I have had anal fissure for 9 years on/off. Seen 1 col.rec dr who put me on nitro glycerin and Botox. Says it’s 95%healed and doesn’t know why excruciating pain. Nothing more he can do🥲. Seeing 2 dr who for 6 weeks (2weeks in) put me on nifedipine and antibiotics. Fissure is quite high up. Bm is difficult and I can’t complete so go often. Think maybe the nifedipine makes me unable to go? Can anyone relate? This is my first time posting and I’m pretty desperate. Taking Tylenol and Ibuprofen to cope. Thx for any input.
Welcome to Mayo Clinic Connect, @jette123. I have never had an anal fissure, but a good friend of mine did. Sounded really challenging and painful.
I'm sorry to hear about the pain and feeling like a bowel movement is difficult and hard to complete.
Tagging a few members who have talked about anal fissure for their support and any input they may have for you on this journey to get things working more ideally and get relief from pain @lisval@mikaylar@branmo@adlttl123@ruth2019@mimi86@samclembeau. @rashida and @jlharsh also may have some thoughts for you.
How well are the ibuprofen and acetaminophen managing your pain?
I have had anal fissure for 9 years on/off. Seen 1 col.rec dr who put me on nitro glycerin and Botox. Says it’s 95%healed and doesn’t know why excruciating pain. Nothing more he can do🥲. Seeing 2 dr who for 6 weeks (2weeks in) put me on nifedipine and antibiotics. Fissure is quite high up. Bm is difficult and I can’t complete so go often. Think maybe the nifedipine makes me unable to go? Can anyone relate? This is my first time posting and I’m pretty desperate. Taking Tylenol and Ibuprofen to cope. Thx for any input.
After 14-1/2 years of sitting on a donut, I took an anti-seizure medication on an unrelated matter and in 2 weeks the pain was gone. My pelvic therapist said she had read that this works. It was Topamax. I took it off-label for a daily persistent headache. Helped my butt, but I still have the headache. Ask your doctor. Good luck.
I'm afraid I don't know any medication that helps, as I was given a cream and gave me herendous headaches, so put me off. But when I drink more fluids through the day, helps because your stools are a bit looser.
....my anal pain and it's severe is from ibs diarrhea and every other day; now i have it after a course of antibiotic; when on antibiotics you are not allowed to take anti diarrhea meds; anway, after c.diff 2018also hae fecal incontinence. ....so today passed about ten times fecal matter and anal area is so painful and this has been going on for years. difficult to discuss with friends and neighbours! as soon as i clean up or have a half shower, get dried and they suggested hair dryer on low; use some zinc ointment, or vaseline etc., and get redressed about half hour later have to go again and nothing stops it or it leaks out.... honestly, compared to other life threatening issues and my other medical issues this should be easily handled but it is not; and constant change of clothing and cloths... but really its the pain... like pouring lemon juice on cuts. not a nice subject to discuss but no cure as soon as use ointment, it is wiped off shortly after..... any ideas welcome.....
I am also used this after my radiation after using several other products this was by far the best I can’t believe the difference did you get yours at a compound pharmacy?
Hello @adlttl123 - I so appreciate you sharing your experience, medication/treatment info., and well wishes! This is very helpful. I am working on healing this up with as many conservative measures as I can find. I've had a good four consecutive days and am optimistic I'm heading in the right direction. You are right - it takes a lot of time and patience. Take care and thank you again.
Sitz baths as much as you can. 50% of people can heal these on their own. I gave up after 6 weeks and had the surgery. Good luck to you. This is a monster.
@ruth2019 the label just says “Nifedipine 0.2% ointment compound” so I don’t know if a compound means it is a combination of other drugs. It was made up in a compounding pharmacy. I applied it internally, using a finger cot three times a day plus after a bowel movement. The ointment came in a pump dispenser which I found very convenient.
I am also used this after my radiation after using several other products this was by far the best I can’t believe the difference did you get yours at a compound pharmacy?
I see it on Amazon. Is that the right thing? Thank you so much. We need to help each other and to stick together like we have honey all over!! God bless! Diane.
@adlttl123 as far as I know, Nifedipine is a compounded ointment under prescription so what you have seen on Amazon may not be the right thing. Lidocaine is an analgesic cream not a fissure healer.
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Welcome to Mayo Clinic Connect, @jette123. I have never had an anal fissure, but a good friend of mine did. Sounded really challenging and painful.
I'm sorry to hear about the pain and feeling like a bowel movement is difficult and hard to complete.
Tagging a few members who have talked about anal fissure for their support and any input they may have for you on this journey to get things working more ideally and get relief from pain @lisval @mikaylar @branmo @adlttl123 @ruth2019 @mimi86 @samclembeau. @rashida and @jlharsh also may have some thoughts for you.
How well are the ibuprofen and acetaminophen managing your pain?
I have had anal fissure for 9 years on/off. Seen 1 col.rec dr who put me on nitro glycerin and Botox. Says it’s 95%healed and doesn’t know why excruciating pain. Nothing more he can do🥲. Seeing 2 dr who for 6 weeks (2weeks in) put me on nifedipine and antibiotics. Fissure is quite high up. Bm is difficult and I can’t complete so go often. Think maybe the nifedipine makes me unable to go? Can anyone relate? This is my first time posting and I’m pretty desperate. Taking Tylenol and Ibuprofen to cope. Thx for any input.
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1 ReactionReplaced toilet with a bidet style and fissures are now gone. But mine was on the outside. Don’t know about those inside. Love the bidet still btw.
After 14-1/2 years of sitting on a donut, I took an anti-seizure medication on an unrelated matter and in 2 weeks the pain was gone. My pelvic therapist said she had read that this works. It was Topamax. I took it off-label for a daily persistent headache. Helped my butt, but I still have the headache. Ask your doctor. Good luck.
I'm afraid I don't know any medication that helps, as I was given a cream and gave me herendous headaches, so put me off. But when I drink more fluids through the day, helps because your stools are a bit looser.
You’ve basically described my life for the last six months, thank you for the description.
God bless your heart
@jeanadair123 yes, I got my Nifedipine ointment from a compounding pharmacy, with a prescription from my physician.
Sitz baths as much as you can. 50% of people can heal these on their own. I gave up after 6 weeks and had the surgery. Good luck to you. This is a monster.
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1 ReactionI am also used this after my radiation after using several other products this was by far the best I can’t believe the difference did you get yours at a compound pharmacy?
@adlttl123 as far as I know, Nifedipine is a compounded ointment under prescription so what you have seen on Amazon may not be the right thing. Lidocaine is an analgesic cream not a fissure healer.