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Anal fissure: What helps it heal?

Posted by lisval @lisval, Aug 2, 2022

Hey-wondering if anyone has developed an anal fissure during chemotherapy? What helped it heal? Any advice as it is very painful!

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adlttl123 | @adlttl123 | Dec 15, 2022

Yes I had two one inch rectal fissures but not from chemo mine was from chronic constipation. Mine happened a long time ago but they flare up often as a matter of fact I’m in a flare now. I use Anucort HC supporters. I think mine are 25 mg. Also there is a rectal ointment put out by a proctologist here in OK it has to be compounded. The doctors name is Neil Woodward.

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mikayla68 | @mikayla68 | Dec 15, 2022
In reply to @lisval "Have you seen a colorectal doctor? They may have more expertise for fissures than a GI..." + (show)
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Have you seen a colorectal doctor? They may have more expertise for fissures than a GI doctor. I had horrible pain with every bowl movement as well, I got a botox shot and that helped. Also the sitz baths and if you are on chemo, get off Avastain. That is what ultimately solved it for me.

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Thanks for recommending a colorectal dr - but all I found were "colorectal surgeons." The thing is that I'm doing everything I can to avoid surgery including botox. With my history I think iI should avoid anything like that. I'll try calling to find out what they have to offer that isn't invasive. Maybe I'll be pleasantly surprised?
(not on chemo)

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mikayla68 | @mikayla68 | Dec 15, 2022
In reply to @adlttl123 "Yes I had two one inch rectal fissures but not from chemo mine was from chronic..." + (show)
Profile picture for adlttl123 @adlttl123

Yes I had two one inch rectal fissures but not from chemo mine was from chronic constipation. Mine happened a long time ago but they flare up often as a matter of fact I’m in a flare now. I use Anucort HC supporters. I think mine are 25 mg. Also there is a rectal ointment put out by a proctologist here in OK it has to be compounded. The doctors name is Neil Woodward.

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So helpful, thanks so so much! Where is Neil Woodward? I'm in NJ. Thanks.

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Profile picture for mikayla68
mikayla68 | @mikayla68 | Dec 15, 2022
In reply to @lisval "Have you seen a colorectal doctor? They may have more expertise for fissures than a GI..." + (show)
Profile picture for lisval @lisval

Have you seen a colorectal doctor? They may have more expertise for fissures than a GI doctor. I had horrible pain with every bowl movement as well, I got a botox shot and that helped. Also the sitz baths and if you are on chemo, get off Avastain. That is what ultimately solved it for me.

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Hi again! At first I was afraid of a colorectal surgeon thinking they'd only offer surgery - but - Thanks to your advice I checked around and found a colorectal surgeon who definitely can treat fissures in ways that avoid surgery if I wish. And I have an appointment TOMORROW!!!
Really really thanks!
Mary

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adlttl123 | @adlttl123 | Dec 15, 2022
In reply to @mikayla68 "So helpful, thanks so so much! Where is Neil Woodward? I'm in NJ. Thanks." + (show)
Profile picture for mikayla68 @mikayla68

So helpful, thanks so so much! Where is Neil Woodward? I'm in NJ. Thanks.

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Dr’ Neil Woodward is in Oklahoma City, OK. I think he passed away but your doctor can write a script maybe and it can be filled at Piedmont Pharmacy in OK. It’s an ointment so no opioids to deal with. Good luck.

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mikayla68 | @mikayla68 | Dec 15, 2022
In reply to @adlttl123 "Dr’ Neil Woodward is in Oklahoma City, OK. I think he passed away but your doctor..." + (show)
Profile picture for adlttl123 @adlttl123

Dr’ Neil Woodward is in Oklahoma City, OK. I think he passed away but your doctor can write a script maybe and it can be filled at Piedmont Pharmacy in OK. It’s an ointment so no opioids to deal with. Good luck.

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Thanks!
I'm in NJ, so I'm still looking for someone near me.
Mary

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mikayla68 | @mikayla68 | Dec 16, 2022

Okay so I've decided to have surgery after all. I believe this is the best decision for me. Botox + cauterization of the fissure. It's scheduled for next week so I'm looking forward to it/not looking forward to it (if you know what I mean!) Thanks everyone for such great info.

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adlttl123 | @adlttl123 | Dec 16, 2022
In reply to @mikayla68 "Okay so I've decided to have surgery after all. I believe this is the best decision..." + (show)
Profile picture for mikayla68 @mikayla68

Okay so I've decided to have surgery after all. I believe this is the best decision for me. Botox + cauterization of the fissure. It's scheduled for next week so I'm looking forward to it/not looking forward to it (if you know what I mean!) Thanks everyone for such great info.

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My fissures have been cauterized and it helped for a very short time. A fiend of mine had her doctor put sutures in her fissure and she never had any more problems. Not my luck mine started in 1990 and I have suffered with them since. Awful.

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mikayla68 | @mikayla68 | Dec 16, 2022

Thanks for commenting. I think his plan is to cauterize, but he could change his mind once he's getting a closer look at it. I'll ask him about it.
I hear ya. Sorry you've had less success. bummer.

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Profile picture for mikayla68
mikayla68 | @mikayla68 | Dec 16, 2022
In reply to @adlttl123 "My fissures have been cauterized and it helped for a very short time. A fiend of..." + (show)
Profile picture for adlttl123 @adlttl123

My fissures have been cauterized and it helped for a very short time. A fiend of mine had her doctor put sutures in her fissure and she never had any more problems. Not my luck mine started in 1990 and I have suffered with them since. Awful.

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p.s. Did you get Botox in addition to the cauterization?

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