Anal fissure Puns

Just realized even tho it's been a year this anal fissure of mine acts up from time to time and it's also a Anal Fistula that happened due to an abscess.

I thought it was healed but after cycling 16 miles 2 days straight on my MTB I notice it's acting up again so I quit riding again. It doesn't matter if I use a more padded seat or a regular seat for sitbone support. The problem I have heard is that fat cruiser saddles create too much shafting etc and causes sore bum and bruises but then a hard one for sitbone support is even worse.

I think it has to do with pedaling and prolonged sitting on a bike but never an issue in a car.

Do you think a big beach cruiser saddle and E bike will solve this? But then it would need to be an E-Bike that can carry me without me having to pedal. So a throttle? I am 215lbs so a bit fat and I need to go 8 miles 1 way I can charge the battery in the office tho.

I do NOT wear cycling shorts I wear my work clothes cause I commute.

I am wondering if the heavy backpack caused my fissure to act up but then it probably would have anyways.

I'm officially on week 3 with my AF and I can honestly say things are starting to improve. My first week and a half was hell; I couldn't sleep or lay down for more than 1-2 hours and I would wake up in agonizing pain that had me hyperventilating and punching air(literally) in anger.

Not to mention on my 9th or 10th day I made my fissure even WORSE when I had a hard BM that produced quite a bit of blood both on my stool and my tissue. After that I had a new lease on life and I would never mess up like that again. With all that happening, I immediately started looking for home remedies through this subreddit and google.

What I found were practical supplements, and topical treatments(amongst other things) I can grab at Walmart and my local Vitamin Shoppe. If you're like me and not in position to get a surgery with a proctologist; you need to take the home remedy route VERY seriously like...do not screw up at all.

Here's what I use/do that has helped me after consistent application for around 2 weeks:

•》Nusyllium Natural Fiber Capsules: I use these since they contain what's called Psyllium Husk which sadly most stool softeners do not have (with the exception of Metamucil I believe). I'm going on record saying that Psyllium has been proven to be more superior than stool softeners that do not contain it since it's more effective in drawing in water and keeping your stool consistently soft.

•》Gaba 500mg Capsules: These are for helping ease muscle spasms in the anal sphincter which is what causes pain for most of us here. (The anal sphincter has strong receptors for Gaba for some strange reason)

•》Tea Tree Oil: This is one I have not seen yet on this sub and is severally under utilized for situations like this. Tea tree oil reduces inflammation, kills bacteria and has healing properties. Not to mention it contains Aloe Vera which helps with pain. In my case I had a skin tag along with my fissure which I can no longer see and I assume it's because of this.

•》Sitz Bath: Pleeeeaasseee incorporate these into your home treatment as much as possible. Sitz baths helps keep the fissure clean and promotes blood flow which is the main component in the healing process. (Do not add soap or anything to the bath.)

•》Vaseline: I like to apply this before and after bowel movements since it serves as a shield to help prevent retearing. Like wise to Tea tree oil, this also contains healing properties.

•》Heating Pad: This changed the game for me while be

Hi, guys!

I was feeling a constant pain in my ass since yesterday and I could barely sleep. Today I went to the doctor and was told that I have an anal fissure.

He gave me a cream to help and some medicine to help the pain and so. The problem is that I'm still in pain.

As I never had this before, I would like to know if this constant pain is normal, because everywhere I read, people always tell that it is supposed to be only when I poop.

I'm nervous :/

Has anyone had an anal fissure that had the unpleasant side effect of erectile dysfunction? I’ve been having discomfort and pain in my anus/rectum for a while now after bowel movements. At first I had a little bleeding here and there but only once in a while now. I have pain/discomfort around perineum after bowel movements. Feels like my pelvic floor is tight and affecting my member as well. It’s been causing me a great deal of distress. I have an appointment with a specialist in a couple days to hopefully figure this problem out. Was just curious if this could be a somewhat normal symptom of a fissure???

Did I just mess up my chance of healing?

Has anyone been able to treat fissure by themselves at home by increasing fibre? What else?

The doc couldn’t even examine my hemerrhoids due to the fissure pain. He gave me diltiazem cream but ut didn’t work (but I admit that I was still straining on the toilet).

I can’t bottom due to lifelong (genetic) fissure and haemorrhoids.

I don’t know why I’m so upset typing this probably because I have just got into remission and now I have a very painful anal fissure. I initially thought it was a pile however it’s 100% a fissure is this something you phone your IBD team about or your normal doctor? Or if anyone knows a treatment I can order online please let me know

When I poo now it feels like my muscles aren’t working properly and I get pain all day, sometimes I get a quick shock pain in the anus. Is this pelvic floor dysfunction? I really need help guys I’m really low on life now I don’t want to live life anymore id happily die

18 yo male here

Idk if I had anal fissure during my entire lifetime except for the burning sensation in anus whenever I pooped after a few days of gap

I've been taking medicines for my asthma and all of a sudden I started experiencing really painful bm and burning sensation in my ass so i improved my diet started drinking lots of water and started taking brisk walks but it didn't improve yesterday i literally couldn't poop anything out (stools became really stony) so dad bought a laxative it helped in softening the stool but the pain/burning sensation during pooping is so immense that I am afraid to take a shit

Took photos and realized there isn't any external haemorrhoid but there is a slight pinkish area or a cut idk what that is near my asshole

I guess this condition is due to medications as my family doesn't have any history of piles

I am a guy who poops like once a week. So usually, my dumps are colossal. Well, about a month ago, I got severely dehydrated while overeating to the extreme. The result was a huge crap that tore the lining in my anus - an anal fissure.

It was extremely painful. Sitting hurt. I bled intermittently from my butt. I bled through my underwear, once. My family laughed at me, my girlfriend dumped me, all because of a little tear in a part of my body that nobody sees.

Enter Dark Souls. Well, Dark Souls 2, specifically. At one of my lowest moments (walking around the mall with bloody underwear) I walked into a GameStop and they were selling DS2 for $40! I had heard such great things about this game and had always wanted to try it, and it was on sale for such a great price.

I bought it and, woah. Everything I had heard completely undersold the game. The lore was so rich, the game was so beautiful. I cried when I first saw Majula. The NPCs there became my new family. They didn’t laugh; they saw me as a hero. The way the Emerald Herald talked to me… it was like I was lovable again.

Anyway, just wanted to thank FromSoft for creating a beautiful game that helped me forget all about the rip in my anus. That’s all.

Has anyone tried pelvic floor physiotherapy for/with anal fissure? If yes, did it help/make it worse?

I’ve had an anal fissure for about 5 years. It has closed many times but then fairly often opens again when I go to the toilet, which always leads to bleeding and pain for the next few days.

I had HPV just inside my butt and used a cream for it (Aldara) internally for longer than I was supposed to without thinking. Looking into it I’ve since learnt how strong a cream this is and my theory is that it severely weakened the skin there, hence why it continues to open and bleed on and off.

This has caused me so much anxiety through the years. I’m a gay guy and previously enjoying anal things but I’ve obviously been way too scared to for some years now. For many reasons it’s been a huge stress on my life for so long. I’ve tried all the creams doctors prescribe and they either don’t work, or work short-term and it opens again.

I’m really relieved to find this thread. I’ve been referred to surgery before but I got too anxious and backed out. I have a doctor appointment coming up and I’m now ready to do whatever it takes to finally fix this. I wondered what people’s experiences were with surgery and if anyone had any insight on which kind of surgery worked best for them? I’ve heard about the botox one, but I’m worried as I feel the skin is so fragile already.

Hi, 4 month ago I had hemorrhoidectomy, and felt tight afterwards, also got tear-fissure and spasms, I had 2 times lateral internal sphincterotomy in this 4 month but I still can't poop large or constipated poo, I need to strain a lot to defecate, and have spasms for 6 hours after, is it fissure related? do you guys with fissure have difficulty expelling large poo? or is it stenosis(, I don't want stenosis diagnosis

I (F,20)have been living away from home for the first time and you basically just eat what you get.My change in diet is probably what caused this. My friends kept bugging me to tell them and this issue as a medical issue didn't really bother me as much so under all the coercion I told them in a casual way but now that I think back on it ,there is no way nobody's going to make fun of me.

Usually I join in on people making fun of me and it's never a big deal but for some reason this bothers me so much.Even my mom laughed at me when I told her(was actually when I realized this,also remembered all the jokes on this disease that go around).

I feel so bad.I just wish to never again encounter these people again after moving back home,I hope this thought gives me courage to live past whatever's to come now.

Tl;DR- Told my friends about having haemorroids and now expect quite some humiliation my way.

Edit: Thank you so much everyone for the replies. I appreciate your kind words a lot!

Hi! Currently trying to heal a fissure from some sharp pain I was having, so far it has been fine but was wondering about any similar experiences, tips, have you had this and healed?

I read that they can become chronic so i’m terrified & super anxious.

Accutane really dries everythingggg up 😬

I am 50+ and had my first anal fissure when I was 17. They did something called anal dilation at that time. I was fine after 2-3 months, I think. Don't remember much about my recovery from that time. Now 34 years later I have a recurrence.

I have had it for 6 months now. Started with nifedipine/lidocaine ointment which did not fix it in 3 months. Then tried botox procedure in Oct 2021. Used nifedipine/lidocaine ointment during this time too. That has not fixed it.

My fissure is a milder form than most people. I have never had any blood during BM or sharp pain. The only time I had blood was after Botox procedure which was expected. That stopped after a week or 2.

I mostly get burning feeling after my 1st BM in the morning. Probably because my first stool @ 6am can be a bit bulky and slightly dried out being in the colon for 20 hrs or so. The subsequent stools are soft and of normal bulk. I normally have 2-3 BM in the morning, all done by 8-9am. My 2 and 3rd BMs are smooth and fine. I don't have any sharp pain or blood during BM like many people on this forum. I have never been constipated.

The first 2-3 months was the worst with burning feeling lasting whole day. The last 3 month are slightly better, somedays are good where I don't have much burning feeling even after BM. Other days the burning feeling lasts couple of hours & after my morning walk/cardio exercise in gym it is mostly gone. I am not sure why morning walk/exercise helps. May be it relaxes the internal sphincter muscles?

Also, when I fart/flatulence ( which usually starts in the afternoon around 4pm) I feel a burning sensation.

For me the biggest issue has been the ability to sit and work. I mostly work on my computer. Sitting down I find very uncomfortable due to burning sensation. Only in the last week that seems to have improved but it is still not comfortable. I have to stand and work all the time. Standing and working all the time is not easy or fun. Also, the discomfort/burning sensation even if not severe ( on good days) is always in the background. My work has suffered. I am not able to concentrate at work. Worried I might lose the job if this continues for another 6-12 months.

I am going to see my CRS doctor next week. I am tending towards opting for LIS surgery if that option is suggested for me.

Any thoughts?

Hello all,

Have had the worst time of my life, thanks to sudden and shocking fissures after 3 consecutive days of hard stool. It took me more than a month of unbearable pain and sleepless nights.

But I can proudly say I'm a Survivor and here are my observations:

HAVE ONLY HOME COOKED FOOD - Veggies, greens, salads

SOFT p@op is your SAVIOUR- try to eat anything that softens it.

AVOID ALL wheat floor - breads of all kinds, biscuits etc.

AVOID alcohol and meat/poultry COMPLETELY

AVOID any kind of sexual activities - when the hips buck, it causes strain on the muscles inside (spasms) which causes the soft inner tissues and muscles to rupture again and any sort of healing kinda resets.

AVOID oily, fried food.

AVOID stress of any kind - Physical, Mental or emotional.

AVOID sitting, walking and standing for long hours. Instead, just lie down, first 10 minutes face down, then slowly turn and lie down. (The cream i was given was Anobliss to be applied).

RESTRICT BM to twice a day MAXIMUM. Anything more or less than this can cause rupture and will reset your healing clock.

Medication - Local anaesthetic creams didn't work in my case, but a perfect mix of laxatives and antibiotics HELPED TREMENDOUSLY (In less than 8 days, there was 75% recovery).

Of course, this is NO holy grail of do's and don'ts. Just my observations.

Feel free to add or remove anything.

I've had some pain and discomfort for five days since, it itches and burns especially after I poo and I seem to have more gas than usual. I haven't noticed any blood though. Does this sound like a fissure or something else?
If it is a fissure, what can I do to reduce pain and help it heal? And how long until it goes away, assuming it won't go chronic?

Omg, whyyy? Ok, so, after pooping, I washed my ass. When I dried it with toilet paper, I noticed a smudge of blood on it. I am so freaking out now.

I have both hem and anal fissure and im trying to push out this one hard as shit stool and my anus is bleeding and everything and i still cant pust it out 👍

1. Do not use a steroid cream
2. Something to soften stool a. Colace: Meh. It’s ok b. Miralax/peg3350 17 gm daily Works great. Gets you soft serve quality!
3. Something for pain a. Lidocaine cream
4. Relax sphincter with *nitroglycerine cream or *nifedipine cream (can be mixed with lidocaine ) *prescription only

This year I had my first Crohn’s flare up in about 15 years, but this time my Dr believes it to be in my anus (had an MRI, waiting for results).

This time anal fissures have been present and basically ruining my life and I was wondering if when Crohn’s goes into remission, do the fissures start to heal? Or are they now two completely separate problems?

I know a few people on here have both and was just curious as to other people’s experiences.

How to tell which one is happening- any easy way, short of taking a picture or finding a mirror?

I know GTN helps fissures but does it even do anything for hemorrhoids?

I’ve had a fissure on and off for years. It was chronic for a long time (3-4 years) but healed according to my primary care doctor (took Nipodpine 0.2%, fasting for about 5 days on a juice diet and Anal dilation with a small butt plug everyday for about an hour to fix it for me)

I did loosen up some, pooping doesn’t hurt nor is there blood anymore. It’s still really tight though so it’s uncomfortable sitting down. No pain or anything, just a really tight & kind of swollen to the point of feeling like not all my poo came out.

Doing this as a recommendation to help with the problems with tightness and lessen my fissure chances!! I’ll keep you update on how it goes!!!

I've seen mixed opinions about it here, some saying it's not helping some saying it's helping. I am not sure which one is right.

For me, it seems to be actually helping my body heal the wound, not sure how it's working exactly since it reduces the blood as I've read there which is the opposite of what Nitroglycerin does.

So I’ve been struggling with this combo of fissures and hemorrhoids for about three months. Nothing worked... until;

LIQUIDARIAN lifestyle ..

Mostly fruit juices, veg juices, nut milks, soups, and smoothies

No solids now for 6 days...

Finally walking around with no pain , and I was on the floor crying for many days at level ten pain..

Stop eating...

The doctors won’t help you...

Just realized even tho it's been a year this anal fissure of mine acts up from time to time and it's also a Anal Fistula that happened due to an abscess.

I thought it was healed but after cycling 16 miles 2 days straight on my MTB I notice it's acting up again so I quit riding again. It doesn't matter if I use a more padded seat or a regular seat for sitbone support. The problem I heard from others on reddit is that fat cruiser saddles create too much shafting etc and causes sore bum and bruises when cycling 16 miles a day but then a hard one for sitbone support is even worse.

I think it has to do with pedaling and prolonged sitting on a bike but never an issue in a car.

Do you think a big beach cruiser saddle and E bike will solve this? But then it would need to be an E-Bike that can carry me without me having to pedal. So a throttle? I am 215lbs so a bit fat and I need to go 8 miles 1 way I can charge the battery in the office tho.

I do NOT wear cycling shorts I wear my work clothes cause I commute.

I am wondering if the heavy backpack caused my fissure to act up but then it probably would have anyways.