Anal fissure

My doc informs me I have an anal fissure. Cream supplied not very helpful.

Would an enema assist. Do members have any other remedies for this painful condition?

I have one as well but just use plenty of lubricant and proceed cautiously. I don't think enemas heal it but I can still enjoy them

What was the cream that he told you to use?

There are a couple of possibilities for creams that could be good for you. One is Preparation-H. Depending on the microbes involved in your case, if your fissures, which are resistant to healing are from bacteria, then neosporin and very throrough anal cleaning in the shower will help. For others, a cream of nystatin and triamcinolone and thorough cleaning will work well.

Make sure you wash your anal area, not just use toilet paper when you go to the toilet every time.

I had one some years ago, and tried a few things. I had bleeding every time I had a BM. I finally tried the very smelly A&D ointment, the yellow stuff, not the white version.

It cleared it up in ** 24 Hours **! This only happened once, so that certainly isn't scientific evidence, but I had the thing for maybe 2 months, and then it went away with ONE application of the A&D. Sure made a believer out of me!

Jon

Hi, I have an anal fissure for a long time, right now Im ijoying a good spell and Im glad. One thing I tried that seemed to help at first but later made it much worse was BOIL Ease ointment it is 18% benzocaine. The longer I used it the worse the pain got but if I didnt use it it was worse. My doctor perscribes an anusol suppository(these are different from the over the counter type) Those helped me to get away from using the benzocain ointment and I got alot better. I also use nupercainal ointment which you can buy over the counter, it also works quit well for me and keeps the pain down whne Im having a bad spell. My doctor also perscribes Tramidal pills for pain, these are not habit forming and not a narcotic but works as well. I hope this helps feell free to contact me if you need moral support.

I suffered a fissure off and on for two years. The problem was aggrevated having had an haemorrhoid operation that limited the opening of the anus. It seemed anything passing larger than my thumb tore things apart and the pain further tightned the muscle and made things worse.

Finally figured out how to use an ointment perscribed earlier by a physician. It is Proctosedyl and is only available with a perscription. It apparently temporarily deadens the nerves in the anus and allows movements without pain, tightening and more tearing. I would apply it twice a day and after any movement, and by and larged used enemas for EVERY movement to avoid anything too large and hard. Usually within about four or five days things were passing without pain and I could switch to Preparation H, but I had to monitor the situation very, very carefully for about two weeks to avoid any matter too large and hard. IF I suspected it, an enema was used. Now I am back to my one-a-day enema if not too active and often four or five days without even that if doing as much walking as I should ... and no fissure problems for last four years.

What was the cream that he told you to use?

There are a couple of possibilities for creams that could be good for you. One is Preparation-H. Depending on the microbes involved in your case, if your fissures, which are resistant to healing are from bacteria, then neosporin and very throrough anal cleaning in the shower will help. For others, a cream of nystatin and triamcinolone and thorough cleaning will work well.

Make sure you wash your anal area, not just use toilet paper when you go to the toilet every time.

An Air Force Flight Surgeon told me in about 1967 that I had what he termed a "fistula" which was quite painful. As he described it, when the bowel moves a small amount of feces is deposited in a fissure that went from somewhere in the lower bowel to a dead end point in the muscular area of the buttocks. Of course this causes an infection for obvious reasons. He told me the very same thing and that is, to wash the anal area THOUROUGHLY after every bowel movement. He also said that eventually, I would have to have it attended to surgically. The fistula was quite painful but I started right away to do what the doctor said. Almost immediately, the painful boil like area on my buttocks started to feel much better. I've been doing this ever since and never had another flare up. Never had the surgery either. Susie, or anyone with actual medical knowledge, my recollect on of what he told me may very well be in error so if you see a place for correction, please do so because I don't want to give inaccurate information to the group on this.

Be carefull not to make the fissure worse

I was diagnosed at a very early age with having fissures. The doc told my mother that later in life they would cause me trouble.

Cleaning, proper diet, and a coating of vaseline (on occasion) does relieve the symptoms.

I have found that the best way for me to avoid any irritation is the use of a cleansing enema. If I have a bowel movement in the AM and go on with the daily activity of a days work I will possibly be irritated by the time i get home from work. This irritation can get worse if i consumed 2 or more beers or alcoholic drinks the nite before or have eaten hot/spicy foods.

What has worked best for me is training my bowel movements to occur later in the day. After work preferably. This allows me time for a more thourough cleansing of my anal area. A cleansing enema works the best. If I don't have the time or opputunity for the enema I rinse using my hand/fingers to splash water up onto my anus and into the opening from the flushed toilet as I sit upon the seat. I follow up with a wash cloth lathered up with soap. I have often considered installing a Bidet. I wish they were more avaiiable in my area. Some cultures are way ahead in respect to personal hygene.

If I stick to this routine my fissures are completely controlled. Deviation always returns to irritation and distress.

😘

Depending on the severity of your fissures, you may need surgery at some time. Many times this is caused by chronic constipation and straining to expel larger bowel movements that have become hard and impacted.This tears the delicate lining around the sphincter. The enemas wont help much with the fissures themselves ,but are probably making your bowel movements easier to manage. The vaseline I guess can help ease the expulsion of subsequent bowel movements. Also try using some of the more proven ointments. Prep.H and Anusol can heal damaged tissue to a certain degree. I sure feel for you cause I've seen anal fissures in some of my patients, and I know it has to be painful.

I regularly have anal fissures which heal well. However, the spots where they have been, remain weak spots. They do not bleed, but when I feel with my finger, it does not feel good at all. Toying my ass or a large BM often causes them to tear open again and bleed.

Today I visited a proctologist to talk about these issues. He performed a DRE and looked at them with a scope. However, because they do not bleed at the moment, he could not officially diagnose a fissure. And hence he also did not have any treatment options.

Normally, they would use nitroglycerin cream, ISDN cream, botox injections, or slicing the muscle as options for healing fissures - but there is nothing to heal. However, these spots definitely aren't entirely healthy either.

Telling him this is limiting me in terms of intimacy yielded the remark to ‘just use my anus what it is intended for’. To me, this is kinda harsh - I got my fissures the first time having sex without lube as a teen - I bled for 6 years before I dared to go to the doctor; and then had 19 more years of recurrences. Since bottoming is for me the most pleasurable part of sex, this has stifled my desire for relationships.

How do you guys deal with anal sex and (the possibility of) fissures? Of course, lots of lube. But still, these weak spots also make the feeling less pleasant (they are slightly painful).

@rtenesup …As I read it from what you've described you have been living with a long term medical condition.

Said condition would necessitate you consulting a Colo/rectal specialist as this situation is far from satisfactory & could pose a very real problem….one that potentially pose a threat to your wellbeing

Note @Nurse_Nikki post

Funny you should ask. I recently was so afflicted because a damn doctor in hospital would not order a water enema to help me pass a big lump of poo, partly sticking out of my anus, but instead ordered Colace or Miralax, both of which take a day or more to work. If he'd bothered to look, my distress would have been obvious.

As a result, I was in pain for several days and had another doctor take a look. Her advice seems applicable to you.

I was told to take Miralax in a dosage adjusted to keep my poo about the consistency of mashed potatoes and not to strain while trying to poo. Also I was prescribes a hydrocortisone cream to be applied morning and night and after pooing. I put on a disposable glove and use a finger to apply the cream, inside and out.

After about three days things have quieted down, but I was advised to stay on the Miralax for a while.

Funny you should ask. I recently was so afflicted because a damn doctor in hospital would not order a water enema to help me pass a big lump of poo, partly sticking out of my anus, but instead ordered Colace or Miralax, both of which take a day or more to work. If he'd bothered to look, my distress would have been obvious.

As a result, I was in pain for several days and had another doctor take a look. Her advice seems applicable to you.

I was told to take Miralax in a dosage adjusted to keep my poo about the consistency of mashed potatoes and not to strain while trying to poo. Also I was prescribes a hydrocortisone cream to be applied morning and night and after pooing. I put on a disposable glove and use a finger to apply the cream, inside and out.

After about three days things have quieted down, but I was advised to stay on the Miralax for a while.

Jeez, that's terrible. I would have called DoorDash or Amazon and ordered a bag and had it delivered. I bet Amazon would have gotten it to you that day.

“I'm in the hospital, and I have this tail hanging out of me and no one will help me. ”

Maybe they have an Amazon Basics syringe. Whatever. It's like you have to be your own doctor now. The Miralax isn't going to get the brick in the rectum out. Don't they get that? I guess not. The consistency of mashed potatoes…well, when you have a brick in there, it's very hard to get out.

I think “crevasse” is a better word.

cre·vasse /krəˈvas/

noun

a deep open crack, especially one in a glacier.

@sundaybr

Hospital beds have alarms. And while response to the call bell is often glacially slow, they sure do show up w/in seconds when the bed alarm goes off.

Last time I had one I was on antibiotics and suppositories during a soak in hot water. Man did that throb.It worked .

To alleviate small fissures, what works for me are washing with warm water and talcum powder to keep the area dry.

I got one after day surgery on my shoulder. It was from OIC (Opiate induced constipation). I went to a Proctologist and she treated it and put me on Miralax.

After that I said never again and next time I went in for surgery, I made sure I was in-patient and insisted on an Enema explaining what happened last time.