4th retear of anal fissure I don't know what to do and scared

Hey Kayla,sorry to hear of the frustration and pain you must be going through.I suffered from 3 fissures which occured in end of Aug.Ive never experienced them before and thought the pain would go away on its own.It got so worse in a week i went to a gp who prescribed the neohealer and procto glyvenol suppositories.I didnt know much about fissures so u went home tried the regime amd changed my diet to very light veges and avocado.it eased the pain as my BM were quite soft,always have been thus i dont understand why i had the fissures to begin with.Maybe stress of travel.

I decided to take matters into my own hands,and went on a liquid diet and some days id have just chamomile or peppermint tea with money and my 1 a day vitamin.i took a spoonful of virgin olive oil 3 times as well for energy.i know most doctors qoyld tell you up your fibre...it didnt work with me,the stools were bountiful though soft still exercerbated my fissures.But with the liquid diet the residue was minimum once every 3days...i was hungry but id take that from that debilitation pain of fissures and the hours of spasms.I also read about the gtn crram in this forum and started using it.Had to demand it from my gp who seems to have no idea how to handle af.I also alternated coconut oil with sudocreme during the day atleast 3times.the pain subsided in 3days...no spasms,bm were quick just slightly uncomfortable.

Try lactulose, prunes are ok, but juice hasn't enough fibre.

plus, don't use toilet paper, use wet wipes, and if sore use baby nappy rash cream.

Don't let you motions get hard, eat fibre, like mashed potatoes, and cauliflower, all veg are good.

If you want to stop this reacurring, ditch junk food altogether

Kayla:

Have you seen a doctor regarding the tear? I had a tear that I left untreated and scar tissue had formed keeping it from healing. I had it surgically fixed 3 weeks ago. It is still healing, but getting much better

Here are some suggestions I have for you to help you through:

1. Try somee zinc oxide in the form of calmoseptine which has menthol to soothe the area down there as well. Calmoseptine can be bought at almost any local drugstore and can be bought online too.

2. Try squatting when going on the toilet instead of sitting. This is a much  helathier position and the poop sometimes will just slide out,  no pushing or straining involved.

3. I would definately take a fiber supplement, specifically metamucil  is what I take evveryday,  in ordr to allow your stools to be soft and to allow them to pass thorugh easily. THis being said, with any fiber supplemetn, you must drink lots of water when using them, or they will not work veffectively. Also, do not take too much as too much fiber can irritate your bowels on the way  out and diarreah actually does worse down there.

5. I would recommend getting a sphicteronomy surgery if htings dont get better. I waited it out, gave up, had the surgery, and was able to heal within about two weeks. I had a chronic fissure, so I knew where you are ocming from with v all the pain and discomfort.

Try listening to music to distract your mind a bit, especially when going to the bathroom. If you are in writing pain, distract yourself with a movie or TV show right after. Also, to prevent myself from screaming and from putting more stress in the area down  there, i bit down on a washcloth in order to make the tensions with my teeth instead of my sphicter muscle.

Hope this helps!!!

Best,

Myles