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Let's talk anal fissures. Anyone had good treatment for one or need some support?

(21 Posts)
Swaliswan Mon 07-Jul-08 20:51:34

So, I've been very brave and persisted with going to the doctor's about my anal fissures that I've had for 13 months now (three of them shock). I've been prescribed GTN cream finally but I can't use it all of the time because of the headaches and lightheadedness. My GP has said that he thinks that I need to see the surgeon but I really don't want surgery. I'm going to keep trying to use the cream and tomorrow I'm going to phone the local complementary medicine centre to arrange some acupuncture.

Anyone else out there suffering and wanting some support? Or have you been there and got out the other side?

Candlewax Mon 07-Jul-08 23:22:30

Hello, I share your pain! I have a prolapse and having the fissures are so, so painful. I too have been prescribed the cream and yes it does work but like you I suffer horrendously with the headaches, so I put it on at nights mainly.

I am going to have an op under GA soon for the prolapse and I am hoping upon hope that this will also take care of the fissures.

I personally cannot wait for the surgery.

CristinaTheAstonishing Mon 07-Jul-08 23:26:18

Some info here on GTN in anal fissures

Desiderata Mon 07-Jul-08 23:30:35

Are they a result of childbirth, Swal, or have you had an ongoing problem with constipation?

An old lady I knew absolutely swore by honey, both internally and externally.

She would drink a couple of cups of hot honey a day (a couple of big teaspoons with boiling water), and she would liberally apply honey to her bum, leave it for twenty minutes, and then take a bath.

She always maintained it eased/cured the symptoms ... until the next time, of course.

jellycat Mon 07-Jul-08 23:46:50

Hi there was a recent thread on anal fissures here.

Swaliswan Tue 08-Jul-08 20:03:22

Thanks for your support Ladies. I'm having a terrible day today - lots of pain and bleeding. I've told my manager at work about it so that she knows to expect time off for appointments and I explained about trying acupuncture. She has been very understanding (she is a nurse though grin) but it was soooooooooooooooooooo embarassing. I don't really know what to do with myself whilst I'm waiting for appointments to come through sad

Swaliswan Tue 08-Jul-08 20:04:27

Candlewax, how did you know that you have a prolapse? Is that causing your fissures?

Candlewax Tue 08-Jul-08 20:23:29

Mine is a bit of a mixed history. I had piles after the second child but I could cope with them as they were not too much of a recurring problem. As the years have gone on, they occured more and more and I was getting rectal bleeding. The fissures occured this year and I went to my GP as I was in such pain that it was causing me to cry. The GP referred me to a specialist who, after examination, told me I had a prolapse. I am hoping that the pressure from the prolapse will stop the pressure on the fissures and that they will then heal naturally. It is very painful to be sitting for too long.

Swaliswan Tue 08-Jul-08 20:29:18

Oh Candlewax, that sounds very painful. I know what you mean about the crying in pain. Sometimes I use a towel to bite on or muffle my moans of pain sad

RemindMe Tue 08-Jul-08 22:02:44

I also share your pain! I was told I had an anal fissure last week. I've had so much pain and awful itching over the last four months since my DS was born - it's been making me feel miserable. I'm having a proctoscope examination on Thursday and have been referred for surgery for the fissure and skin tags (which I'm pretty sure used to be piles before I gave birth shock). I'm hoping I can get some Anoheal on Thursday and avoid surgery by using that.

notnowbernard Tue 08-Jul-08 22:06:52

Sending you my support

I had one after the birth of each dc. Each bowel movement was like shitting broken glass. Uncouth, I know, but a more honest description you will not get, as you well know sad

I just made sure I ate masses of stool-softening foods (organic apricots are fab) in order to promote healing

toolly Wed 09-Jul-08 14:07:52

I had one after DS. The doctor told me not to get constipated by making sure I drank and ate enough fibre but most importantly before a poo insert a finger inside the anus to relax it. I thought he was having a laugh, but I did try it (used a lot of vaseline) but it made pooing a lot less painful and luckily for me it healed by itself.
I also used a 'roid spray to numb the area after.
You have my sympathy.

iBundle Wed 09-Jul-08 14:10:12

GTN didnt work for dh either

he saw a surgeon who said most cases get better by themselves and got some more treatment (incl lactulose to prevent any problems with constipation) which was a cream but I can't remember the name.

seems to have done the business

gingerninja Wed 09-Jul-08 14:18:55

I've had a recurring one for about 5 years and it will present itself most months and be very painful when going to the toilet and itches like mad at all other times which will last a couple of weeks. I've suffered IBS for years which is why I got mine and despite having a very healthy diet, I haven't been able to shift it, in fact I didn't know anything could be done about it. I don't like the sound of an operation. What do they do? I do get utterly fed up with it though.

Swaliswan Thu 10-Jul-08 22:20:13

Wow, five years is awful! I've had a terrible couple of days and am seriously wondering whether surgery would be a good thing. I've been very lucky and managed to get an appointment at the complementary therapy centre on tuesday so I'll have to see how that goes. I'm not convinced that the GTN is going to help at all in the long term.

IAteRosemaryConleyForBreakfast Fri 11-Jul-08 09:27:21

I developed a fissure after DS was born nearly a year ago. The doctor prescribed lactulose but it made bugger all difference (I was swigging the stuff out of the bottle all day!). The only thing which has helped has been making myself eat four slices of wholemeal bread every day and drinking lots of fluid with it. A bit limiting and boring but really worked for me. It seems if you can work out the minimum fibre requirement for you and stick to it then there's a good chance for it to heal. Having said that I've been run down lately and have got lazy with my diet and it's come back so I'm going to have to knuckle down to the bread thing again

It is totally miserable though so much pain and bleeding. Not the sort of thing you can share with others either, so you just have to wince and get on with it.

Vaseline pre-poo is good if you're anticipating trouble.

gingerninja Fri 11-Jul-08 10:43:19

Hi IARC how you doing?

Inspired by this thread I've booked an appointment at the Dr for next week blush

Swaliswan Fri 11-Jul-08 10:54:07

So pleased to hear that gingerninja. Let us know how you get on. I'm counting down the seconds until my appointment on tuesday. I know that there is no miracle instant cure but the GTN is not helping at all and yet again today my pain is unbearable. At least DH and DD were out when I needed the loo so that I didn't have to worry about anyone hearing me scream blushshock

gingerninja Fri 11-Jul-08 11:01:32

Thanks Swaliswan, good luck for your appointment too.

IAteRosemaryConleyForBreakfast Fri 11-Jul-08 15:06:59

Hi ginger, all fine here thanks (awake lots, but tolerably so!). How are you and yours?

Good luck

MaddieT Tue 23-Sep-08 14:39:00


Just want to say that GTN did work for me, it is OK to take paracetamol to get rid of any headaches that occur as a side effect!

Drinking lots of water also helps to soften things before going to the toilet!

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