Hello, I was wondering If anyone else had to stop eating foods with seeds, nuts, herbs and spices due to inflaming their Anal Fissure? After cleaning and then applying ointments I have noticed undigested seeds, pieces of nuts and grains. Herbs like parsley or even pieces of vegetables found clinging on close to my AF area. It's been more sensitive after Surgery. I try avoiding seeds and nuts but vegetables and herbs I really rather just limit. Maybe something is wrong with my digestion because one would think the acids would break it down to be exited as waste. On a separate note: June 6th I have a gastroenterology appointment. I'm going to ask about endoscopy but see what my dr thinks and suggests. I been having a lot of discomfort plus I almost blacked out just going up the steps to have chicken soup. Cancer being on both sides of my family gives more cause for concern. I'll be trusting in my Lord no Matter. God Bless All.
A fiber-rich diet plus drinking loads of water is important, but if you are chewing well and still finding bits of undigested seeds and nuts I would avoid them for a while. You say you are more sensitive after surgery. Did you have an LIS surgery? Or something else? If you had an LIS then you most likely are on the road to recovery now.
Hi there friend, nothing is wrong with your digestion. since seeds and nuts is insoluble it cannot be digested or atleast it remains in 90% of its original form.
I am going to try and stop eating nuts and see what happens, but Chia Seeds have been doing wonders for me. I soak it in a cup over night and next morning put about 4 table spoon of Lasco Soy Milk Beverage powder into it stir and drink mmm so delicious. I swallow most and chew some, don't blend it I find it becomes way too sharp when blended.
I also notice vegetables and anything with high fiber can also be dangerous if you eat too much you need to keep it minimum, the trick appears to eat a very little bit of food but high in nutrients. This eliminates pain the most if you ask me but it don't always work out so well unfortunately.
hi trillo, ty for replying. I had the cauterizing of the fissure done March 14th 2019. It is called the Kenalog Protocol by dr Feingold in NYC. I know I should not have sensitivity to any nuts or seeds but I do when it comes to wiping with baby wipes or applying ointments. I will see my surgeon as soon as possible. I hope I don't need another surgery. One for the anus is far too much already. I have Chronic upset stomach so diarrhea and constipation is part of my daily life. I try limiting how much I eat and have a fiber rich breakfast and lunch as much as possible in my case when vegetables are available due to funds. I will try to mix in metamucil so I can bulk up my stool so not to be just liquid most days. I just dont want spasms.
I don't remember ever trying chia seeds, I will look it up. Being half Cuban pumpkin with string beans and boiled eggs drizzled in extra virgin olive oil is one of my go to. I remember my Grandmother making that often for her gut issues. I love beans and rice but those beans! What out! can be too explosive lol Have you tried brown rice or other types of grains? I'm looking for recipes too. I been eating Chicken and fish for protein. Let me know. I love curry dishes too but Sometimes too spicy for my digestion.
Hi yes I can tell you the chia seeds work great after its been soaked for a few hours, it has to be soaked. Give it a try you will see how nice and soft the gel is that it releases, really helps your digestive system along with the table spoon of virgin coconut oil. I found the coconut oil works better than a table spoon of olive oil. I have eaten parboiled rice which is brown rice in a sense, not sure if there is much difference between both. The rice is great but again it can cause an issue as its so high in fiber that I must keep it at a bare minimum because the golden rule the less goes in the less comes out. My mother made me some roasted egg plants and a slice of curried salmon, since I am Indian its not an issue for me not even with a fissure I am very accustomed to it. But I stay away from pepper at all cost. I stay away from chicken for now as I am not sure how well it can be digested I am going back to what has worked for me which was tiny tiny amounts of food nearly starving and mainly just chia seeds with oats and some frozen strawberry amazingly this cured me for 4 days until I stupidly ate a big slice of water melon and it was down hill from there.
I need to try that. Thank you John. Curry Salmon and eggplants sounds really good too :) I'm losing weight which is a good thing for me also my appetite is not very big so a little at a time is fine with me :)
Yeah am going back to what had worked for me in the past, chia seed and oats only eating so little bit that I only had a bowel movement once every 2 days which didn't hurt and allowed me to heal and only tiny amounts came out doing as minimum damage to my fissure. I will let you know how it works out for me
I read about the Kenalog Protocol and considered going to Dr. Feingold for that (I live in NYC). But the pain from my two anal fissures had been so bad during the seven months since I first became aware of them that I opted instead for LIS surgery. I had an Open LIS performed by Dr. Marc Sher, colo-rectal surgeon, on March 28, 2019. The first week after surgery was extremely painful, but then it became gradually better as I healed. Now it is 9 and a half weeks post-op and I feel that I am almost completely healed. I have no pain, only occasional slight discomfort from the sphincterotomy wound and from the scarring at one of the fissures, but this is WAY better than the pain I felt from the fissures. And that discomfort will gradually disappear also, according to Dr. Sher, who examined me last week. I hope that is true, but even if my condition remains the way it is I will be glad that I opted for surgery. I suggest that you consult a colo-rectal surgeon about getting an LIS. If possible, I would suggest going to a CRS who is experienced in CLOSED LIS. That is the only thing different I would do if I had to do it again. ALthough I think that Dr. Sher is an excellent surgeon and I felt comfortable with him, he only does OPEN LIS, and from what I've read, CLOSED LIS is less painful and provides a shorter recovery time.
Thank you, I will look into closed LIS. It's been A daily Hell with Sphincter spasms.
It seems that most colo-rectal surgeons do OPEN LIS, but CLOSED sounds preferable from what I've read regarding recovery duration. But more important is the skill and experience of the surgeon. Make sure that you go to a CRS who is very experiences at doing LIS, whichever he does. I would recommend my surgeon if you are here in NYC and you can't find a CRS who does CLOSED LIS, or if you just want to get this done ASAP. If I were you I think I'd just want to get it done ASAP. I know what you are going through; I, too, suffered horrible pain for several months. The pain is gone now, knock on wood, and I feel like I've gotten my life back.
PS: I should have said whichever he or SHE does. :)
I see Dr Sher has a few offices in NYC, I live close to Howard Beach so I'll check to see if his office takes my insurance. Is there a main office to see him? I'm not sure If they will give me someone else. I was also considering going into Manhattan again but hate traveling there but willing for relief. Thank you so much Trillo.
Trillo have you seen this article? https://www.ncbi.nlm.nih.gov/m/pubmed/15129311/
The study showed about the same between open and closed. I have to admit closed sounds better.
Yes, I 've seen that and other studies. The success rate seems the same. The only difference really seems to be that Closed leaves less of a wound, and therefore the recovery is quicker. That's why I would choose Closed if I had a choice. But as I said, the skill and experience of the surgeon is much more important, and if I were you I'd get this done ASAP by any experienced CRS who can do it soon. I wish I could recommend that you don't do surgery but when anal fissures are so severe it is very unlikely that they will ever heal without surgery.
PS: My CRS told me that he has done more than two thousand LIS surgeries, and I also felt comfortable with him: he was patient and friendly and answered all my questions. So even though I learned about Closed LIS shortly before my scheduled surgery I decided to go ahead with the Open LIS because I did not want to delay it any longer and I trusted the CRS.
I went to Dr Sher's office in Great Neck and the surgery was done at LIJ. I don't think it matters which office you see him at.
I was looking on google for closed LIS in NYC but nothing but articles about it. Seems I will have to ask the next CRS If he or she knows about that procedure. I hope I don't have to get another surgery too, Its just more agony and time to heal. Thank you for your helpfulness and sharing your CRS. Getting back to some quality of life is far better than my current existence :)
You say that you hope you don't have to get another surgery. Do you mean in addition to the Kenalog procedure? Or do you mean that you hope you don't need an LIS? I wish there was a way of avoiding an LIS, but in severe cases such as yours (and mine) it seems to be the only cure. I've been on other forums and searched extensively and it is very rare to find anyone who claims to have healed a chronic anal fissure by diet or ointments etc. If you choose to continue to try those things I certainly wish you the best of luck.
Regarding closed LIS, you could ask any CRS's receptionist whether the doctor does closed or open LIS before you make an appointment. And I would google any CRS before scheduling surgery to get an idea of their rating and experience. I would not ask for a closed LIS if the doctor says that he/she usually does open but will do closed for you. I would want a surgeon who is VERY experienced in the particular surgery they do on me, whether it's closed or open.
I agree, With Chronic AF we need surgery. That's why I had the Kenalog Protocol done in Hope's of healing. Unfortunately that surgery did not work out the way I had hoped for. I did not want LIS because of incontinence. Wearing a diaper the rest of my life is not exactly ideal, but to overcome horrible pain I can live with that. I'm going to search around for CRS and make my decision on who has the best credentials. I like the relief of ointments but I know it's not a permanent fix to AF. An aid yes, but nothing more.