Chronic anal fissure losing the will to live

just wondering has anyone tried anoheal? ive heard its very exspensive on nhs like £100 plus but have heard good reviews? i believe this has to be POM aswell as its similar to the GTN CREAM

Looks like Anoheal is just 2% topical Dilitiazem Hydrochloride, which was my second type of rectogesic prescribed. The cheaper one gives terrible headaches and the Dilitiazem is about £130 or so pound to get, GPS tend to try the cheaper stuff first.

Can I comment on this please. I was told by the gp to insert this cream which I'm sure you will agree on impossible as it hurts too much. I saw a rectal surgeon who told me to use small amounts a few times a day and to apply it by massaging around the back passage. It's really helped and is far more effective

Thanks for this. Its very informative. Thanks for sharing and I hope you have a speedy recovery

yes the gtn gives me bad headaches and dizziness which on top of pain from fissure dont help lol i might ask for some

hi is this the gtn cream or anoheal dilitazan cream?

The diltiazem. The other stuff made me had rotten heads. My gp couldn't prescribe it but the consultant did thankfully. The biggest help for me has been fibre and water. I'm a bit obsessed with my intake now as I'm so scared of the pain of a hard poo!!!!! 😢😢

i take 1 senna every night and three to four duclouse a day with as much water as i can stomache admititly im not the biggest fan of drinking water but try my best. i will ask consultant on monday for some 爛爛 i also try to eat a bowl off shreddies for b/fast for fibre wish there was a miracle to put an end to this misery

It's a nightmare. It definitely takes over your life. Good luck 👍

Im not sure about the UK, but in the states Nfedipine 3% is offered as a compounded script. none of the creams are USDA approved here, but i've tried diltiazem, NTG, and they both made my spasms worse. The Nfedipine I could actually feel it relax the muscles, and I almost got over it using this cream, but all it takes is one wrong meal and your back to square one. I will still stand be my statement they are a waste of time for a long term solution, and get the surgery, but if you havent tried Nfedipine it woukd be CCB I would suggest.

hey lou i feel for you the pain is really bad esp after a BM. i dealt with it for months where i thought it was gone then it came back much more painful this past December and had 2 wait 2 weeks for emergency surgery.. but i was only dealing with a nurse practioner at the time. i didnt meet with the Dr/ specialist til the day of whatever it is they were going to do. after i woke up i was told i had not 1 but 2 fissure tears in which the pain was caused it being by a nerve.... so all they did for me is Botox... felt fine til just now... they also wanted to do a colonoscopy to rule out IBD or anything else. just today i had hard time with a BM and it was the 1st time since getting the botox done that ive had that same pain come back again. im real nervous now that the botox didnt work. im only 6-7 weeks from getting it. im calling tomm to schedule my colonoscopy cuz they also want to see if its healing or not. if it doesnt work its either another round of botox or Lis surgery. will see what happens.

hi andy sorry to hear your in pain again just when you think things are looking up you get knocked back again

i personally dont have high hopes for the botox but at the point im willing to try anything allthou very scared and anxious as not been under GA before i suffer with bad aniexty espesially health aniexty think it stems back from when i lost my younger brother. fissure pain is the worst... i often wonder if i have more than one now as the pain has got worse and lasts much longer im due BM today as didnt go yesterday so i know im in for a day of torture it sucks! living everyday in fear of just pooping i hope you get some relief and good luck with your app im due to see specialist monday fingers crossed

hi andy, i believe botox is a total waste of time! i have not heard of any success stories, i know there are some people who say they know it worked for someone they know etc. but what if that was from just changing their diet and their activities because of the Botox treatment or fissure pain etc?

sorry to be so personal but in relation to my last post ive had BM and so far no pain .... what a relief allthou slapping loads of petrolium jelly in and around certainly helps stool slide out rather than having to use the muscle to push ive then sat on heat pad for 30 mins to relax everything down there allthou this dont work everytime im glad it has today as have things to do! phew

yeah will see how it goes from here on out. i go for my colonoscopy next month to check all my insides and to see if the fissures are healing with the botox which i dont really think it is... right now im not having any pain but im sure i will when i have a BM. it was nice for a while going to poop regularly with no pain but i think the botox is wearing off a lot shorter than its intented to. but if this gets worse again im just going to get the lis surgery screw the botox.

hi andy ive ended up having two bm today with very little pain which is nice but what is annoying its so itchy rite now allthou would rather that than the pain i just keep squeezing my bum cheeks to try stop it lol well i hope you get it sorted we shouldnt have to suffer do let me know how you get on as will i on monday

I know what you are going through. I suffered the torment for almost 5 years believing that I would get better. I actually would get better, but only for a day or two. It is like a ball and chain around your ankle. You know that even as you start to feel a little better as the afternoon progresses, it is really only a countdown to your next BM in the morning and it starts over all again.

I was afraid. I tried everything. Creams, ointments, and on and on. I saw 4 different colorectal specialists. The first two said it was prolapsed hemorrhoids, they wanted to do a hemorrhoidectomy. But I knew that the pain and burning I felt when having my morning BM was not that. Most people do have those, but they do not normally cause the pain and burning for half the day after a BM like an anal fissure.

I finally found a doctor who listened to me and diagnosed what my problem actually was...Chronic Anal Fissure. He told me that the only thing that would permanently stop the torment was a Lateral Internal Sphincterotomy.

I was still terrified and did not want to go through the LIS procedure. I put it off and put it off. In the mean time, I was always in a foul mood to my wife, my kids, and everyone else. We took several vacations where I would feel OK half the time, but only until the next morning BM. It was literally 5 years of my life wasted.

The reason I am registered for this site and am posting this is that I would like you to know there is hope. It has now been just over 2 months since my procedure, and I feel like a new person. I no longer fear and dread the morning BM. I am not in pain for hours afterword. It has made me feel like a new person. Just for your information, I am a 56 year old male in fairly good health. A little overweight, but otherwise OK. You have to have this procedure done to get relief. It was a little painful right after the procedure, but really not much worse than what you have been dealing with. It took about a week before the fear of the BM started to get a little better. By 2 weeks it was getting much better, but still a little painful at times. Just watch what you eat, drink plenty of water and use fiber supplements to keep your stool soft.

By 1 month the difference was night and day. I have not had any problems with incontinence and I feel like the ball and chain has been removed. I don't fear waking up in the morning for my daily BM. It has now been a little over 2 months for me and I feel like an idiot for having been afraid and not done this years sooner.

You can do it. Time marches on for all of us and delaying it only means more of your life spent in misery. I hope my post has helped you in some way, as this web site helped me while reading the testimonies of other who had had the LIS procedure done before me.

I wish all the best for you. Good luck, before you know it you will be posting here to help someone else.

MKole, I am 7 weeks post LIS. During week 5-6 I had a crazy itch and what felt like a little glass cutting/stretching pain. I still have a little irritation after I have a BM, and very little blood maybe every other day. My job requires sitting 10 hours a day, so every now and then through out the day it still feels tender, I think the tenderness and itch is from the incision. Did you experience any of this 5-7 weeks out??? I was told i should be 100% in 4-6 weeks. I do feel better, but not quite 100%

Hello Curtis. At 5 to 6 weeks post procedure, I still had a little discomfort on some mornings after BM. Mine was more a sensation of soreness and pressure, like I hadn't fully gone and there was still a little left. That was not everyday, just once or twice. I still felt as if I was getting better each day, especially compared to how I used to feel.

It felt more like incision site discomfort versus the fissure pain I had felt for years. I would have a little bleeding on some days but it wasn't painful. It gradually got better to where now, 10 weeks out I am not having any pain or discomfort, and have had no bleeding for the past 2 or 3 weeks.

I think you definitely have the worst behind you (no pun intended), and should soon be 100%.

I do know that my doctor and others here have said that everyone is different and some people have said it took them months to fully heal. But at least it is better than before at least 1000%, at least for me.

I know you know, sit in the bath, drink plenty of water, fiber, eat vegetables, salads and fish and try to stay away from the steaks, cheese and such.

Good luck, at least you are near the end of it. Remember how you felt before the procedure. Seemed like I had kind of lost hope for ever being pain free again.

I just wish I had done it 4 1/2 years ago.

Hello Curtis, I just made a lengthy response, but I may have accidentally replied to Lou instead of you as I had intended, not sure. I'm on my phone and it's a little tough for me to see.

Sorry, but if I did, please see that reply.