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March 15, 2010
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Patient Discussions: Anal Fissure - Effective Treatments

Anal Fissure - Effective Treatments

The MedicineNet physician editors ask:

What kinds of treatments have been effective for your anal fissure?

Comment submissions for this question have ended. Patient Discussions FAQs


Related Article: Anal Fissure

The following Patient Discussions have not been medically reviewed. See additional information.


Comment from: 45-54 Female (Patient)

I too suffered for eight or nine months with anal fissures. I had unbelievable pain right before, during, and hours after a bowel movement. I didn't want to eat because I knew what went in eventually had to come out! I had the surgery. It wasn’t easy. In fact, it was the worst three weeks of my life. I had lots of pain (the Percocet helped) and lots of sitz baths, and a special lotion to clean the area after a bowel movement (no toilet paper for about two weeks). I also had to learn to re-control that muscle. Long story I know, but there is a happy ending: I had this surgery 12 years ago and not once have I ever had the horrific pain when having a bowel movement! So, have the surgery! After the initial healing phase, you will never regret it! Published: July 08 ::

Comment from: stew, 25-34 Male (Patient)

I had chronic constipation all my life and anal fissures since around 2000. In 2007, for various other reasons, I noticed I felt better if I avoided wheat. I stopped eating gluten, which is found in wheat and barley products (and in some rarer grains), and my constipation and fissures cleared up! My GI doctor did a colonoscopy and said I'm not celiac, but now I read that a true diagnosis can only be obtained by endoscopy, so I may or may not be celiac, but I know one thing for sure--I get sick if I eat wheat, so I avoid it and feel better than I have in years! Published: March 04 ::

Comment from: Jane, 45-54 Female (Patient)

I had what I thought was a really bad hemorrhoid for about a year. It turned out to be anal fissures. After seven months of ineffective treatment with nitroglycerin and Lydocaine cream, I had to have surgery, a sphincterectomy. It's been almost a month, and I am finally beginning to feel better, and that the surgery was successful. Published: September 26 ::

Comment from: prayerful person, 55-64 Female (Patient)

I have been suffering from an anal fissure for about two months now. I find it very helpful to take three tablespoons full of mineral oil, each night at bed time. Just prior to a BM, I apply a great deal of a prescription cream. I was using nitroglycerin ointment three times a day, but I got headaches. I now use it in the a.m. and p.m. It is the 2% kind, not the .2% kind. Also, it has been a long time since I have actually sat on the toilet. I hover over it, in a more of a standing position. I have been on this treatment for 12 days now, and I am finally getting better, much less pain. Be sure to drink lots of water through out the day, and eat fruit, like melons. Good luck! Published: September 23 ::

I think it's called ProctoFoam it is a prescription. After suffering since Jan an tried every over the counter medicine, I think this really has helped. Published: May 29 ::

Comment from: Fred, 35-44 Male (Patient)

I had anal fissure surgery in October 2009. It has been about three months later, and I am not completely healed. I don’t know if I will ever heal! Published: January 07 ::

Comment from: vitalist, 25-34 Male (Patient)

Anusalve and a Plantain/Goldenseal salve have had a tremendous healing effect on my condition. I have had severe pain for two weeks using various hemorid creams with minimal results. I switched to the salves and noticed pain relief. I also changed my diet eliminating meats and eating more vegetables and fruits. An enema is useful after bowel movements to clear any stool that is irritating the fissure. Light exercising is helping the healing process due to increased body response to repair. Published: December 16 ::

Comment from: wasstruggling, 35-44 Female (Patient)

I had an anal fissure for all of October and half of November of this year. It healed on its own and then re-opened again after a difficult bowel movement. The pain was so terrible; I was going to inquire about surgery. However, my gastroenterologist prescribed me an ointment with diltiazem in it, which is a blood pressure medicine. Within 10-14 days I was pain free. The medicine promotes blood flow to the area which decreases pressure and promotes healing. Because it was a compound, it was not an inexpensive prescription, however, I have found it *very* healing and would recommend it to anyone suffering from this terrible ailment. Published: December 09 ::

Comment from: Ay, 35-44 Male (Patient)

I have had an LIS surgery for chronic anal fissures, however, although I felt a tangible relief for few months, an event of constipation due to my omittance to taking high fiber products on product caused me to have some blood again after defecation. Except for drastic therapies such as surgeries, the underlying problem is the control of bowel softness. This may be burdensome sometimes if one is compelled to use pharmaceutical products on daily basis. Published: November 09 ::


Patient Discussions are not a substitute for professional medical advice, diagnosis, or treatment. Never delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on MedicineNet. The opinions expressed in the comments section are of the author and the author alone. MedicineNet does not endorse any specific product, service or treatment.

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