TMI: My rectum is on fire (anal fissure)

The last few days have been excruciating. Somehow I developed severe constipation–I’ve never had constipation that was more than mild and short-lived–and in the process of straining apparently tore something in my rectum.

I went to the emergency room at the end of last week, it was so bad, but there’s not a whole lot that can be done apparently, so the last few days have included periods of excruciating rectal pain while moving the bowels.

The rest of the time has been filled with stress regarding either having to move the bowels at an inopportune time, or not being able to move the bowels at convenient times, or being able to move them and screaming in pain, and trying to regulate all that with adequate but not excessive consumption of insoluble fiber, fluids, and laxatives.

Fortunately, it seems to be getting better slowly.

But in the meantime, let this fellow warn you–take care of your rectum. It will have its revenge if you don’t.

How could you not read a thread with a title like that? :confused:

The obvious reply was of course…

“It nearly killed him!”

Man, oh, man. That’s really scary. Did they advise you as to a topical ointment to apply?

I hope you feel better soon. It sounds horrid. I’d be inclined to stop eating for a while if it were me.

My reaction exactly. :stuck_out_tongue:

Well, stop eating solid foods, anyway.

The Mayo clinic suggests increasing your intake of fluids and fiber – Anal fissure - Diagnosis and treatment - Mayo Clinic
The Cleveland Clinic observes that the use of anaesthetic creams can relieve the pain – https://my.clevelandclinic.org/health/diseases/13177-anal-fissures/management-and-treatment

Oh lord, how do I “take care of [my] rectum?” and do I NEED ANSWER FAST?!?

I really wish you wouldn’t toss up those Softballs. You’re gonna get me banned.

Ouch. My sympathies - I had one of those last year. The docs gave me a nitroglycerin gel that did wonders. They didn’t give you anything to directly treat it at all?

They directed me to use a topical lidocaine ointment (Recticare), but it has only limited effect. It’ll help ease the pain after a bowel movement, but it doesn’t do much during.

They also recommended soaking the rectum in hot water thrice a day in a Sitz bath to sooth it. That also has some effect but again doesn’t help during bowel movements.

Happy Lendervedder, the keys to rectal health are:

  1. Sufficient intake of dietary fiber
  2. Sufficient intake of fluids (essentially maintaining hydration, which also means limiting intake of diuretics like caffeine and alcohol)
  3. Sufficient sleep
  4. Don’t hold it when you have to go.
  5. Limit use of painkillers

You can’t stop eating. That will lead to consolation again.

Liquids hurt as much as solids coming out, although they descend more quickly.

You need to re-establish regularity.

Would stool softeners be appropriate? Topical calcium channel blockers?

Sounds very unpleasant.

Those are treatments for occasional constipation. They don’t cure an anal fissure. Anyway, they shouldn’t be used in the long term.

I feel blessed, have had constipation problems for decades and have not even developed a hemorrhoid.

:slight_smile:

I had surgery for fissures about 14 years ago. It was not fun, but cured the problem.

Softening or liquefying the stool Once the tear has occurred isn’t much relief. Even passing gas is painful.

So they told you to blow it out of your ass?

calcium channel blockers are used long term to treat hypertension as far as I know. They also work for anal fissures.

for the burning you have to go to a homecare place and get the cream they use for bed ridden people that cant clean themselves its got vitamin e in it that will relieve the burning and itching from the place we used ot have to get it from :

“Moisturizing Cream: This type of protective moisturizer is designed to protect skin from damage by urine or stool. It promotes comfort and healing for skin that is prone to irritation. Look for a moisturizing cream that is non-greasy, easy to apply, pH balanced, and gentle enough for pressure-sensitive areas on the skin. Some moisturizers are enriched with Vitamins A, D, and E for skin health.”

every place that sells home health care stuff has their own brand …….