Patient Comments: Anal Fissure - Diagnosis

How was your anal fissure diagnosed?

Comment from: angellove, 45-54 Female (Patient) Published: July 12

I have been in agony for 18 months. I'm sure people think I am exaggerating when actually after hours of pain I could die, I cannot tell you how bad I have felt just want it to end, just had botox 4 days ago. Going to the toilet is a nightmare; my life feels like a nightmare I am so fed up. Ruined a job, no sex life actually feel like old woman and am wondering when it will end.

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Comment from: Fissure Free, 45-54 Female (Patient) Published: March 24

I had this problem back in 2005 when I was going to be treated for some minor internal hemorrhoids. The doctor noticed a fissure. He removed some hemorrhoids and gave me some cream that didn't help. After many sleepless days and nights and crying from the pain, the doctor said I needed surgery ASAP. Two days later, I had surgery and I've never looked back. (No pun intended!) I am very glad I had the surgery. After three weeks, I was back working on the ambulance, as I'm a paramedic. I have never had the pain again.

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Comment from: PITA, 45-54 Male (Patient) Published: November 14

I am an active guy and have had an AF (anal fissure) off and on for a few years. In June of this year it flared up. I dealt with it all summer, went to my gastroenterologist in August and after a month of nitroglycerin ointment, lots of water, fiber, stool softener, and great attention to my diet, I started to see some relief. Then in September, I had an injury that required me to take Lortab. Being a codeine based medicine, I became constipated and the AF came back. I went back to my gastroenterologist and he referred me to a colorectal surgeon. He suggested a fissurotomy. There's not much out there about this but my colorectal doctor has experience with them. Basically they are less invasive than IAS (internal anal sphincter surgery) and no risk of incontinence. I elected to have this procedure done the first of November. It is a Painful recovery but a different pain than that of the fissure. Four days post operation, and I am hoping to have the same success that others have had with this procedure.

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Comment from: 45-54 Female (Patient) Published: December 27

I was diagnosed with irritable bowel and was getting sharp knife pains in my rectum. Also during intercourse the same thing would happen and the gynecologist told me to relax. Then this skin tag started growing out of my rectal sphincter to over 5 inches long which looked like a worm - wiggling and itchy. I had it cut off but it grew back three times. So finally the third time went for surgery in the OR and had it cut out of the sphincter not just shortened, had the fissure in the canal (all the scar tissue) cut out and let to heal again and had my sphincter cut to not make it so tight (internal sphincter). So from 1983-1996 I was in a lot of pain until the surgery and since then I might leak a bit but no more knife like pains, but it took three surgeries. They didn't remove any hemorrhoids so they still bother me now and then, I just try hard not to get constipated, I usually have diarrhea 3-4 times per day and carry tucks or wet wipes for when it gets itchy and to clean. It was worth the surgery but took along time before they would do it, always creams, tucks, soaks, etc. Up to you. It is now almost 30 years since the first incident.

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Comment from: ingridrdh, 55-64 Female (Patient) Published: March 26

I had ovarian cancer and after the chemotherapy and radiation was having very painful bowel movements. I thought I might have hemorrhoids. Thought I had hemorrhoids, and was fired from my job because I missed work due this problem. I'm so glad to have a diagnosis of anal fissure--at least I am not crazy and it really does hurt. I just found out today, and am looking forward to relief and a new job.

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Comment from: Catherine, 55-64 Female (Patient) Published: November 19

I have been diagnosed with an anal fissure after three months of suffering. The doctor gave me Diltiazem 2 percent ointment. After using it for almost four weeks, it had not helped me at all and burned when I used it. Finally, in desperation I decided to try using Triple antibiotic salve. In just a couple days I started to feel less pain. For the first time in about five or six months I am able to sit without pain. It was worth the try.

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Comment from: t, 25-34 Male (Patient) Published: March 10

I am 32 years old and have been suffering on and off with anal fissures since I was a kid. I have tried several different creams sometimes they would work for a while sometimes not. I make sure to get at least 25 grams of fiber a day either with supplements or with my food intake. In addition I started using a stool softener. I had the botox surgery yesterday and they found a second fissure. One of the things to keep in mind is that more then one fissure or a fissure that won't go away may be caused by a type of Crohn's so make sure your doctors or surgeons check for it. Blood tests are not enough they need to actually go in a bit with a camera. At any rate I am scared to go to the bathroom because of all the years of pain I only go when I have no choice.

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Anal Fissure - Effective Treatments Question: What kinds of treatments have been effective for your anal fissure?
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Anal Fissure - Causes Question: Please discuss the cause of your anal fissure.

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