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Three years ago I moved to Brazil (from the New York area) for work.
Since then, Ive been having recurring (essentially semi-permanent) painful anal fissures (no bleeding), a problem I never had in my life (once, before moving, I had quite a lot of painless anal bleeding, but it stopped after 3 days and never came back). Literally this was and is a suddent and complete surprise, the only very negative aspect of the move.
I have been to a proctologist. Since I am very sensitive to touching, we could not do an exam (I literally jumped the moment his fingers were inserted, it is involuntary), he ended up prescribing me a Colonoscopy, saying he would do the rectal exam.
I did - my digestive system is in great shape and he concluded it is just a fissure that recurrently opens and closes. He prescribed a cream which, in combination with an anti-inflammatory (prescribed earlier), seems to keep things under control.
I do most of the recommended things, and have no absolutely no problem with constipation or digestion.
What is really bugging me is that I never had this problem, and now it is occurring more often than not. I really have the feeling that this regular occurrence from nothing must have a unique cause. As far as I can tell, the only lifestyle changes I had were
a) The hot tropical weather (in fact it seems this occurs more often in the cooler dryer season).
b) I stopped using toilet paper to wipe, as bidet-like cleaning showerheads here are very common (I used to wipe with wet toilet paper. In fact, on the internet it is recommended against its use).
Of course an allergy is also possible, although I have no idea of what.
Any suggestion or hypothesis on what, if anything, could be the explanation would really be welcome. It is a painful, uncomfortable condition which is starting to affect my worklife and Im at my wits end on how to deal with it long-term
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melissa925 lunogled
Posted
Thank you for sharing. I also have similar problems and looking for solutions. So far I have read about enemas, sitz baths, coconut oil. And pain meds!
My guess is that you have always had a fissure and it is now just showing it's true colors. If you are having more constipation or hemorrhoids that could have irritated it. I'm just giving you my 2 cents.
mmarcus151910 lunogled
Posted
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.
4. 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.
Hope this helps!!!
Best,
Myles
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