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nazy78 nazy78

Healing a Chronic Anal Fissure

I suffered with an anal fissure for almost 6 months. Having bowel movements was like passing shreds of glass & the pain was so bad for hours afterwards. I would wake up the next day dreading the next bowel movement. I actually thought it was piles & didnt know what it was until after about 8 weeks. The doctor gave me the usual creams etc and it did seem to work for a few days but then would come back. I finally was able to somewhat control the pain but the fissure wasnt healing. After reading everything I could about it & peoples trials & errors I wanted to share with you what finally healed the fissure. Please note I have no medical experience and I am just sharing what worked for me. 

First drink lots of water. I drink 12-14 8oz glasses everyday. I ensure I have fibre with all my meals. For 1 week I had a sitz bath with epsom salts in it & use to soak in it for 20 mins. At night before bedtime I took 30ml of Cremaffin stool softner for about 1 month. I know this is too long to be taken this as well as too much but this used to make bowel movements pain free. Afterwards I gradually reduced 5ml every 2 weeks. But what really healed the fissure itself was applying Sudocrem nappy rash cream. I applied it gently (with very short nails to make sure I didnt scratch myself further!!) just inside my anus as well as around the tag.  I read that zinc oxide would help it heal and remembered my sons Sudocrem. I used to apply it about 4-5 times a day for about 1 week then reduced to 2 times a day. So far its been about 2 weeks and I have been pain free. I still take Cremaffin 10 ml every night & apply Sudocrem before bed. I hope this will help someone else too as cos as you know its the worst pain ever!!

35 Replies

  • amala2562 amala2562 nazy78

    Thanks for this. I have been on coconut oil suppositories that I make. And been using Manuka honey and tea tree oil. Though it is better I still had pain for hours after a motion. I also have loose stools in general. So too many motions.

    Anyway now I have bought this cream

    • nazy78 nazy78 amala2562

      I too used pure coconut oil 3 times a day that I used to apply however the pain was back after a few days. Sudocrem is the only thing thats worked for me since this began in February after being very constipated for a few days. Sudocrem does say its not for internal use but I apply it just inside on the fissure itself.

    • nazy78 nazy78 amala2562

      Let me know how it goes with the cream. Do the sitz bath too at least 2 times a day. Try and have only 1 motion a day if possible but dont not go if you get the urge to have one. Also careful with the fibre intake. If you suddenly increase it you will have loose motion and this aggravates the fissure as well. 

    • amala2562 amala2562 nazy78

      The burning after a motion and the spasms are so much better after the cream just used one day.... Thanks so much for suggesting this. The coconut oil and all helped but not as much as this. I hope it sustains. Will let you know.

      Are you still applying the Sudocrem?  I am traveling and so the Sitz baths have been hard.


  • adders45 adders45 nazy78

    I have suffered the pain of anal fissures for years and years - But the cure is very VERY simple you just have to do it. Believe me people, believe me. Are you ready for this, Cut all ALL!!! Gluten from your diet. The fissures will start to heal within days. I have passed this cure on to 5 people suffering the agony and every one  has heald very quickly. Be carefull because if after a few months you are completly cured and start eating gluten again (I tried this) the agony returns.

  • amala2562 amala2562 nazy78

    The Sudocream is helping me. It's not gone yet but much under control. I wanted to thank you.

    Also wanted to know if you have had any relapses. I get a bit of bad pain once in a while esp if I have gone too frequently or after a long time. The latter only happened due to a long plane ride.

    Anyway shall continue my regime.

    • vanessa59744 vanessa59744 amala2562

      I have a question. Since it seems like you are on the path of healing, i can have days of no pain during a bm, then the pain comes back. In your experience Does that mean my healing stopped, and im no longer healing? or even while healing I will have pain with bm but will continue to be less and less pain until im completely healed?

    • amala2562 amala2562 vanessa59744

      I was hoping nazy would reply. Since that's who's advice has given me the most relief. But let me try and respond.

      I think if you have pain free days and then some recurrence it still means you are healing. Just not healed. It's very frustrating the pace of healing and the set backs but as long as it's more and more pain free times it's worth trying.

      In my case my challenge is keeping bowels soft and yet not too runny. Too many bms or hard stools are a huge set back. I do not take any artificial stool softeners since adequate fruits and vegetables do the trick for me.

      I have not had more than two days of 'not much pain' so far. Then something triggers it again.

      As some one said - gluten, meats even fish, alcohol all seem to be contra beneficial. After moving to a full rice and vegetables, lentils etc bases diet and lots of yoghurt it's been steadily improving.

      So hang in there and continue the routine that works for you.

    • vanessa59744 vanessa59744 amala2562

      Thanks for answering. I'm scared to not take the artificial softeners because I'm afraid of the hard stool. For me it's just frustrating because I can go up to 9 days at a time, then something sets me back. Keeping my diet the same can't figure out what makes the pain come back. And also it's impossible for me to only have one bm a day. The mornings not too painful but by the time the afternoon one comes I'm still in pain from the morning..I just want to be pain free!!

    • amala2562 amala2562 vanessa59744

      I have not been free for 9 days without pain since it started. But yes I too tend to have two bm. And noticed yesterday that I had no pain after second. And even had a third. So I didn't have fruits yesterday. And this morning was a bit hard initially to go and am now in some pain.

      Is it the stool softener that is making you go twice? I found that going less helped me. Are you putting in coconut oil suppository I make it by poring coconut oil and a few drops of tea tree oil in a steel flat container and out it in the fridge. Then every night I take a wedge out with a knife and insert.

      I am also now inserting the Sudocrem a little deeper since the edge sphincter area seems healed but a tag or something inside is the pain area. I put Sudocrem twice a day. And Manuka twice. Coconut oil before sleeping.

    • vanessa59744 vanessa59744 amala2562

      Yes I believe it is the stool softener. If I could just go once a day i would be so much better. The afternoon kills me.I try not to eat all day thinking that will help not have the 2ND one, but it doesnt. I tried making suppositories but could never get it right, so I ordered some from amazon. I use them at night, and manuka throughout the day. The manuka irritates me and makes me all itchy, but just between my butt cheeks. It's weird. But I feel like i can't stop using it. How long have you had your fissure?

    • amala2562 amala2562 vanessa59744

      Two months. Bowel movements are also habitual. So try break the afternoon habit. Have prunes, oats, dried fruits and fresh fruits perhaps instead of the stool softener. It's a bit of trial and error. Please try Sudocrem too

    • nazy78 nazy78 amala2562

      Hi Amala2562 & vanessa59744, Sorry not been online for a while so didnt see your Q. Since i started applying Sudocrem I did have 1 relapse for 1 day this week & thats cos I was away on vacation & not been as careful with my diet.  ie no fiber, lots of sweets, 2 or more bowel movements a day & very little water. But the pain was never very bad just a bit sore for awhile. 

      I still take 10ml of Cremaffin every night & started applying Sudocrem thrice a day & warm sitz bath with a bit of epsom salts twice a day if possible.

      Before the relapse I have been pain free for abt 6 weeks & after being in pain since arnd February this has been such a huge relief so am trying to not let this small relapse worry me too much cos I know I can get it under control again.

      However I am worried abt completely stopping taking Cremaffin as this helps with the softness of the stools although I do have plently of fiber with all 3 meals & 14 glasses of water a day. I trick is to have only 1 bowel movement a day as this will give the fissure time to heal for a few hrs at a time. Too much fiber & it will make you go more & irritate the fissure. Initially I used to take 30ml Cremaffin when the pain was very bad but now am down to 10ml. 

      I read someone that it can take upto 6 months to completely heal a fissure & although thats a pain (literally & figuratively!!! :S) i much prefer that to having LIS & the very real possibility of having accidents at my age ( I am 36).

      So hang in there & once you get into a routine of having your water & fiber etc it really doesnt seem like such a chore any more & it will heal.

    • amala2562 amala2562 nazy78

      Thanks Nazy78 for the reply. I will go back to applying Sudocrem thrice a day. The cream stays there and doesn't get absorbed or go away. Hence had reduced.

      Shall resume. Also why the Epsom salts in the bath? I have not been using any.

      Thanks once again.

    • vanessa59744 vanessa59744 nazy78

      Thanks nazy78. That's great!! And it reassures me to hear that it really is possible to heal without the surgery. Because a lot of times I get discouraged. Yes like 2amala2562 was saying about the 1 bm a day that seems like my problem. It's always 2, and the 2nd one hurts alot..I don't know how to stop that one. And the cremmafin seems like a great product, but i don't think it's available here. I'm Def gonna try the sudocream tho. I feel the exact same as you about the lis. I'm 35 and not liking forward to possibility of accidents.

    • nazy78 nazy78 vanessa59744

      Having more bm's a day is usually the reason for a relapse I feel & I think the reason I got my one. Was on vacation & really over ate!!! 

      Cremaffin is a milk of magnesia stool softner. I think any milk of magnesia stool softner should do the trick?

      The warm sitz baths do help too. amala2562 I use either table salt (cos the GP said to use this) or epson salt cos read this helps with healing. So whichever ones close at hand. Havent really noticed a difference when using either or when using water alone.

      So my treatment for this is 

      1. Prevent constipation with plenty of water & just enough fiber.

      2.Cremaffin to keep stools soft

      3. Sitz baths & Sudocrem to actually heal the fissure itself.

      Am in Sri Lanka so after creams & baths the next option the doctors give you is to have dilation or LIS & I so want to avoid both!!! 


    • jennifer 15117 jennifer 15117 vanessa59744

      I hope you are completely healed !! I have three BMs a day ....of course taking magnesium to create movement and soften doesn't help but I usually go three times a day I am loosing my mind this is so horrible any advice on how to balance bowls would be so grateful. I don't take fiber at it seems too bulking. I am afraid to eat and have cut my intake back so much and am on a strict diet of fiber and some fish protein -help

  • amala2562 amala2562 nazy78

    Did any of you use the GTN cream? I was given this by a doctor so am wondering if I should tryit.

    • nazy78 nazy78 amala2562

      Yes I think you should try it. I havent. Was told by the opd doc the next step would be LIS here. Are you feeling any better? Am going to give it 1 more month after i got my relapse then will go back to the colorectologist if i dont feel better. Think I slacked on fibre water etc and caused it. Dont want to go back just yet in case he opens up a healing wound. At the moment feel no pain at all so fingers crossed. Let me know how you're doing.

    • amala2562 amala2562 nazy78

      I have days of hardly much pain and then days of half day of pain. But now not so much during a BM. But after mostly. It's so strange. Am also now ensuring diet is what works. And home good.

      What is LIS?

  • topper9 topper9 nazy78

    hi just joined this forum, and boy am I glad that I did as I have found much more info than at Drs well they are busy peeps, they do their best.

    I am now waiting to get myself seen at the hospital but have to wait till 29 october then its just to have a look, my GP advised they would give me a Botox up my anus which should take 2 weeks to heal, I am drinking water, eating fruit and fybergel husks also plenty of veg on days its better on most days its like having a baby only I would not know that, sometimes when the pain is really bad i nearly hit the roof, and I have to help my stouls by straining my arms as if weight lifting which helps me over the pain, after my first lot of stouls pass then the rest of stouls come out easier but what a joy after the first trip to the loo.

    any help would be great 

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  • tim87168 tim87168 nazy78

    Hiya, thanks for all the advice, again seemed to help more than what my doctor gave me. Ive had one come and go for years, only until I started passing a bit too much blood and my iron drop too low did i decide to do something about it.

    It seems eating alot of carbs is what makes your stool hard, something ive done all my life :-/ so now im moving to a more vegetarian diet. I did the bath with epsom salts and used the creme around my anus and it seemed to help greatly.

    I also used zinc tablets as it helps healing and have been taken something called gut relief which has a lot of glutamine in it and other things that repair gut membrane. So far so good, i will post any changes but am very happy with the results and hope that this may be helpful for others too.

  • bob45546 bob45546 nazy78

    I'm so grateful to you for this.  Was in horrible pain despite doing all the usual things that are recommended.  Have had lots of experience with this, but this time nothing was working.  Happened to have some zinc oxide (Ihle's Paste 25%) lying around and tried it.  Wow.  Instant relief.  You really have saved the day! 

  • brendo87 brendo87 nazy78

    Hi there! So glad I found this post.

    Iv been suffering from Fissures for the past 2 weeks. Have had the odd external Hemorrhoid before but have either disappeared on there own or a few doses of Proctosedyl suppository.

    Today is the first day Iv been able to sit down without being in super pain as yesterday's BM wasn't solid. I had been using a cream version of Proctosedyl off the shelf for a week which helps calm the pain around the area but still not great.

    Just got back from the doctors and I thought I had internal piles but seems I have internal and some external anal fissures. Have been prescribed:

    1. Movicol - constipation relief which draws liquid to your bowels and soften stool. It's a powder you dissolve with water and drink.

    2. Zinc tablets - help heal the fissure and mucous glands

    3. Lignocaine 5% Ointment - pain relief and dumbing ointment to allow the wound to relax and skin to heal

    Have taken everything when I got home so will see how it is after a week. Totally didn't think about Sudocream!! Was sitting in my cabnet the whole time and never used it! Not sure wether to alternate this Lignocaine ointment and sudocream morning and night or just stick with the Lignocaine for a while?

    Like everyone else I'm hating the cream between the cheeks every day especially as I travel for work. And am so nervous to poo that Iv gotten slightly constipated with cramps because I'm afraid of a solid BM.

    Also not sure how to get the cream up inside without putting a finger up there which is going to hurt like crazy!?

    And I can't go without my carbs I love pasta too much and dropping back the chilli is a struggle lol

    • nazy78 nazy78 brendo87

      Hi when the initial pain I had in was so terrible I realised the best thing I could do was to cut down on my cards drastically and fill up on fiber rich food. Of course you do need to then ensure you have tons of water so everything flows out nicely.

      Don't try and suppress going to the loo when you need to cos this will only harden stools which is a huge no no!

      Not sure of the names of the creams you've been subscribed. I used xylocaine which is a numbing cream. I used this sometimes before a bowel movement. The sudacreme I used was cos of the zinc oxide it had to promote healing. Yes inserting a finger inside can be painful and you need to be careful you don't open up your fissure more. I was only able to do this once the fissure healed a bit. Before I used to just apply it around the anus.

      After my relapse I was told I would have to have a dilation as it hadn't healed in almost 10 months. As a last resort I was told to try self dilation using my index finger upto the first knuckle and xylocaine cream while lying on my side. I was told to strech the spincter muscle in a morth to south direction 20 times and then east to west 20 times.

      After a few days I felt a huge relief. I have now been pain free for over a year. I am still extremely careful with my diet having lots of fibre with all my meals and upto 14 glasses of water a day. I stopped taking cremaffin around d the same time. Hope this helps with your healing.

  • amie80177 amie80177 nazy78

    Hi all, I was only diagnosed about 2 weeks ago after finally plucking up the courage to see my gp, but I've been suffering a good 3-4 months before that with the pain coming and going. Some weeks were good others not so much but when it got to the point I couldn't sit down or drive and even standing up was an issue I couldn't take it anymore sad

    I was prescribed the useual suspects and told to use anusol and while it's getting better it still takes a good couple of hours after each BM for it to go.

    After another visit to my gp she has now prescribed me rectigesuc! Which while I'm anxious for it to work I'm nervous about applying it.

  • eddy82965 eddy82965 nazy78

    Hi Nazy78 just wondering whethee your fissure remained healed or did you need medical intervention? I too have been using sudacrem which seems to be helping reduce the soreness of a BM! Cheers

  • anonymousN anonymousN nazy78

    Hi nazy78,

    Thanks for your idea of using diaper rash cream. Must say it helps. i had desitin with max strength so i used that. I can now say i am 90% healed. 

    Thank you for creating this discussion forum.

  • izaish izaish nazy78

    thank you so much for the suggestion of using sudocrem..i bought and used really worked for me and healed! im so glad of using it..but then again one day i had my stool stuck in my anus and its kind of large stool and i just retear my fissure again😭im so stress right now..

    • nazy78 nazy78 izaish

      Start again from the beginning. That is loads of water, lots of fibre with all meals, lessen the carb intake and of course stop eating constipating foods like chocolates, coffee etc.

      This is what I do whenever I get a small twinge and within 3 to 4 days I am back to normal. Hope you recover


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