Fissure In Ano :: Tips / Treatment Options - Chronic Anal Fissure

Anyway, I was at uni and going through a bad time in my life, whenever I get stressed my guts go into turmoil. As a result I was off uni for a week with severe rectal pain and feeling lower than a snake's belly. I booked an appointment with my GP as I had experienced similar symptoms before.

My GP recognised the symptoms immediately, I thought I had piles, she said I was too young so had a look. The digital examination wasn't fun, in fact she said she had never seen anyway change colour so quickly but it was worth it because I was referred to a colorectal surgeon.

I took my sick note back into my tutor and as I was doing a clinical degree, he said straight away that fissures were worsened and sometimes caused by stress. The penny dropped.

As I said I was going through a very very bad time in my life which necessitated me going on antidepressants (Cipralex) for my emotional state. When this was added to wall climbing agony due to fissures I was near breaking point. I remember after one bowel movement almost fainting with the pain, I was lying at the top of the stairs at my mum's house and clawing at the wallpaper with my fingernails - I have had a broken leg and in terms of pain that fissure was far worse, trust me.

I went to see the colo-rectal surgeon a few weeks later, I was terrified, but he was a lovely man, very very considerate. He told me that I had a large fissure that could be helped with an ointment. I told him my background so he talked a bit more openly and said that fissures are an incredibly debilitating condition. He once had a 16 stone rugby player openly weeping on his consulting couch with the pain - I can understand why.

I was prescribed GTN ointment and started using it as directed. I had a slight headache which I could live with, but this was far better than the agony of the fissure and this headache was pretty much gone after the first week. After a week of use the pain from the fissure had also subsided to nothing. After six weeks I went back to the surgeon and I was healed.

I wish that was the end of the story but it isn't, I have probably had four or five bad flare ups since and dozens of other twinges, spasms, bleeds and itches since but I am nowhere near as bad as the first time - I can live with this now. I have seen the surgeon twice since and he has offered surgery but my frame of mind precluded me from that, I was simply terrified.

My GP is very understanding and I can get GTN on prescription whenever I need it. I was prescribed Anoheal by the surgeon as well but this didn't work as well as GTN for me, but I have seen cases in work where this has been incredibly effective.

As I said earlier, I was doing a clinical degree, which I have now passed, so I feel that I am pretty well qualified to offer a bit of advice, so here it is.

1. Go and see your GP. Don't be embarrassed, your doctor has seen dozens of these - they are very very common. If you get fobbed off or feel that you haven't got anywhere, go back and tell him/her that you are not happy and you will go elsewhere i.e. change your GP. Changing your GP hits their bank balance, and as GPs are notoriously greedy, they will do something. Nobody should have to suffer with this.

2. Take something for the pain but NOT codeine. Ibuprofen worked best for me.

3. Drink plenty of fluids and lay off the alcohol while you are healing.

4. Eat lots of fibre and fresh fruit and veg, switch to brown bread and have something like Weetabix for breakfast. This softens stools and makes them easier to pass - less pain and less damage to existing fissures.

5. Use a stool softener, one Movicol sachet daily really really helped me. You can buy these over the counter from your local Pharmacist but tell them what it is for. Alternatively get them on prescription from your GP.

6. Lay off the red meat, there is some science to this as meat increases the residence time in the gut and predisposes to harder stools. This really helped me and I have seen a few accounts here where sufferers also say that.

7. Try to relax, easier said than done, but try simple things like having a hot bath instead of a shower. If anything helps you, no matter how crazy or off the wall it may sound, carry on doing it. Going out for a drive helped me. Staying active also helps constipation and makes you feel better. Don't stay in and stew - stay positive.

8. Stick to the doctor's directions of any drugs you are given. If you are told to apply a cream for 6 weeks into the anus, then make sure it goes into the anus for 6 weeks. And into the anus means into the hole - not nice, but a lot nicer than the agony from an untreated fissure.

Remember you are not alone, these things can be cured. You will feel terrible and you will feel like nobody else understands what you are going through but believe me, these things are very very common.

And if all the above doesn't help there is a simple operation that can be done on a day case basis that has a 95% chance of curing it for good.

If you are reading this you are no doubt feeling horrible but believe me, there is light at the end of the tunnel.

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Anal Herpes Vs. Anal Fissure?

I'm kinda freaking out and would like some advice before I head to the doctor in a couple days.  Felt a sore on my anus when wiping and looked and saw what looked like a small cut when checking and thought it was from aggressive wiping or from when I was doing squats at gym.  Couple days later cut is still there maybe bigger, but that may be from irritating it every time I have to wipe.  Do also have what appears to be a hemorrhoid, and itches occasionally though that might just be because I can't stop think about it.  I am sexually active but have always been safe and never shown symptoms anywhere else on body before. 

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Anal Fissure Or Hemorrhoids?

So I'm in a spot of bother. But first a brief back story (excuse the pun!):

I live in South Korea and around 3 months ago i had really bad stomach pains, vomiting blood, feeling like death etc. Now, being in a foreign country where English isn't spoken too much i was very scared and went to A&E straight away and pretty much got a whole menagerie of tests including a colon and endoscopy. The doctors had a good look around and found nothing wrong. The vomiting stopped almost as quickly as it began and my stomach pain vanished. 

However, a few weeks later i started passing stool that was very painful and then started seeing a lot of blood. It was everywhere; in my stool, when i wiped and even (and most alarmingly) dripping straight from my anus. This was a very distressing time for me, I couldn't even get intelligible feedback from the doctors (no ones fault i should add!). Anyway, after another round of 'scopys they found I had a Hiatal Hernia! 

- My first question is has anyone else here been diagnosed with a Hiatal Hernia??

So this explained the stomach pain and through my own research/assumption/vague doctor explanation this most probably caused constipation, stress, straining and eventually resulted in blood flowing freely from my back side. The doctors previously couldn't see hemorrhoids or anal fissures. But after one particularly bloody episode I returned to AE and they said, without tests being carried out, i had either internal hemorrhoids or an acute anal fissure.

So my questions are;

-How do you know the difference?

-Without another (expensive) colonoscopy will I be able to tell?

-Do Hemorrhoids exaggerate into (or cause) anal fissures? 

-Are the treatments for each condition different?

-Is this a lifetime issue now I've got it?

I know what you're thinking; why don't i ask a doctor. Well its not that easy (or cheap) and i figured someone here probably had the same questions and got decent answers (in english) they might want to share?

Also, happy(ish) ending; I rarely see blood anymore, except after a particularly hard stool, and only then its when i wipe and no dripping. I put this down to a few things.I started eating a LOT more fiber, i was trying to maintain 35g of the stuff a day which equated to 1 banana, 2 large apples (200g) and 300g of sweet potato (skin on). 3 - 4 litres of water a day too. At the height of my pain i would have a spoonful of olive oil first thing in the morning, followed by a sitz bath and the MAIN thing is squatting while passing, i cannot recommend this last point enough!

I'm actually experiencing a bit of pain at the moment but i'm putting this down to having a couple of weeks off my regime. Alcohol and fried/salty food should be avoided for prolonged periods it seems! Also for those of you that work out, avoid lower back exercises, or at least go light on the weights in that area.

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Anal Fissure After Surgery For Hemorrhoids

I have been experiencing some constipation for several years but  last june probleme get aggravated and I start having some blood in my stool  and I thought was just hemorrhoid but one day I tried to use the bathroom I couldn't go easy it took me 2 hours to empty my bowel,I  was in agony then went to my GD who refer me to CRS and confirm that I have a fissure with 3 skin tags , prescribe  for me nifedipine ointment 3 time a day and change my diet( fruit veg fiber...) and drink lot of water, after a month staff get worse then went back to CRS he want me to do colonoscopy to figure out what a heck is going on , but thank God nothing bad beside a fissure and 3 skin tags , at that time I couldn't keep my mind straight cuz I was in so much pain on sep 3 I decided to go  for the other option IS surgery with removal of the skin tag. but unfortunately after 11 days post-op I develop a fistula I don't know why it happened it was the most painful pain I have experienced in my life so went to CRS and immediately admit me for 2nd surgery fistulotomy , so today 3 day so far I still have some pain but not as bad as before, I know it is going to take longer to heal but I'm taking it day by day , and this is my story

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Anal Fissure/hemorrhoids - Low Sex Drive?

My boyfriend was continually turning me down weeks on end until he finally had to tell me why - he had an anal fissure, it was painful, so he never felt in the mood. I completely understood that and no longer nagged him for sex. But that was at least 2 months ago, and I am really in need of some good old sex like we use too!

But...he still hasn't really showed he is keen. We've done it a few times but he has never climaxed. I've seen in the cupboard he has got some creams etc which I can tell he uses every few weeks because the packet moves positions. So I assume from this he has his good and bad days?

He is now also watching a lot of porn (I checked his history because I wanted to know if he still had any sex drive at all) so I assume he is still horny... so that comes to my question.

does an anal fissure lower sex drive or cause a man not to be able to cum?

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Severe Pain - Hemorrhoid Or Anal Fissure?

Let's start with more information. I am a 17 year old male (5 foot and 5 inches tall). I've had many health issues in the past including Bile Reflex (at least I think that was the case). I am 81 pounds overweight. However, I do not eat much but I doubt I have a healthy diet. Honestly, I rarely exercise either. I am a computer coder. Therefore, I don't do many things physically and spend a lot of time on the computer. However, I do plan on exercising in the future hoping it will reduce my health issues.

Now, let's get to the main subject. Whenever I go to the bathroom (passing a stool), I experience major pain. In the past, it used to rarely occur (only if I was passing a very large stool), but now it's every time I pass a stool. I've tried stool softener which did slightly reduce the pain. However, it was still extremely painful. Currently, I have no more stool softener pills left and the pain has worsen. It has been an hour and a half since I last pasted a stool and I am still experiencing a bit of pain whenever I sit down. The other symptoms also occur (bloody stool, itching, etc).

This to me sounds very severe and I will admit, I rarely visit the doctor. The last visit was when I was trying to diagnose another type of condition I kept having in episodes (I think it was Bile Reflux). I visit the doctor probably once a year at the most. However, with the amount of health issues I am experiencing, I should start visiting the doctor much more often.

Overall, I was wondering what you thought about this. I am still trying to figure out if this is Hemorrhoids or Anal Fissure (I surely hope it isn't Colon Cancer). I also think I am very young to be experiencing these type of issues. I do realize my best bet would be to ask a doctor. However, the power of the Internet can be very useful.

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Anal Fissure, Skin Tag And Hemorrhoids, Botox?

I am 25 female and have been suffering with hemorrhoids for years, 8 I think now, they resulted in a nasty skin tag and when I thought it couldn't get worse, I have now had a fissure for over a year.

Anyway, after many GP visits etc, and fainting from pain, I finally got put on the NHS waiting list for botox and skin tag removal. I thought to myself this is great to get this done and will solve all my problems, as I can't continue life as it is now, right? I got a date sent to me last week for the surgery, meant to be today, much quicker than I thought (Surely they would have wanted to review before, the Surgeon hasn't seen me in over 6 months?!) but after reading so many horrible posts about Botox I postponed it, so they will be sending a new date.  But before I go ahead I really hope lots of you can advise me on your experience and give me information.

It is painful for me every day, I almost faint sometimes from the pain.  And for some reason for the past 2 weeks, I have lots of blood during EVERY SINGLE BM - why now??  And is this something I should be worried about if it is every single time?

I am tip top about diet and exercise, I only weigh 54kg, I am healthy and active all the time!

The advice that I really want from you all - should I do this botox?  Or should I accept life as it is now?? [sad] could things get a lot worse if I go for Botox?

Also I don't know if I get 'spasms', what are spasms?  I am in pain for a long while after a BM is that what they are?

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Pregnancy :: Blood In Stools - Piles? Anal Fissure?

This is my Second pregnancy and since i was 11 weeks i noticed some bleeding after passing a stool so went to see the nurse who did an examination down there and confirmed it was piles, i suffer with health anxiety so i wasn't settled with the diagnosis, anyway i relaxed and only had a couple of bleeding episodes, i'm now 24 weeks pregnant and recently have been have some bleeding when i wipe after a bowel movement, it also feels quite sharp when i poop like i'm tearing the skin and a small amount of bright red blood is seen on the paper ( there is none mixed in with the stool) i've had a look down there and i can see what i think is a pile, and also a tear i think, it feels sore now has anyone had any experience with this problem and should i be worried? All i think about is what if its cancer ...

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Skin :: Annoying Anus Tingling After Anal Fissure

About a month ago i had an anal fissure but it is heald. But weeks after it healed there is a tingling feeling. It does not hurt but it is annoying. i was wondering what could be causing this and how to get rid of that feeling for good.

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Bumpy Pimple Like Rim On Anus After Anal Fissure Healing

I noticed while I was taking care of myself to get rid of my anal fissure (fancy word for anal rip, which healed) that I have a bumpy pimple like thing on the rim of my anal. I also noticed it because it bleed a little, but stop after I went without having a bowel for a few days. I just want to know what it is and if it is harmful. 

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STDs :: Vaginal And Anal Chlamydia? Both Will Be Cured?

During one of my sexual encounters, the guy I was with slipped up and stuck his penis in my butt by accident. I ended up becoming infected vaginally with chlamydia and I had tested positive for herpes 1. I don't know if he was the one that infected me, but would I have also gotten it in my butt then as well if he was infected? I took doxycycline for 7 days, 2 times a day and cured myself of chlamydia vaginally. Would that have cured it in my butt as well if I had become infected there?

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External Hemorrhoids :: THD, Sphincterotomy Of Fissure Experience

It's day eight after my procedures. I barely am feeling the slightest bit better. As the subject states I had THD, sphincterotomy For an anal fissure, and external hemorrhoids. Pain medications are my only relief at this point with a little sleep in between. Hey bowel movement consistent little bit of prep work. I was given 5% lidocaine ointment to put on before the bowel movement and for after. This is only a short time of relief. My prescriptions include hydrocodone, Nucynta, Valium, and Flomax. The first two for the pain, the Valium for the spasms in the rectum, and Flomax for the swollen prostate from the procedure. Even urinating is a difficult task. It seems like I can't do one without doing the other, Although this seems to be getting better so I do believe my prostate is beginning to shrink back to normal. In these eight days I've lost right at 14 pounds and I am eating very little every day. I am forcing myself to drink as much water as possible and I'm taking non laxative stool softeners twice per day. I can answer any question that you might have of me for more information. I'm just looking for someone else that's had similar recovery time and issues.

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Trigeminal Neuralgia :: How I Survived / Cured It - My Experience

I'm going to tell my story so it will be kind of long, but has a great end ing..promise;-). In 2011, at age 29, I noticed a sharp pain when I brushed my teeth. At the time, like many others, I assumed it was dental related. I went to the dentist and they found nothing wrong. As the weeks went on, the pain started happening when I talked, brushed, washed my face, clenched my teeth, slept, smiled, if the wind blew hard, etc. It was the WORST pain of my life. It felt like an electric shock going off in my the left side of my face by my jaw. Sometimes the pain would be just a quick stab, and other times the pain would vibrate through my face and all I could do was stop all motion and wait until it passed. I would even wake up out of my sleep sometimes from the pain if I accidentally turned on my left side. The pain would last for weeks then go away for a week and I thought it was over. BIG MISTAKE! It came back with a vengeance.

After many painful days and nights, I started looking up my symptoms on the internet (yeah for Google) and the same diagnosis kept coming up..Trigeminal Neuralgia. I was confused because although my symptoms matched, it said that this disease usually showed itself in older individuals and I was only 29. I made an appointment with my physician and after cruelly poking my facing with his finger after I told him my symptoms, he confirmed that although it was rare for my age, I had TN. He prescribed me a steroid prescription and sent me on my way. No further explanation. If I had not already researched this, I would have been lost. So I took the pills, and besides making me gain a couple pounds, the pain remained. By now, I had researched so much about TN, I felt like an expert. I called my physician and asked to be referred to a Neurologist.

Long story short on this part, Before the Neurologist saw me , he sent me to get MRI which was clean so no MS and he spent all of three minutes seeing me, told me I had TN, gave me a prescription for TEGRETOL, and sent me on my way. No further explanation about my disease. He failed to tell me that the Tegretol would make me CRAZY!!!!!!!!! I am a teacher and the Tegretol had me so nuts, some days I couldn't even function. I have a 2 1/2 yr old and between the Tegretol and pain, I'm sure I was a pain for my child.

The Tegretol did help a little but I could not see myself having to live the rest of my life on Tegretol. It would have been HELL!!! I had already researched Gamma Ray treatment and surgery to cut skull open and put something in between nerve and blood vessel. Both did not appeal to me.

THIS IS WHEN IT GETS GOOD!!! I live in Alabama (US) and one day when I was researching, I saw that a Neurosurgeon in Birmingham, AL, Dr. Swaid N. Swaid does something called CYBERKNIFE TREATMENT. CYBERKNIFE is a non invasive radio surgery that is used to treat everything from cancerous and non cancerous tumors and TRIGEMINAL NEURALGIA!!! It beams a high dose of radiation to the area that precisely goes to the spot needed. I felt like this was my only hope. I called to make an appointment and luckily, a referral was not needed since my Dr. and Neurologist were of no help. I went to see Dr. Swaid the next month and he was the first Dr. to sit down and explain exactly what I had and the treatment options. Because of my age, he thought the brain surgery was better but I told him that I would rather do the Cyberknife. The brain surgery, besides be invasive, would make me have to take 2-3 weeks to recuperate while Cyberknife, I would go into treatment 1-5 times, depending on my xray of my nerves and lay on the table for 45 minutes and left the robot do it's thing and get up and be just fine. No pain, no cutting!

Made my appointment for Cyberknife, went in to talk to Radiologist who told me Cyberknife was just as good as the invasive method. He actually drew me a picture to describe what was going on in my face and told me that I was suffering from Trigeminal Neuralgia in my 3rd trigeminal nerve (the one by the lower jawline). After they looked at my

Xray, they decided I only needed one treatment. They made a mold of my face that is like a net they had to put on my face to keep me prefectly still. I laid on the table, listened to the music of my choice, and listened to the robotic arm buzz over my face for @ 40 minutes. Got up and was on my way. I was warned that the results would not be

immediate. The radiation slowly kills the nerve that is being affected. But month after month, sure enough, the pain became less and less. I went to see Dr. Swaid every 3 month for the next 9 months. He said by the 6th month, if the pain was gone, most likely it would be gone forever. The only side effect I have is that sometimes when I chew on that side of my face, because the nerve was killed, I get a little painless tightening in my jaw (like lock jaw) for a few seconds. I laugh because I'll take that anyday over TN and it only happens usually when I chew something really tough on that side

I have been pain free for about a year now but I'll never forget the worst part of my life. I encourage anyone dealing with TN TO DO YOUR RESEARCH and do what is best for you. If you have a Hospital that offers Cyberknife in your area, I encourage you to look into it. Never give up hope that you can't overcome this and know that there are others that have had to deal with this too....You DO NOT have to settle for taking medication for this disease for the rest of your life! RESEARCH, RESEARCH RESEARCH. God Bless!

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Sexual Health Men :: Anal Sex After Anal Wart Removal?

I had surgery for HPV/anal warts in March 2012, and have since been unable to engage in anal sex. I've seen my doctor several times (another appointment next week) and he says that it's fine for me to have sex, and that I should do some dilation on my own at home. Well, I've been trying to do the dilation, but I can't even get a small anal plug to fully go in. It's as if there's a restriction up there--which can be felt, it's similar to a ring, and it feels like a scar tissue of some sort...

Anyway, I'm just looking to find some people who have had similar experiences, and am looking to hear from people who have had this problem and maybe have had some better results in terms of having sex again. It's really bumming me out. I'm 23 and I feel like this problem is going to linger with me forever.

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Intercourse / Orgasm :: Anal Sex Linked With Anal Cancer

anal sex has been implicated in the development of Non-Cancerous anal HPV and anal warts, which will result in a increased incidence of anal cancer.Treatment of anal HPV-associated disease depends on the diagnosis, location, and size or amount of disease.

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Hepatitis C: Post Treatment :: Sofosbuvir+Daclatasvir Treatment Relapse

I'm looking for advice. My 60 year old father (who has had HCV for more than 10 years; previously treated with Interferon but bad side effects) finished his 12 week Sofosbuvir+Daclatasvir (considered same as Harvoni) treatment a month ago. Already first tests after 2 weeks showed virus was Undetected, but yesterday he received his most recent results and he has a relapse of the virus. He is genotype 1, fibroscan result 4 (close to final stage). He is based in Poland and I'm not sure if our doctors are fully informed of the new generation medications and HCV itself.

Is anyone able to give us any advice? We are pretty desperate and my dad is just so depressed as he thought he finally got rid of the virus (he got infected while on an operation in a public hospital) and now it is back...

Are there any specialists that you are aware of I could possibly get in contact with?

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Molluscum Contagiosum Treatment :: Acid Treatment - Cryotherapy

A few weeks ago my bf noticed some bumps in his pubic area.  He went to the dermatologist and was diagnosed with molluscum contagiosum, which is thankfully not that big of a deal!  He got his treated with cryotherapy.  Around this time I noticed a few bumps and because of the area they were in, went to an OBGYN for treatment so my bf and I don't keep spreading it to each other.  The OB GYN agreed that they were also MC bumps and lightly scraped each one, then applied an acid treatment.  That was a few days ago and while the bumps are mostly gone, the skin surrounding each one is dark and almost looks like a scab in color.  Is this normal post acid treatment? 

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Hepatitis C Post Treatment :: Relapse After Harvoni Treatment?

Does anyone here relapse after harvoni treatment?

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HIV Prevention :: A Small Cut / Fissure On Anus After Fingering

About 5 weeks ago (i'v already submitted blood for testing) i met a guy who fingered me. What concerns me is that i noticed a small cut on my anus (on the outer pink area), but i'v never noticed it bleeding or anything.

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