Anal fissure - rectogesic

Posted , 7 users are following.

I am a 23yo female and I have an anal fissure. About three weeks ago, i went to my GP as bowel movements were agonising and i was in tears every time i was using the toilet. My GP prescribed me Rectogesic and told me to use for 8 weeks, applying the ointment every 13 hours.

So, for the past 3 weeks I have been applying the ointment as prescribed alongside two daily doses of docusate stool softeners and it was making a difference in terms of less bleeding and less pain. Despite the HORRIFIC headaches i was beginning to feel better. However, yesterday I used the toilet and the excrutiating pain was back, it was almost as if i could feel the fissure ripping back open and again there was a large amount of blood.

I know I am only 3 weeks into the treatment but is this normal? I feel as though all of those horrible headaches weren't worth it as my bowel movements have just gone back to how they were before, for no clear reason?

Any advice or comments would be greatly appreciated.

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8 Replies

  • Posted

    hi Jane,

    drink loads of water, eat and drink loads of fibre too. i suggest wash your bum dont wipe it. use hot bath before and after BM also lubricate first . i hope u heal because it can be a long horrible time with a fissure. try botox injections albeit they did not work for me and i had to have LIS surgery. its been a year and i still have bad days but nothing at all like before the surgery . the best thing ever is sitting on a hot wheat bag to relieve pain . i could not have survived without one!!!! good luck.

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  • Posted

    Sounds like what I been experiencing lately, I been having horrible burning and ripping pain. the cause is the anal sphincter. it goes into spasms every bowel movement. so you will need as hot as you can take it sitz bath, bidet or shower sprayer attached to your sink for warm and near hot as you can take to wash your bottom. Surgery is your last resort. I hope you heal without it. LIS seems to be a better option for most but there are alternatives you need to research. I had the Kenalog Protocol 6 weeks ago, I'm still not sure If its helping me seems I may need to make a decision on my next doctor's visit. I hope you feel better soon.

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  • Posted

    hi

    I was the same except for the headaches. the only thing I can suggest is you keep hounding the doctors to refer u. you should be getting a little comfort by now. ask your doctor to refer you to a colectoral surgeon, by the time you are seen you will probably have used the cream 13 weeks. try plenty of baths , lay down with a hot water bottle on your back and you must keep your stools soft but don't let it go the other way as this can cause the fissure to happen again. if you go to the chemist you can also use an anesthetic cream to help. it says don't put it in side but you can. also make sure your putting plenty of cream on tour finger when putting the creams In, i used cling film as it wont hurt u.

    hope this helps xx

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  • Posted

    I couldn't use that cream hun as I had the same, crazy headaches. It sounds like it had reopened, you need to ask for a referral to hospital. In the meantime stay off dark meat, eat loads of fruit and veg and drink loads of water and take a stool softener. X

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  • Posted

    I couldn't use that cream hun as I had the same, crazy headaches. It sounds like it had reopened, you need to ask for a referral to hospital. In the meantime stay off dark meat, eat loads of fruit and veg and drink loads of water and take a stool softener. X

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  • Posted

    Boy can I relate. Add more fiber to your diet - Metamucil 2-3x's a day, stool softeners, Calmol-a suppository you can purchase over the counter but it's behind the pharmacist so you need to ask for it. These were a lifesaver for me. They don't make you go but really help ease the pain when you do. Sitz baths with warm water and lots of ibuprofen (or something stronger if you have it).

    I suffered for almost a year before I saw a colorectal surgeon. I had Botox injections over a year ago and have been pain free ever since (knock on wood).

    Don't suffer! Try the home remedies but I'd say if they don't work within 2-3 months go see a specialist!

    Good luck. This is the worst pain I've ever felt and I've had 2 children.

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  • Posted

    thanks all. it just isnt getting better with the cream 😦

    i was wondering what the costs are to go private and get help? does anyone know?

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  • Posted

    if it doesn't heal in seven weeks ,go straight away for anal dilation ,u are young and can clearly bear the small chance of incontinence with this op , i know this process has been replaced with lis but still if it is done by experienced hands ,chances are that small incontinence will occur ,and fissure would heal , lis is the gold standard treatment treating almost 95 percent ,and anal dilation has success rate of 85 percent , since it involves no cutting , it's slightly a less bloody and less painful experience

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