free time then when I let my guard down & think it's self cured then it comes back with a vengeance 😱

thanks for all your advice 

helen