Chronic anal fissure losing the will to live

i believe there needs to be more support or local support groups for this horrible condition!! its soooooo painful!!!!! try hot baths and lubrication before going to the toilet, this helps a lot!!

Hi.Ive never been on a forum before but i feel the need to talk. ive been suffering terribly with anal fissures. ive always been constipated which has caused the fissures.

i would like to share the changes ive made which have helped.

All bran and fruit for breakfast i snack on home made bran cake and i drink 5 lints of water a day. Each morning i get in a salt bath. after 5 mins i insert a glycerin suppository. wait as long as i can and then stand over the loo. as soon as its over i jump back in the bath. And breath.

Its been horrific. i sympathise with you all. I ended up in hospital as the pain was so bad they thought i had a brain anyurism. please drink more water.

Good luck everyone xx

hi Lou7272,

i understand your feeling. for me on of over 3 years now. i am dealing with it now. i am using Dr Buttler it is on Amazon and also Calmoseptine. My pain level now is like nothing or 1 &2, just bleeding then stop for 3 or 4 weeks bleeding again after BM.

Try to eat more fiber, like Papaya and spinach that is help.

You will heal, I have visited 3 doctors. Once wants me to do botox, the other two says no just be patient with cream if you still young. botox and surgery does not give you warranty if it gone or still come back. It is depend on your stool.

You should try dr Buttler take a way the pain and stop bleeding use it for about a week or Two then use Calmoseptine. you will enjoy life again.

Hope this help

Yo what's up! I just made an account to post on here. I might be making my own thread shortly with more details as this forum was useful for me regarding my issues which sound like your own and I'd like to return the favour.

This will be long so i apologise but try and make it through, it may be helpful.

I am a 28 year old male, UK with Ulcerative Colitis who has dealt with a chronic fissure for 6-7 years. i was diagnosed with bowel disease and due to this ended up with a bad tear that never healed. I started as a fit and healthy male who worked out daily and weighed about 14 1/2 stone before this nightmare, I now currently sit at 9 stone. I attribute the weight loss to anxiety over eating because as we all know whatever you eat has to come out the other end!

I also suffer from terrible anxiety which does not help our bottom situation at all. I have spent the last 5-7 years in my house doing nothing due to the pain and embarassment, spent so much time away from work and having no quality of life at all. I honestly believe the stress and anxiety comes hand in hand with the bottom pains as you wake up terrified to use the toilet and my whole world revolves around this. My spasms would last from first BM to 8-9:00pm at night. Horrendous pain.

The pain you feel is from the internal sphincter muscle spasm in response to the fissure. The muscle spasms preventing blood flow to the area and therefore healing.

This has been my experience with different procedures. My GP prescribed me the 2% Nitro Glycerin creams for 2 years which did not work, I tried 2 variations due to terrible headaches from the first cream eventually leading to an allergic reaction down there which made everything much worse.

Eventually after many years I got referred to a Colorectal Specialist who gave me Botox injections and a Fissurectomy (fissure scraping to remove scar tissue) last year. This procedure in my opinion was the worst pain I experienced with the whole ordeal, even worse than the fissure itself. Recovery was tough and I was taking max doses of Ibuprofen and Paracetamol just to get through the day and this lasts for 3-4 weeks. I would not recommend this as it did not solve my issue just provided relief for a few months.

My next visit with the specialist ended up with me being offered a LIS (Lateral Internal Sphincterotomy) or another round of Botox and examination under anaesthesia. I chose the Botox again for a second time as I was so terrified of a more major surgery - especially reading horror stories online about cutting into the Sphincter muscle, even in this forum lol. This round went a lot easier for me as there was no scraping of the fissure. I was walking within a week but still needed a lot of painkillers during and after BM's. Again I had short relief as the botox slightly paralyses the spincter muscle to prevent the spasms i mentioned earlier, but ended up being referred back again due to re-opening the fissure.

This leads up to where i am now and after finally choosing to settle for the LIS surgery which I had 1 week ago on Monday 17th Feb 2020. I read hundreds of horror stories from people here so was prepared for the worst - incontinence, terrible pains which lasts for weeks or months etc.

My experience was honestly the opposite of everything I read online. I woke up that morning to toast at 6:45am as no food is allowed after 7:00, I also drank as much water as i could before 11:00 as no fluids are allowed past that time either. I arrived at the hospital very nervous at 12:30 and had all pre checks done. The surgeon talks you through the procedure of making a small slice to the left or right of the rectum, not actually inside it.

They then under the skin through the incision remove part of the internal sphincter muscle. In my case they removed the rear or posterior portion of my sphincter which was heavily damaged from years of tearing. I eventually went in for the surgery at about 3:30 and woke up completely out of it due to the painkillers and anaesthesia a few hours later. The pain isn't bad at this point so once checked out you spend that night sleeping it off.

Now don't get me wrong, the next 2 or 3 days are painful, especially when going to the bathroom. It hurt like a b***h but its more of a surgical pain than the fissure pain and spasms, I was and still am black and blue and swollen down there which is to be expected and the stitches are quite uncomfortable. But in my experience it is NOTHING compared to the pain of a fissure. you need to ensure you take the relevant laxatives they recommend, this is a huge point as you do NOT want to get constipated during recovery. I took 10ML of lactulose X4 times per day and X1 sachet of Fibregel on an evening. As I'm still in recovery I eat 4-5 tiny meals a day mostly greens and white meats, soft oats etc and a LOT of water to keep everything soft.

I am now just over one week in, stitches are still there, i'm still black and blue from bruising, but my experience in general is very positive. I have taken 0 and I mean no pain killers of any sort during my recovery so far going from the day after my surgery until this very second. No paracetamol no ibuprofen nothing. I currently go to the bathroom 2 or 3 times every day now and its easier to pass stool every time, i don't get the spasms at all anymore. I still have a bit of anxiety regarding going but it gets easier with each day I experience less pain.

I honestly think after years of damage down there my sphincter just kept getting tighter and tighter, I felt like a grown man trying to poo from a babies sized bottom and it was ruining my life.

Although i am not fully recovered or sitting yet i have been on my feet walking since day 1 post surgery and each day is getting easier.

Anyone out there struggling with a chronic fissure get advice about a LIS, i am one week in and see a bright light at the end of my tunnel already and wouldn't recommend it enough.

just wondering has anyone tried anoheal? ive heard its very exspensive on nhs like £100 plus but have heard good reviews?

i believe this has to be POM aswell as its similar to the GTN CREAM