Is it possible to breathe with the pain of an anal fissure and reduce the intensity of a spasm ?

I have been using rectogesic for almost a week in an attempt to relieve the pain of what my GP thinks is an anal fissure .

There had been a worsening of symptoms in what is only a problem of 11 days duration

The main in my rectum prior to a bowel movement is immobilising and I am fearful of leaving the house and being caught short

Afterwards the spasm buring and pain continues for hours and nothing brings relief

I am having 3 Epsom salt baths a day and am not constipated .

I have a very high fibre plant based diet and have also added psyllium husk to my diet

I routinely have 3 movements a day so am in agony most of the time

Is there a way of using breathing to reduce pain and spasm as I am finding myself becoming increasingly tense as the time to return to the bathroom approaches

My GP has referred me for investigation and I am convinced I have anal cancer

Any advice gratefully received

10 days ago I was walking 6 miles a day going to Pilates as well as 2/ 3 spinning classes a week

Now there are times in can barely walk

Hi Jennifer, If I were you I would cut down a lot on the fibre, that's why you are going three times a day.

Start taking laxido/movicol/miralax, all same thing, every day without fail. After about two to three days it will kick in, and it will be easier to go, no straining, all done in one bm a day,, and hopefully on the way to curing the fissure.

I stuggled for years with high fibre diets, laxatives, a healthy diet, nothing helped until my colorectal surgeon told me to use laxido every day, and cut back on the fibre to give yourself a chance to heal. 

Rectogesic just made my pain worse, and burned like hell.

Like you I was convinced I had something sinister due to the severity of the pain.

I've been good for six months now, on the odd occasion when I forgot to take it, I struggled the next day. I think I'm on it for life now.

Thank you Laura

Good to hear that things are very much improved for you

Difficult to know how best to proceed on the laxative front as I have a bowel motion 2/3 times a day on my usual vegan diet and dont want to introduce a laxative until I have a chance to discuss with a Consultant .

I'm told I will see someone within a fortnight so I guess I will hang fire until then but maybe take out the psyllium husk which is the only new thing I've introduced

Thank you for responding

Have a good day 🌻

Laxido isn't a laxative as such, and if you could reduce your bm to once a day it will give you a chance to heal.

It introduces fluid into your bowel and makes passing it easy. It might actually be better if you cut down on things like cauliflower and cabbage, insoluble fibre. I am veg so eat much the same diet probably as you.

Hi Jenifer sorry for what you going true. Just read Your story everything refreshed in my mind. Exactly a year when my terrible experience started.i also thought I have anal cancer. First of all you don’t have cancer. As cancer not painful as anal fissure. You seems do everything ok. The cream you use not always helpful I used anoheal wich help, but never cured. I would say try to go once a a day for bm. If your fissure is over 6 weeks then it becomes Chronic fissure. The pain you going true tells me you may have chronic anal fissure. At this stage don’t panic wait for cream to get the grip normally it’s effective after 2 weeks. If not then go for anoheal. Advise if the creams don’t cure, make sure you not going for injection. Go for opperation caled Litheral internal spinchromy wich what I done. Sorry for me been direct this what help me and I read alote ppl treating different way but this one is 95% cure . The other options are 50% don’t waste your time. All the best

Hello and thank you very much for your response

Although I think I have been googling far too much this last week I am going to Google Anoheal as I have by heard of it and happy to try anything which might help!

Thanks Laura

I only called it a laxative because the Movicol website did but I'm happy to consider anything which might reduce my 2/3 bms to 1 !

Laura, are you taking all 3 of the laxido, movical and miralax?  Or Are you recommending one of the three? 

Hello again

I have just goggled Anoheal and wondered whether you experienced any difficulties getting it prescribed by your GP ?

One website said it wasn't licensed in UK for usage in treatment of anal fissures

Thank you for your time

Good grief no, I just take one sachet of laxido at teatime. It's called different names but is the same thing. It's honestly changed my life toilet wise.

i used to go several times a day, and ended up with a fissure, bleeding and a rectocele. After surgery for the rectocele I was told not to strain, rectal muscles didn't work prooerly, thats when I started taking laxido.

My fissure healed although it was chronic, I had it for years.

Properly!

 

Hi Jennifer, I’ve had a chronic fissure now for 8 and a half months I got this whilst giving birth to my son, I was initially told it was piles for 3 months (doctors didn’t think to check and just assumed)  I was given a variety of treatments that did nothing. 

The pain is by far the worst pain I’ve felt (after my Labour I assumed nothing could be worse but I was wrong)  I have now been referred and am due to have Botox soon as mine is not healing. (I too thought the worst like you)

A lot of people advised me to take baths etc but what worked for me was an ice pack (wrapped in a towel) to numb the area most people say the heat helps but I suppose everyone is different. At times I would sit on an ice pack to drive or do simple things like feed my baby. Maybe it’s worth a try just to see if it could help you slightly. It won’t and doesn’t ever take the pain away fully but I think t either stops you thinking about it or just numbs it enough to cope. I’ve spent many days crying in pain and struggling to explain to anybody just how painful it is.

I really hope you get seen soon. My doctor is amazing and has been very understanding.  X

Thank you Emma

I have tried both an ice.pack and some crushed up cubes and they both made things worse

Sitting on a hot water bottle has given me some minimal relief

Really hope your Botox works for you

The symptoms you describe are typical of an anal fissure. Add baking powder 3-4 teaspoons ,and coconut oil to your bath. Use lubricating gel before and after a BM. Apply your rectalgesic afte r a BM and do a sitz bath after BM.

Thank you for your response

Should I ditch the Epsom salts ( in the sitz bath which I'm already having after a bm ) and replace with the baking powder and coconut oil or add them both in addition to the salts ?

What sort of quantity for the power and coconut oil please ?

Is Vaseline ok as a lubricant ?

Many thanks

Hi Jennifer Anoheal is (diltiazem hydrochloride 2%) this is medical term for it . As I see you from UK. They do in UK another tip for you. Ask your Gp to send you private.because true NHS is almost impossible it takes long time. By the low if there is long waiting time or list you can have private. And if you near London I can suggest you good surgent. When I had my opp I couldn’t believe I had anything. Pain free was super. But before you get private you need to go few times to Gp . Push them  all the best

Thank you for responding again

I have seen my GP twice in last week and they have already referred me for investigation and there is a protocol locally which days I will be seen within a fortnight so hopefully the NHS will look after me quite promptly ....fingers crossed !

Good luck on that so make sure you seen by specialist. In my case I was going true hell .12 hours spasm can’t walk. I was in hospital and they were saying to me that your go have to refer you to us. I couldn’t understand that. By the time my go saw me I was in very bad mood .maybe this is the reason I get that treatment. By the way if you send by your go to private , it’s all covered by NHS

Sitz bath with epsom,salt one half cup with 3-4 tablespoons of baking powder,coconut oil. I use a couple of drops of lavender oil for the nice smell. You may add 1-2 other oils you have on hand. I use almond oil/and or vitamin E oil. I do this twice a day. In the morning and late evening. I learned thisvon this forum and it has stopped the pain,relieved the itching. I carry a small CVS bag every where I go. It contains lubricate to apply before and after BM. Hemrrhoid cream,hydrocotisone, calmoseptine cream. All of these items can be purchased at WALMART except the hydrocortisone and calmoseptine cream. You will learn which ones give relief by trial and error. The sitz baths are a must. I also purchased recticare from Walmart it cost 25.00 dollars for a small tube but has saved my left. It numbs when applied so you dont feel pain for a while. It can be applied after a BM  up to 4 times a day. I have to use it only twice a day. I apply it directly to the hemrrhoid and down both sides of my inner buttocks. I feel this is the most debilitating thing I have ever experienced. I have had to reduce my work to 1/3 of the time I used to work. I am ready to have surgery. I hope this helps you and you get relief.