Hi Mikaylar - thank you for your response. I am on a conservative treatment path that includes sitz baths, a compounded ointment, pelvic floor therapy, and so on. Hoping very much to heal it without a surgical intervention. I'm scheduled for a recheck in October. In my case, I was initially misdiagnosed and I think the time lapse is what slowed down my healing. I will add more time w/feet elevated based on your suggestion! Thank you again.
50%r of people can heal them on their own without surgery. Hot sitz baths really helps. Yes, very painful and I feel for you. Keep your feet elevated when you can.
Hello - I am new to this group and would like to ask if any of you have tried red light therapy (infrared) to assist with healing? If so, did you feel that it was helpful as part of an overall conservative protocol for healing a chronic fissure?
I also have a question about using Botox on a 1x basis to settle down the spasms and give the fissure a better chance of healing. I did see in previous posts that Botox has been tried by some, but if anyone has recent experience, it would helpful to collect your thoughts. Additionally, will you please comment as how the Botox was administered? I have read about varying approaches (e.g., superficial around the outside of the sphincter muscle with a local anesthetic vs. injections higher/deeper into the muscle under general sedation).
I have been fully checked out by both a GI specialist and colorectal surgeon. I do not have any underlying conditions...just the fissure and associated spasms. Just trying to assess my options should I need to go beyond conservative measures to clear this up. Thanks so much!
I understand the pain of an anal fissure. Mine occurred during a routine colonoscopy. (When it occurred, the pain brought me out of my state of sedation with a yelp, and I heard the physician tell the assistant to give me more sedation. ) Afterwards she didn’t tell me what happened so I assumed that the resulting pain and bleeding that flared up periodically was caused by hemorrhoids. It wasn’t until I went to see a colon/rectal surgeon that I found out it was a fissure and not hemorrhoids and I was scheduled for surgery.
A few days after surgery, a bout of constipation caused the fissure to begin reopening. The surgeon gave me a prescription for a compounded nifedipine ointment that worked wonders and the fissure site finally healed completely. Since then, I’ve learned that in many cases that particular compounded ointment can heal fissures without surgery. It may be worth a try.
Lidocaine ointment helps temporarily. I ended up 2 times with surgery. My surgeon promised me I would never have a fissure again - that was 10 years ago.🙏🏻
I get an anal fissure about every two months now. Burns when I poop then a little blood on tp. Doctor gave me a compound, usually a two or three days it clears up. But it continues to come back I take Metamucil everynight
...so many start having this problem with constipation but i have opposite and have had for many years, ibs-d then after c.diff 3 yrs ago fecal incontinence and the consistency is very very soft ... but sooo sore inside but have not had rectal exam and declined a colonoscopy because of the preparation day before, have had several in past and just don't think can go through again... so perhaps could be helped but just cannot do the test... so just suffer every day, every b.m. on top of other things but sometimes enough is enough... 🙁 constant change of clothing and daily laundry but the pain can be high and no sitz baths as cause uti's.... and so it goes on..... if younger might pursue surgry glad it helped you tilysam
Lidocaine ointment helps temporarily. I ended up 2 times with surgery. My surgeon promised me I would never have a fissure again - that was 10 years ago.🙏🏻
Yes, I got it from diarrhea from chemo this past spring. It is finally healed after using the ointment for a few months and getting botox injections. I am very worried about it coming back so being very careful with what I eat and do. However, I feel great and am so thankful to have it behind me, for now at least!
I too have been dealing with this nightmare for the last 3 months. I've had 2 refills on the prescription compound ointment, which by the way has stained just about every lower half article of clothing I own. I was scheduled for botox procedure but decided to cancel it 2 days before procedure. Let me tell you why.
My biggest problem is slow to no heal, then once I think I'm getting somewhere, I think I retear them. I was told slow heal was mostly due to pelvic floor muscles being so tight that blood flow was restricted, not able to heal.
Try and follow me, I've had pelvic floor issues to the point that I'm unable to have intercourse at all(getting ready to start pf therapy), which also effects my anal region. I had full hysterectomy in 2018, when it all started but was not taking hormone replacement. I've since started, which to get to my point, is helping my pelvic floor and tissue health tremendously, hence, allowing more pelvic floor relaxation, to heal anal fissures finally on their own. No surgery needed. Hope that helps a little.
50% will heal on their own, the others need surgery. Sitz baths help. Also, an anti-seizure medicine was the only thing that worked for me. But, this is a monster!
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Hi Mikaylar - thank you for your response. I am on a conservative treatment path that includes sitz baths, a compounded ointment, pelvic floor therapy, and so on. Hoping very much to heal it without a surgical intervention. I'm scheduled for a recheck in October. In my case, I was initially misdiagnosed and I think the time lapse is what slowed down my healing. I will add more time w/feet elevated based on your suggestion! Thank you again.
50%r of people can heal them on their own without surgery. Hot sitz baths really helps. Yes, very painful and I feel for you. Keep your feet elevated when you can.
Hello - I am new to this group and would like to ask if any of you have tried red light therapy (infrared) to assist with healing? If so, did you feel that it was helpful as part of an overall conservative protocol for healing a chronic fissure?
I also have a question about using Botox on a 1x basis to settle down the spasms and give the fissure a better chance of healing. I did see in previous posts that Botox has been tried by some, but if anyone has recent experience, it would helpful to collect your thoughts. Additionally, will you please comment as how the Botox was administered? I have read about varying approaches (e.g., superficial around the outside of the sphincter muscle with a local anesthetic vs. injections higher/deeper into the muscle under general sedation).
I have been fully checked out by both a GI specialist and colorectal surgeon. I do not have any underlying conditions...just the fissure and associated spasms. Just trying to assess my options should I need to go beyond conservative measures to clear this up. Thanks so much!
I understand the pain of an anal fissure. Mine occurred during a routine colonoscopy. (When it occurred, the pain brought me out of my state of sedation with a yelp, and I heard the physician tell the assistant to give me more sedation. ) Afterwards she didn’t tell me what happened so I assumed that the resulting pain and bleeding that flared up periodically was caused by hemorrhoids. It wasn’t until I went to see a colon/rectal surgeon that I found out it was a fissure and not hemorrhoids and I was scheduled for surgery.
A few days after surgery, a bout of constipation caused the fissure to begin reopening. The surgeon gave me a prescription for a compounded nifedipine ointment that worked wonders and the fissure site finally healed completely. Since then, I’ve learned that in many cases that particular compounded ointment can heal fissures without surgery. It may be worth a try.
I have had 3 fissure operations. My surgeon for the third one promised me I would never go through this again. It has been about 9 years ago.
I get an anal fissure about every two months now. Burns when I poop then a little blood on tp. Doctor gave me a compound, usually a two or three days it clears up. But it continues to come back I take Metamucil everynight
...so many start having this problem with constipation but i have opposite and have had for many years, ibs-d then after c.diff 3 yrs ago fecal incontinence and the consistency is very very soft ... but sooo sore inside but have not had rectal exam and declined a colonoscopy because of the preparation day before, have had several in past and just don't think can go through again... so perhaps could be helped but just cannot do the test... so just suffer every day, every b.m. on top of other things but sometimes enough is enough... 🙁 constant change of clothing and daily laundry but the pain can be high and no sitz baths as cause uti's.... and so it goes on..... if younger might pursue surgry glad it helped you tilysam
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1 ReactionLidocaine ointment helps temporarily. I ended up 2 times with surgery. My surgeon promised me I would never have a fissure again - that was 10 years ago.🙏🏻
what ointment did you use?
50% will heal on their own, the others need surgery. Sitz baths help. Also, an anti-seizure medicine was the only thing that worked for me. But, this is a monster!
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