I've had a fissure for probably a couple of decades now, but it's a recurrent one. That is it may heal and disappear for long periods, sometimes lasting to 6-8 months only to re-appear again, sometimes just for a few days, and once a few years - for a few weeks on end. I keep a relatively good healthy diet and normally a regular daily bowel movement, but sometimes slips occur and if your body is tired (like after bad sleep) even a healthy diet won't help the fissure from re-opening again. A few years ago my GP gave me a tube of isosorbide dinitrate, which I apply whenever I have a re-opening again (about 2 times a year). At times I think the fissure has at last healed only for it to re-open again. I have seriously considered surgery but at the same time would have course like to avoid it. At the same time I realize using the cream permanently can cause side effects and the body can develop tolerance for it rendering it a lot less effective. Has anyone had such a case of recurrent fissure and was able to heal it to a degree where it occurs not at all or very rarely (say once a few years, once a decade)?

Hello,

I utlilized this blog when dealing with my own fissure and thought I would contribute to let you all know what worked for me!
First of all, my anal fissure started slowly - initially with pain, then blood and then a lot of both (which is when I started to get nervous). Initially, I just increased the fiber in my diet (more oatmeal, beans, brown rice, lots of H2O, nuts, apples and spinach). This helped with bowel movements, but did not fix the problem. Once I started having bleeding, I saw my primary care doc in the office. She took a look and said the fissure was at the 7 o'clock position (posteriorly) (which is most common) and recommended Sitz baths and prescribed a 2% cortisone cream to insert into anus twice/day. I didn't insert it (kind of messy) but just used topically and the problem continued to worsen. Once I was having extreme pain and bleeding (on Thanksgiving, no heavy food for me!), I called my friend who's dad is a GI doctor and he prescribed me "Anal pram" which is another cream inserted into anus that has 2.5% cortisone (decreases inflammation) and pramoxine, which is an anesthetic.
After speaking to him, I started using this cream (inserting it into anus) twice per day, used Sitz baths morning and night, ate only fibrous foods, dranks tons of water (8 cups/day), and ALSO began taking 1.5 tablespoons of metamucil each morning with my orange juice. Additionally, I bought fragrance free baby wipes to use after BM to decrease tension in that area. After about 1 week of this regimen, I was completely healed - no pain, no blood! I was getting ready to travel in the car for 10 hours to an interview so also purchased a donut pillow for the car ride, and I think this made a difference as well because it still went away despite this long time spent sitting.
Now I have been healed for approx 5 days, but am still using metamucil religiously every morning, and am also avoiding spicy food and alcohol in excess. Hope my regimen works for you!

Anal pram (rx only) (I have no financial incentive, I promise) - twice/day into rectum
Metamucil (or knock-off equivalent) 1.5 tablespoon each morning with OJ
Sitz bath (with or without epsom salt - I did half and half) - twice/day
Baby wipes (fragrance free)
8 cups water/day
Donut pillow for people with desk jobs or long flight/car ride(mine was $15 on amazon)
Fiber-rich diet (soluble and insoluble) - fruit, veggies, beans, nuts, oatmeal, yogurt is good too because of the probiotic (good bacteria) effect though its not that fiber-rich.

I have had an anal fissure for 1.5 years. A lot of people point to fiber for a solution, but for me it actually made things worse as I had a high fiber diet to begin with (lots of whole wheat and veggies). My stools were so big and fast-moving, after it started I was always getting tears and I made the huge mistake of adding more fiber which made things worse—even though I did a lot of self-treatment at home that helped (aloe juice, lots H2O, etc). Also I made the mistake of going to my family doctor who is very old school and gave me cortozoine suppositories.

Finally, I got help from a specialst. She could hardly find the tear (though my family doctor saw it right away 6 months before I started taking aloe). She told me the cortozone supplements actually make it harder to heal as they thin the skin—making it easier to rip. She gave me lidocaine gel and told me to cut down the fiber for a while. I cut out the whole wheat (and NO MORE SUPPLEMENTS). I just stick to soft fresh fruits and veggies (nothing too fibery though) a few times a day—which keep my stools soft but small. I get backed up once in a while, but it sure beats tearing my butt all the time. I used Preparation H wipes at first after each movement to keep things clean, and used the lidocaine before and after each movement.


It's taken a 6 months to heal since seeing the specialist I am now on my 3rd month without a tear so I'm planning to carefully start adding small amounts of fiber back into my diet. I am hoping to avoid ever going through this again, but a lot of folks say once you've had chronic fissures it becomes a life-management type of thing. It's scary, but lots of people have them (no one likes to talk openly, though, so you'd never know ;) ). Hope you are feeling better. Best of luck!

Well fissure has a technical way out and I promise you will get relief from day 1 and complete healing in 1 month.
I)in the night take 4 spoonful cremaffin with hot milk and don't take spicy food.
ii)in morning, for passing painfree stool apply lignocaine hydrochloride 5%gel or cream ,which provides local anaesthesia to the anus and lets you pass stool confidently.put it 5 minutes before going to stool.
iii)after passing stool and cleaning the anus, apply diltiact 2% gel .
iv)after 10 minutes of applying diltiact, sit in hot water tub with salt added in it for 10 minutes.
v)dry the area with clean towel and apply metrogyl gel on anus and keep it applied till next stool passing cycle.
Eating fibre rich food is good.also take anything which smoothens the stool.confidence and patience play a great role.u may loose your gets when there is high stool pressure but your pain is not letting you pass it.application of lignocaine will make it pain free.just try some push and pull inside so that the stool breaks in pieces and passes.smooth stool will pass easily without pain.once you pass the hard stool make sure to keep the stool soft and smooth by taking cremaffin and drinking lot of hot milk and hot water.Repeat the above mentioned cycle twice a day.
I hope it will help.
Thanks
Sunil... conact me at [email protected]

What kind of desitin did u use? & does it numb the area?

I suffer from anal fissures but have one in particular that I get to heal for it to reopen after a matter of either days or weeks , So I wanted to see if there was advice out there for anal fissures, I have and the creams perscribed by both GP and GI and while they may help with the immediate pain after defication it just keeps occurring , the biggest problem I have found is all the advice seem to be to eat more fibre , nuts , water etc unfortunately for me that IS NOT an option as I have Crohn's Disease which , I have had to have much of my small bowel removed and I have constant diorreaha due to the amount of bowel removed and I also had to have my gall bladder removed which means I cannot absorb my bile salts and therefore I go to the toilet 20 plus times per day I have been perscribed many meds to firm up my bowel movements but nothing works even if the medication reduces the amount of times I have to use the toilet each day it does NOT stop the diorreaha , PLEASE PLEASE if anyone has any suggestions as I cannot stand this for much longer , the only thing that in anyway helps is if I eat nothing , but due to still taking fluids I still have to go to the toilet which means I loose weight quickly and am at risk of severe dehydration and suffer from malabsorbtion and malnutrition PLEASE PLEASE if anyone has any suggestions I would be most grateful . Thank you in advance.

Im sorry this is not a Reply to any question in Particular. I just wanted to share the ANTIDOTE for any type of sizzure, (NO LIE) the product is called SMILES PRID this product is sold at Walgreens and other chain pharmacy's. It works miracles. Once cleaned, Just apply on affected area. I truly hope this helps all who need it.

Can someone help me talk about anal fissures and being a gay man? I am taking the procedures to heal my fissure. I have had one before during this past summer and it healed pretty quickly, but now its back. Since first getting the fissure over the summer I have not had anal sex. I fear that even after it heals having anal sex could cause it to come right back. I read through everyone's experience on here and nothing was brought up about it. Does anyone have some insight to this?

One of the problems of having anal sex is that you're, regardless of how relaxed and how prepared you are for it, forcing something big through that sphincter. Preventing it requires a butt load of lube. No pun intended. There is a specific type of lube that specific for Anal Sex. Look into it.

What also might help is talking to your local sex shop employee. They're have good product knowledge and might be able to help you find something that will make anal sex easier.

This might be something you would want to bring up with your doctor as well. Bleeding from the butthole can be dangerous, even if it is only a small amount. There is a lot of bad bacteria around your hole that could cause some really bad infections, regardless of how well you keep your bum clean.

Also if you have any shyness talking about this you should get over it. You will also need to tell your partner to be a little more careful. He can't just ram it in, he kind of needs to 'warm up' your anal sphincter a bit. Start with a finger or two. Then maybe a toy/buttplug. The key is to gently stretch the anal sphincter so that it is a little more relax when he puts his penis in.

I hope that helps a little.

Hi, I have just one question. I've been trying to get my hand on Anoheal, but have failed. I live in Bangladesh. Are you in UK? Is it available in the UK market.

I would be most grateful if you would let me know. My e-mail is [email protected]

Thank you

Hasinul Choudhury