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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Yes, hot sitz bath many times a day. And sit on a donut all the time.

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I certainly hope someone has advice on this that will at least lessen the pain. I am 3-years post colostomy and my anal fissure has just been diagnosed as squamous cell carcinoma, moderately differentiated. I meet with a radiation doctor Jan. 4th to see if that is worth trying. In the meantime, I am experiencing unbearable pain. This has gone on for over a month now and I'm desperate for suggestions. A sitz bath, perhaps?

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@mikaylar

Never tried Botox exact for headaches. My muscle was cut 2x over a few years. Then I had to have a dilation to stretch the scar tissue. Good luck. Soak in a sitz with hot water.

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The botox was injected right into the anus or in that area. Did you have to do the colonoscopy-style prep for the dilation? Funny, I'm sitzing right now as I write this!

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@mikaylar

I know exactly what you are saying. Every time I had to have a BM I got totally traumatized. The first time after the surgery I bled and stitches came out. Awful. Try powdered magnesium in the morning in juice or water. You can regulate it by the teaspoon and you will go in 15 minute or so. If you do not go, take more. Easy as that. Your body will tell you. Good luck.

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Nice to hear back! Not a bad idea, but when I take magnesium, it almost always goes too far. Even if I take just a little. Recently I did Milk of Magnesia. I took a half dose, then that became too much, kept reducing it until 1 stinkin' little teaspoon and even that was too much. So I think maybe magnesium is not my friend! Ironic cuz I have RLS and magnesium helps that so much - I take magnesium bisglycinate as part of my RLS treatment plan - it doesn't upset the tummy. But maybe that makes it more likely for me to get magnesium overload??? Who knows?!

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@mikayla68

Hi. Have you had Botox? The surgeon cannot cut the muscle because of a previous surgery by a wackadoo proctologist in 1983 who had a theory that he should enlarge people's anuses. Didn't help my constipation issues either. Anyway, just last week I had Botox + the surgeon cauterized the fissure.

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Never tried Botox exact for headaches. My muscle was cut 2x over a few years. Then I had to have a dilation to stretch the scar tissue. Good luck. Soak in a sitz with hot water.

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@mikayla68

Well that sounds perfectly horrid! So sorry. My surgery went well, no weird outcomes thank gawd. The botox can take up to 3 weeks to take effect. The cauterization went fine the surgeon said. Recovery has been hard - I've apparently become an old person LOL. I'm horizontal so much, avoiding sitting on it, so I'm not sure how much it hurts if I try to get back to some kind of normal.

And my poos are messed up and scare me! After having CDiff 4 years ago I've had IBS-mixed. Before surgery, because I was in a C stage, I was taking several doses of metamucil and colace per day, plus 21 grams of fiber as recommended for my age. It was working fine. Yes, carefully measured the fiber too! Anyway, post surgery when I went back to that routine - disaster, I poohed and poohed omg it was awful for a couple of days until I was able to stop what I'd been doing. But I live in fear every morning that a big pooh will ruin everything. I'm not necessarily constipated ... I go every day ... it's just that the first pooh of the day, or the first part of the first pooh forms too large, too wide. I have a first appointment with a nutritionist today to try to figure out what to do. I've tried milk of magnesia and other magnesiums - they work well for a day or two, and then quickly morph into too too much. What a stupid mess.

Don't know if I wrote this elsewhere, but my GI suggested Linzess so I tried it, lasted for 6 horrendous days. The worst diarrhea ever. Almost missed Thanksgiving dinner altogether.

So that's my progress report. Thanks so much for asking!

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I know exactly what you are saying. Every time I had to have a BM I got totally traumatized. The first time after the surgery I bled and stitches came out. Awful. Try powdered magnesium in the morning in juice or water. You can regulate it by the teaspoon and you will go in 15 minute or so. If you do not go, take more. Easy as that. Your body will tell you. Good luck.

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@mikaylar

When I had the second surgery, the doctor hit my pudendal nerve so for 14-1/2 years I sat on a donut. It is not a pleasant surgery but if done correctly, it does heal.

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Well that sounds perfectly horrid! So sorry. My surgery went well, no weird outcomes thank gawd. The botox can take up to 3 weeks to take effect. The cauterization went fine the surgeon said. Recovery has been hard - I've apparently become an old person LOL. I'm horizontal so much, avoiding sitting on it, so I'm not sure how much it hurts if I try to get back to some kind of normal.

And my poos are messed up and scare me! After having CDiff 4 years ago I've had IBS-mixed. Before surgery, because I was in a C stage, I was taking several doses of metamucil and colace per day, plus 21 grams of fiber as recommended for my age. It was working fine. Yes, carefully measured the fiber too! Anyway, post surgery when I went back to that routine - disaster, I poohed and poohed omg it was awful for a couple of days until I was able to stop what I'd been doing. But I live in fear every morning that a big pooh will ruin everything. I'm not necessarily constipated ... I go every day ... it's just that the first pooh of the day, or the first part of the first pooh forms too large, too wide. I have a first appointment with a nutritionist today to try to figure out what to do. I've tried milk of magnesia and other magnesiums - they work well for a day or two, and then quickly morph into too too much. What a stupid mess.

Don't know if I wrote this elsewhere, but my GI suggested Linzess so I tried it, lasted for 6 horrendous days. The worst diarrhea ever. Almost missed Thanksgiving dinner altogether.

So that's my progress report. Thanks so much for asking!

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@mikaylar

The sphincter muscle needs to be cut so the fissure can then heal. I have had it done twice.

Jump to this post

Hi. Have you had Botox? The surgeon cannot cut the muscle because of a previous surgery by a wackadoo proctologist in 1983 who had a theory that he should enlarge people's anuses. Didn't help my constipation issues either. Anyway, just last week I had Botox + the surgeon cauterized the fissure.

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@colleenyoung

@mikayla68, thinking of you and wondering how surgery went. I hope you're well.

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When I had the second surgery, the doctor hit my pudendal nerve so for 14-1/2 years I sat on a donut. It is not a pleasant surgery but if done correctly, it does heal.

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@mikayla68

I've decided to get surgery, it's scheduled for Thursday. Because of a previous surgery many years ago in which the surgeon cut and enlarged my sphincter/anus, the surgeon feels he shouldn't do a traditional fissurectomy and maybe not even stitches. He's going to do Botox + cauterization. What I'm wondering is: What kind of pain, what level of pain, can I expect for the next day or two post surgery? Any feedback would be welcome, thanks!

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@mikayla68, thinking of you and wondering how surgery went. I hope you're well.

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