I am currently suffering from Anal fissure due to constipation since 3 weeks. It bled in the beginning
and almost healed over two weeks. Yesterday I had another episode of constipation and my fissure
bled again with too much of pain. My doctor prescribed me steroid and Lidocain gel for
topical application. Besides that, I am taking Sodium Picosulphate and Polyethylene gylcol as
a laxative. I am drinking enough water. I am trying to eat salad every night as a fiber supplement.
I am afraid to take fiber supplement because if it bulks my stools too much, it would be problem too.
Another problem is pain during and after defecation. Kindly consult me what should I do more.
Thanks.
Is steroid and Lidocaine application for anal fissure ( 3 weeks old fissure) with Miralax enough?
Question posted by hp0909 on 31 March 2012
Last updated on 10 April 2012 by hp0909
7 Answers
hp0909
11 April 2012
Hi. My pain has gone down considerably with fissure, however I have itching sensation. I am taking Miralax and Senna 8mg at night. I don't think senna is that powerful to me. I think what works best for me Prune juice which I take in the evening. It empties me in 1-2 hours. However, in spite of taking all these, morning BM is hard initially and then its loose. I don't the reason behind this. I still see small blood on paper towel when BM is hard. Just need some help in getting rid of those hard ones in the beginning. Any suggestions?
hp0909
3 April 2012
I have started applying Proctofoam-H and Lidocaine 2% since Saturday. Today, the fissure got reopened and bled due to some hard stools. Man, I just don't understand how to get rid of that thing. Hopefully these medicines help and hope I don't have to go to see a Colorectal specialist.
hp0909
2 April 2012
Hi Dzoo Baby, thanks for the help. I didn't know that banana was a constipator. I thought it would be a laxative and had a banana. I was actually constipated. I realized that after reading your comments. I am trying prune juice and it works the est. I am just wondering if it won't make me dependent on that everyday.
DzooBaby
2 April 2012
Fiber supplements work well. They help keep stools a nice, soft, formed consistency. It keeps them from getting too hard and also keeps them from being too soft. Fiber helps keep water in the stool. When stool stays in the colon and rectum too long all the water is leeched back into the body and out of the stool causing big, dry, constipating stools. Fiber prevents that from happening. When stools are too loose it helps them form up. Fiber supplement is not something to avoid. It is one of the first line treatments for someone with rectal problems like hemorrhoids, anal tears and fissures.
As the others have said, natural foods can help too, prunes have lots of fiber, veggies and fruits and especially whole grains. Shredded wheat and bran cereals are excellent to keep you regular and keep the stools a good consistency. As they also mentioned, drinking plenty of fluids, especially water works with the fiber to keep stools soft. You dont want liquid stools either-you want soft formed stools.
Avoid constipating foods like bananas, white rice, cheeses and such.
endlessPred
1 April 2012
Hi. I was recently in the hospital with a fissure. Lost too much blood. So if you start passing clots you need to get right in. These can get serious. The pain you feel is tearing again on the anal region. That ain't good. so please keep working on you diet. My doc gave me a sippository with a steiod. Go figure since I am on high dose prednisone anyway.
I am a believer in shredded wheat, bananas and pineapple, fruit of all kinds, sweet potatoes, lots of whole grains, veggies, and I stay away from white flour and big pieces of meat (over 4 oz. or a quarter pounder is the limit). Though I love a steak or a nice sandwich, during healing you really need to be careful. I got my fissure, by the way, from three months of diarrhea. So it isn't always what you think may cause this.
Either condition that caused this needs this diet. You will feel much better and your health will be better in general. By the way, what my friend above said and I am saying, is this is the very diet they are recommending for everyone to be following. So you even get to be a trend setter. Rather than just a setter! lol. Hope you improve soon.
Inactive
1 April 2012
good grief my sweet,
great to see you and i see that we both agree on the best course of action...
really happy to see your sense of humour shining through.
hp, ya need to listen to endlesspred,she has walked in your shoes whilst i've only watched from the sidelines.
peace,
laura
hp0909
1 April 2012
Thanks Laura. I am actually trying prune juice and its working good. I try that in evening and have Bowel movement within 3 hrs. However, the reason I take laxative is I don't want any hard BM. What I feel is taking laxative would eliminate formation of hard stools. I take prune juice in evening to clear the stomach. Hope this logic works. Thanks for the advice.
Inactive
1 April 2012
hp,
i am sorry you are feeling so poorly. i have never had that problem, but have treated quite a few with fissures and fistulas (even worse). the steroids are the best anti-inflammatory agents ad the lidocaine will numb the area. actually, for a laxative, i absolutely hate miralax. i have found that it causes bloating, fowl farts with feathers on top and a pasty type bowel movement if you are lucky or lumpy bowel movement with a lot of gas involved with that... a real not fun adventure. just to let you know, i am a retired icu and er rn and know a bit about this, just assurng you, cuzeverybody gotta poop with out pain, my old motto.
this is what i'd do, apply steroid cream every couple of hours to speed the healing, use some lidocaine if in alot of pain. hp, i prefer the natural way of stimulating a nice not hard, soft smooth, non-painful b m. i would begin by eating prunes or drinking prune juice. i am thinking the pain associated with your pooping is related to the laxative you are taking and after all the huffing and puffing is done, if you like them, turnip greens and cornbread will definately keep you nice and regular. but i don't know what your eating preferences are... if you are a steak and taters man, trying to eat sald everynight will not do it. you need to eat fresh veggies and fruits, drink plenty of fluids, about a half gallon a day.
if you must use a laxative try docusate sodium, a stool softener or ask the pharmacist for a natural laxative suggestion. cut down on caffeine beverages, if any, a couple cups of coffee a day, and like i said before, fruits and veggies (i find whole kernal corn to stimulate a bm but try brussel sprouts,carrots, green beans, broccoli... ).
wishing you the very best pain free days ahead,
the sweet hippie,
laura
hp0909
11 April 2012
Hi. My pain has gone down considerably with fissure, however I have itching sensation. I am taking Miralax and Senna 8mg at night. I don't think senna is that powerful to me. I think what works best for me Prune juice which I take in the evening. It empties me in 1-2 hours. However, in spite of taking all these, morning BM is hard initially and then its loose. I don't the reason behind this. I still see small blood on paper towel when BM is hard. Just need some help in getting rid of those hard ones in the beginning. Any suggestions?
Related topics
miralax, constipation, anal fissure and fistula, lidocaine, steroid
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