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Hi - I would love some advice about pain management for an anal fissure. I had mine diagnosed about three weeks ago, but have had it longer than that. I am currently using Rectogesic (externally - far to painful to try internally) and have started having linseens, a sachet of Fybogel a day, increasing my water intake, eating more fruit and veg, and generally eating less (have lost a stone since this started!) to try and soften my stools, but so far no joy. My main problem is that my stools are still large, and each bowel movement is agony. I really would like suggestions on pain management and how to cope with work. Taking time off is not really an option as I have just had a period of sick leave with an unrelated problem, and if I don't work, I don't get paid. But the pain is horrendous and so far taking Ibuprofen and paracetamol do not even touch the pain. As anyone with this condition will know, once the pain starts it is impossible to think of anything else and trying to work through it is nearly impossible. Even travelling to and from work (by bus) is awful as sitting down is agony and standing on a moving bus for an hour is not really an option. I am just about at breaking point as trying to cope at home is bad enough but I have to go to work in an hour and I don't know how I am going to get through the day. I have already had a hot bath this morning and applied my medication, but think the pain is going to kick in soon. These forums have so far really helped me, just by knowing there are other people out there suffering from this awful condition and any advice you can offer me will be welcome. Thanks.
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