Any help advice appreciated for anal fissure

Hi Natalie, I know how horrible the pain is. I had surgery Kenalog Protocol March 2019. Took me 3 months after to finally find relief. I started taking 600 mg of Ibuprofen with Tylenol 325 mg twice daily. that helped with swelling and pressure so going to the loo or bathroom was less scary. In times of great pain very hot sitz bath then Nedfidpine ointment , right after laying down with a heating pad under my butt.

Have you seen any surgeons to help you with chronic AF?

Hi Natalie, Get some laxido, also known as movicol, take a sachet at around 6.0 pm along with a 500mg magnesium citrate tablet, after a couple of days you should get into the routine of having an easy bowel movement. once you get into a routine, it will be easy to go, and you wont have to push, which helps enormously with the pain afterwards.

please consider LIS, it has a high success rate. it can heal you for good

also try these things:

• don't eat white flour foods or anything else that is constipating for you
• add kiwis, pears, prunes, flax seed to your diet
• take a stool softner daily such as movicol, lactulose, or magnesium citrate/oxide
• take 2-3 sitz baths a day to get blood flowing to the area to promote healing
• exercise is also good for blood flow
• don't wipe with dry tissue. dab with wet tissue until clean
• or better option, buy a portable shower spray bidet to clean the area

Hi Nat,

u need to get LIS asap. i’ve been through everything that you have described I also have two children and couldn’t spend a quality minute with them! be sure to wash and not wipe your bottom use a lubricant before BM have hot bath before and after if you have the time . sit on the hottest heat pad u can, Are used a very hot wheat bag it was the best thing ever. you must not take painkillers that make you spasm this is a bad cycle it’s better that you don’t take any medication like this regardless of how much you think it helps. I know that sounds impossible but when the surgeon told me to stop taking pain killers, I said how can I possibly get through without painkillers he said you just have to. So i did and it got better to handle after a week or so. Do not eat acidic foods at all. Good luck

I have never heard of Botox working not once ever! f anyone out there says that it works please respond but how do you know whether you weren’t healing anyway ?

hi Nat, Hopefully you can get some good assistant with your children. I guess it’s about planning when you’re in this condition, try and go to the toilet when you least to be around people or caring for your kids. Have you been using a hot wheat bag, simply heated in a microwave fir 2 mins right after BM? I can't stress how much this thing helped me!! Also trying not to stress as this causes more spasms. walk as much as you can, that helps with everything. After so many BOTOX treatments, I can’t understand your doctor not pushing you for LIS surgery before now! You need to do it. I had it done a year ago, I still have a fissure but the pain is completely manageable now. I have a life again. You will too.

Sorry to hear what you are (all) going through, i can so relate to the experience of being afraid to go to the toilet; sometimes spending over an hour in there, shouting in pain when the BM happens... then hours of pain, i got to a point of deep despair the other day and took a bucket into the shower... yep, it sounds crazy but I'd just had enough. i tried holding the hot water jet on the area for a few minutes then actually felt the spasmed muscle slowly relax and miraculously i had a relatively painless and blood free BM (into the bucket). keeping the shower on the area afterwards soothes soreness and cleans you up without wiping. it's a bit undignified but if you can get over that it may be worth a try and might even help the fissure to heal (by causing less damage to the fissure each BM). the huge feeling of relief first time helped me see the funny side of a very low point.