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Chronic Anal Fissures

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Chronic Anal Fissures

Posted by karen [2503.1614] on January 23, 2005 at 09:36:22:

I have two chronic anal fissures that I have had for years, only this year they have gotten so bad that they rip open w/every bowel movement. This is very painful. I am not constipated, they rip because of the tightness of my sphincter muscle. Docs say I need surgery to cut my sphincter muscle. There has to be a better way.

I know this must be connected to vulvodynia that I have also. My pelvic floor muslces are tight also. I can't take this pain everytime I have a BM and hours after.

Any ideas other than surgery to get this muscle to calm down? What makes it so tight in the first place? Can stress cause this or is it not under voluntary control?

Thanks



Re: Chronic Anal Fissures

Posted by Ron [2014.1671] on January 23, 2005 at 11:28:53:

In Reply to: Chronic Anal Fissures posted by karen [2503.1614] on January 23, 2005 at 09:36:22:

Hi Karen,

Have you ever taken antibiotics to prevent infection of the fissures? Healing will be very difficult due to the bacetria that is in the area.

How are you doing with preventing constipation?
Whole unground grains in place of too much bread will prevent constipation.

Do you also have hemorrhoids?
Relaxing a tight sphincter with topical nitroglycerine ointment will allow the entrapped blood to drain back into
the veins and go on its' way.

Here is a link which explains..

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Re: Chronic Anal Fissures

Posted by
Helene [15.215] on January 23, 2005 at 14:43:34:

In Reply to: Chronic Anal Fissures posted by karen [2503.1614] on January 23, 2005 at 09:36:22:

Ron is right about the need to prevent constipation. Have you tried a stool softener such as Colace or its generic version? I did have this problem with a single anal fissure myself in my teens and 20s. It eventually cleared up although I still must be very careful to avoid a too hard bowel movement. Good luck on solving your problem. Helene

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Re: Chronic Anal Fissures

Posted by
Amy [650.4] on January 24, 2005 at 07:48:44:

In Reply to: Chronic Anal Fissures posted by karen [2503.1614] on January 23, 2005 at 09:36:22:

Hi Karen,

I also have vulvodynia, but it has gotten much better since I started doing rigorous kegel exercises. I also used to have hemorroids (which seemed to be at their worst when the vvd was at its worst). I noticed that when I started doing the kegel exercises, the hemorroids went away and the vvd GREATLY diminished. I got so much help from reading the archives on this site, as well as Dr. Stoll's article on interstitial cystitis, also on this site. It explains so much about how the muscles in this area are all connected and are VERY responsive to stress, as well as showing how all of these conditions are related. I'm sure that your fissures and the vvd are related. I'd be happy to tell you what worked for me, as far as the kegel exercises are concerned.
Good luck,
Amy

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Re: Chronic Anal Fissures (Archive.)

Posted by Walt Stoll [9.1465] on January 24, 2005 at 07:55:09:

In Reply to: Chronic Anal Fissures posted by karen [2503.1614] on January 23, 2005 at 09:36:22:

Karen,

It IS under voluntary control. If it were not, this world would be a very messy and stinky place.

Long term fissures CAN produce scarring that is permanent and that would necessitate surgical division ALONG WITH what should have been instituted in the beginning to prevent recurrance.

For now, start with the witholding protocol and see if eliminating the friction of any movement will resolve your symptoms. If it does, the fissures will heal within a month. Six months later you could begin gradually reducing the dosage and see if symptoms return over a year or so.
In the meantime you could be increasing the fatty acid excretion (the liquid portion of everyone's stool) that is supposed to provide the lubrication that permits all of us to pass a stool without ripping our anus out.

These fatty acids are profoundly altered when one has LGS.

Let us know what you learn and how you do.

Walt

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