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March 21, 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: AFhelp, 19-24 Female (Patient)

I had large bowl movements for the majority of my life. ( I am 21 yrs old) In 2009 I started noticing moderate pain after I would pass a bowl movement. Over time the pain would get worse and worse. Finally I went and had a colonoscopy done and he found an anal fissure. We tried a few methods to clear it up but it just would not go away. I finally agreed to have the surgery. When I woke up from the surgery he said he had found not one anal fissure but a series of small ones that he cannot repair. So now I still have the pain not only when passing stools but also during intercourse! This has become such a frusterating part of my life. I am taking fiber and stool softeners and that is making me go more frequently but it is not relieving any of my pain. The fissures are not seeming to go away! Published: February 23 ::

Comment from: toplash, 25-34 Female (Patient)

I suffered from anal fissures for 13 years after my children were born. I was finally given a choice: surgery or a new treatment of injecting Botox into them. I went with the Boxtox, and that was four years ago. Apart from a bit of leakage now and again, I am pain-free and all thanks to Botox. I know people who have had the operation, and it hasn’t worked for them. I know one other person who practically lives in the hospital having had the operation go badly. So, please think carefully before agreeing to surgery. Ask your doctor about Botox. Published: July 09 ::

Comment from: Extremely Upset, 45-54 Female (Patient)

I have been dealing with anal fissures for about two years. I tried cream and Botox before I had surgery in December of 2008. After the surgery, one cut would not heal, and I was still bleeding from that surgery cut, not the fissure. I was tested for diabetes and the test came back normal. In April of 2009, I had surgery again for the cut that did not heal and was bleeding. After this surgery, the cut still did not heal and I was still bleeding. I was going back to the surgeon every four weeks and every time I went back, he kept burning bleeders by or in my anal area where the surgery cut was. I have to go back to the surgeon again in July, and the cut is still not healing, and I am still bleeding. At the last visit, my surgeon told me I might have to have more surgery. I cannot seem to get an answer as to why this one cut is not healing and why I am still bleeding. Published: July 08 ::

Comment from: Raystonwall, 55-64 Male (Patient)

I have been suffering with chronic anal fissures since about 1988. In the military, I was just given a cream to use when they appeared. Until lately that was fine, for it would go away for a few months and then return again. Now I have been truly suffering for several weeks with hardly any relief. I even had a colonoscopy a month ago, which diagnosed that an anal fissure was present along with internal hemorrhoids. I walked away with a prescription for a cream to insert in my anal canal, which I can hardly do because of the extreme pain. I usually have a bowel movement about three to four times a day, so I experience quite a lot of pain during the day. I take 4 grams of fiber a day and have started using a stool softener. I have still yet to feel any relief. Published: May 06 ::

Comment from: Slim, 25-34 Female (Patient)

I suffered from an outward hemorrhoid for nine years after the birth of my child. Finally I had to have this surgery called a hemorrhoidectomy. It hurt like hell, and it was hard using the bathroom afterward. When my bottom started to heal after getting in the tub with Epsom salt almost three times a day, I had this awful itch. Also, I was constipated severely. The doctor gave me Proctofoam for the itching, but it didn't work. For the constipation, I have used every remedy there is, and it still doesn't seem to be working. Published: March 04 ::

Comment from: Robyn , 45-54 Female

I was advised to have surgery for my anal fissure, but I was very reluctant to and decided to try Dr Wheatgrass antioxidant skin recovery cream. I’ve been using the cream for two weeks, and the symptoms have almost gone. Published: October 16 ::

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

My fissures are associated with Ulcerative Colitis. Kansan suppositories, used for Colitis, seem to help well, but are very expensive. ProctoFoam brings immediate relief from the worst of the itching- it is Hydrocortisone 10%. I have used Nitroglycerine ointment with good effect in the past. I found it is possible to use the cheap 2% mixed with Vaseline 1:10 to dilute it to the 0.2% that is desired. Using a stool softener helps keep from damaging the tissue again. Published: August 19 ::

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

I have had bathroom problems all my life. IBS, the usual bloating, constipation, all the usual. Finally turned into a fissure. I have had 3 surgeries and it will not heal. The pain is never ending. Published: October 07 ::


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Anal Fissure

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Constipation is a condition that is characterized by infrequent bowel movements that are painful or difficult, or stools that are hard in consistency. Infrequent bowel movements alone are not a reliable indicator of constipation because bowel frequency can vary between three times a day to once a week among normal individuals. Therefore, hard stools that are difficult to pass or infrequent stools accompanied by abdominal pain, back pain, and abdominal bloating define important constipation.

What are the causes of constipation?

There are many causes of constipation including:

  • Diets low in fiber. Fiber is vegetable material that is resistant to digestion. It promotes soft stools by adding bulk to the stool and causing water to be retained in stool.
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