i am suffering with Ano fissure from last three months

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Hi Hello,

My name is Rishi... From last three months onwards I am suffering from fissure. its killing me like any thing. Recently small blood vessel got increased in that particular in that area. Im enable to bare that pain. Please help me.. please

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  • Posted

    Hi Rishi

    I know exactly how you feel I suffered for a year and then finally had the anal Botox injections done in March this year. It's still quite early days but so far so good as long as I have a stool softener each day. I would 100% recommend going to your doctor and asking to have this done as it paralyses the area down there for a few months to give it all time to heal.

    I hope you get things sorted real soon


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  • Posted

    Hi Rishimaddy,

    ​Im so so sorry to hear about the Pain that you are going through at the moment my thoughts are with you.

    ​I had a very bad attack about 2 years and i can only put this down to being Constipated i must have strained while passsing a Stool during my Bowel movement.

    ​Like all of us that suffer this awful pain no one will ever understand what its like

    My Doctor gave me 2 Ointments to use ANUGESIC and RECTOGESIC for me personally the Rectogesic seemed to ease my pain better.After using all the Oinments my Fissure seemed to heal and went away

    ​If i did not have a Bowl movement duing the day i would take a white powder last thing at night called LAXIDO, which you can buy from your Chemist not having to want a Prescription for this, this will soften your stool for the following morning.

    ​So from then on i was very aware of what to eat Fruit, Yoghurt for Breakfast,a Sandwhich at Lunchtime i halfed my intake of general food being so carfeful in what to eat, i also did a lot more walking when i could which was told this may help.

    But for some reason  it came back the pain was really bad again went back to my Doctor who reffered me to a Surgeon for treatment,

    ​i was admitted for day surgery you are given a General Anaestetic because its a tear they cannot stitch this so they use BOTOX,which is a filler and lasts for 3 months yes it worked for me and was pain free,but i was still very careful in what to eat.

    ​But it came back not every day but now i have to admit that this is now an on going Life Situation.I find which helps me is to take hot baths open your bottom for  while and the pain does go away .I have been pain free now for a Month.

    ​I hope that my information may be of somw help to you,

    The help from Lisa is so right too.

    ​Clive ( Birmingham ) UK


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  • Posted

    Hello rishimaddy, 

    So sorry to hear about your  conditon. If I were you, I would considering getting the sphicteronomy surgery. It has helped me a lot and I neve regret it. 

    That being said, I am attaching a post that I put on somebody else blog. In this post, I was recommending to the person to get the surgery, as well as other methods to try to try to ease your pain. I hope this helps you out and never give up. :

    I would definately get it done, especially if you have dealt with it for a whole year. I had a chronic fissure, and after a month, decided to have the surgery. It was the best decision of my life. I am not going to lie to you, it is a bit painful right after surgery but if you can endure the pain of a fissure, it is not that much different. I posted this before....this basicallly explains how i felt throughout the surgery and after.

    I first want to give you a lot of credit for deciding to do the surgery...It is not an easy desicion, as there are some stories online that can discourage you from getting it, but in the end in my opinion it it better. 

    So basically, this is how it went down with my surgery. I had to fast the day before the surgery because they had to put me under anesthesia. I went in, waited, and then they put me under and the surgery was done. I woke from the surgery with morphine in my system, although once I woke up it had worn off for the most part. They basically told me I could get another dose of morphine, which would basically knock me out again, or I could stay up and move to the other room to wait until I was ready to leave. So, i skipped the next dose of morphine and went to the other room. As I was laying on the bed, the pain bagan to set in. The next part may scare you a bit and discourage you, but getting through this part is just part of the process of gettting better. So when the pain started to settle in, the paiin almost flt worse then the fissure pain itself. I was not only dealing with the pain from the fissure, but from the incision and cuts that were done form the surgery itself. This being said, you have to take into consideratino that the surgery is cutting into your sphincter muscle, so pain will come, but this is with any surgery. Unfortunately, with this surgery, it is in a very sensitivie area so the pain will be a little more intense. Some things I did in the hospital to deal with the pain was put ice on my butt, I bit down on a washcloth to decrease the tension that I would put into my butt area and to transfer the tension to my jaw biting into the cloth. They did give me percoset, but honestly it didn't help me a bit. I still felt the pain until I was able to fall asleep. The lady next to me said that the percoset made her feel that the ceiling was the floor and the floor was the ceiling, so I guess it affects some people differently than others. I also will recommend listening to music right after or watching a movie to distract yourself from the pain. SO that was basically it from the hospital. I couldn't leave the hospital until I could pee though,  which was not easy since I had so many drugs in my system and could  not really push to hard as it was painful and I did not want to upset the area.

    Eventually I peed and was able to leave. Then, I took some percoset that night and slept. The next day I felt no pain, as I did not poop at all, and as with before the surgery,  the pain  only comes when  you poop. 

    So the day after that I had to go to the bathroom. The first time you go to the bathroom will be very painful, almost more painful than pooping with just the fissure because you are trying to poop through a fissure and a surgery, but that comes with  the territory. I will not hide that I felt like I was going to puke the pain was so bad WHILE pooping. I also recommend listening to music while pooping as this distracts the pain  and gives some motivation  not to be afraid. The reason on put emphasis on the WHILE is beause after the pain is very dull and nothing compared to the throbbing unimaginable  pain of an anal fissure. Within  the next two weeks, I progressively felt myself getting better, and by the 2nd week I went back to the doctor and he gave me the ok that I was all healed up.

    I never had any incontinence, although the only thing I still have is that its a bit harder to hold in my farts sometimes, but that is it....As far as the gauze, I only changed it because I would leak sometimes..I ended up just buying adult diapers at the store and used those until I stopped leaking. 

    As far as numbing injectino you asked about, the only  thing I was aware of was the anastesia I was on.

    As far as food after surgery, I just kept to a well balanced diet. I take metamucil fiber supplement every day since, and I squat on the toilet all the time now. Make sure not to take too much fiber as this can irritate the area.

    Hope this was enough information for you, and I really wish you the best of luck with  your surgery next week.....Noone should  have to go thorugh anything like this, but thank god we have means to take care of it with surgery....


    Also, this is another post i put that explains some things that you might want to try in addition to the surgery....

    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.

    I really hopes this helps you and feel better!!!

    Good Luck!!!



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  • Posted

    Rishmaddy --

    Go to an Emergency Room & see what they can do. They can possibly expedite surgery, which you need if the fissure hasn't healed by now (3 mos.). Botox injections, then see if it helps. If it doesn't, lateral sphincterectomy. Those are the choices.

    I'm suffering horribly right now, too. The pain comes in waves, but it's totally overpowering after a BM. I can't work now; it's totally debilitating.

    I'm just reading other people's replies who've had the Botox & I'm hoping for relief & the fortitude to withstand the pain until things improve. I'm scheduled for May 11th.

    Get to an ER now if you haven't already. They'll expedite things.

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  • Posted

    I am also suffering unbearable pain Rishi.

    I am back at docs in the morning and going to ask for Betnovate as I have heard it helps. I will let you know either way.

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  • Posted

    I have suffered on and off since 1987.  I go for a very long time with no issues and now it has come back like never before.  My doctor put me on a compounded cream and I do sitz baths.  I cant say I am not better over the last 3 weeks. I feel  much better, changed my diet, I sit in my sitz baths and still not 100 percent healed but, better.  My biggest fear is seeing blood. I have not seen any in about a week and then today just a very light amount. Not sure why.  It makes me feel depressed.  I go back to my doctor in 2 weeks.  Hopefully no surgery
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  • Posted

    Hello, it's now 5 weeks and still no better.

    I have tried GTN, Betnovate, all possible over the counter creams and ointments, none of which have worked. Also have been taking painkillers such as Nafopam, Naproxen, paracetamol etc also to no avail.

    I've thankfully looked into a private healthcare scheme I pay into with work and found out I am covered up to a certain amount.

    I attended a private hospital appointment last night (4th May) and spoke to the head Colorectal specialist for my area.

    He inspected me and has provisionally booked me in for Botox injections on 27th providing the new cream (Diltiazem) doesn't work by the 18th. I personally don't think it will but am going to try it anyway as I've got 3 weeks of agony before my procedure.

    I will let you know how things go (good or bad).

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    • Posted

      Hi Ian --

      I'm so sorry you're suffering so; it's really horrendous sometimes, living with the pain. 😔 Thankfully, you're booked for Botox, the first thing they try after Diltiazem or the nitroglycerin medicine. I've found that Meloxicam -- kind of a super-Tylenol, by prescription only -- brings the pain down from a 9/10 to a 6/10, which is certainly preferable. I've been using a heating pad for weeks, which helps a little. Plus, I've been pouring warm water on my butt instead of wiping (I ordered a bidet attachment but haven't had the chance to install it). See if your doctor would prescribe Meloxicam for you. Also, if you're in just way too much pain, you could do what I did & it worked. I went to Emergency & due to my pain level, the doctor was able to reschedule my surgery to see me sooner.

      I suffered from this fissure for about 2 months, but it only got horrific a few weeks ago; up until then, I'd been managing to work & basically live life. Then, it all went downhill & I was in such pain, I couldn't work or do much of anything. I tried Diltiazem for about 3 weeks, but it didn't do much to help. Meloxicam made the pain tolerable, though. The doctor did the Botox procedure 3 days ago. Day of surgery, no pain, happy. Day 1 post: quite a lot of pain but different from the fissure before; took Vicodin a few times, along with SenekotS to counteract the constipating side effects of the Vicodin. Day 2 post: pooped successfully, with blood. Not as bad as I anticipated, but aftermath still painful with spasms for 4-5 hours. But avoided taking Vicodin, relying only on Meloxicam, so there was some improvement. Day 3 post: that's today. Painful poop & aftermath. Bath doesn't help much. Meloxicam makes it tolerable. But I think I bounced back a bit faster; not experiencing the spasms quite as severely or for as long. Not sure if Botox takes a few days, weeks, to set in & start doing its magic; emailed the dr. about that. I am cautiously saying that I'm on the mend. Now assuming that's true -- stay tuned -- the key is preventing this horror from happening again. I may consult with an acupuncturist/nutritionist. Also, some people have had success with Ayurvedic medicine. I'm a slender, in shape 49 year old, used to living an active life (gym, dancing, walking). I eat well, am rarely constipated, & get plenty of fiber. I'm wondering what else I can do to prevent recurrence.

      1. Get Meloxicam for pain from your dr.

      2. Use any & all comfort measures: heating pad, bath, stool softener so the poop practically falls out of you.

      3. Go to Emergency to make a point of how horrendous things are & maybe they can move up the surgery.

      Hang in there...😬

      Emis Moderator comment: I have removed product/company names as we do not allow repeated posting of these in the forums. If users wish to exchange these details please use the Private Message service.


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    • Posted

      Thank you Anna for advice.

      So what you are saying is that the Botox isn't really a quick fix??

      I was hoping to be ok when I woke up from it. 😢

      I'm not sure if I will get Meloxicam as I am in UK.

      Please update what you are feeling like over the next couple of days and I hope it is good news.

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