Not my anus...

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minou
Regular Member


Date Joined Jan 2005
Total Posts : 140
   Posted 12/19/2009 9:08 AM (GMT -7)   
After 10 years with Crohn's, I thought I finally had it figured out... until it started messing with my anus. I've just recovered from a perianal abscess (so glad that's over with!), but now I think I've developed anal fissures. They're like paper cuts, really deep paper cuts. Does anyone have any experience in that department? How long is the healing process? Should I be worried they'll develop into more abscesses?

Thanks.

nawlinscate
Veteran Member


Date Joined Jan 2007
Total Posts : 656
   Posted 12/19/2009 10:19 AM (GMT -7)   
If you seek medical advice quickly enough, while the fissures are new, they may heal. My colorectal surgeon prescribes topical diltiazem (an ointment) that relaxes your muscles, so that they don't spasm when you're using the bathroom. This can often assist tremendously in healing--along with warm baths or sitzbaths a few times a day. The warm water helps, both to relax the muscles and to keep things clean around the fissure to promote healing.

I haven't heard anything about fissures developing into abscesses. My doctors have never mentioned any concern about that happening. The biggest problem with a fissure is that it may not ever fully heal--and that surgery to fix a fissure may "make you incontinent" (as my surgeon explained--and we both agreed that I'd rather deal with the fissure than the incontinence, thanks). Mine is permanent. Sometimes it doesn't bother me, and other times, when I'm running to the bathroom all day long, it gets irritated and very uncomfortable--and I just have to do what I can to alleviate the pain and the symptoms until things improve.

minou
Regular Member


Date Joined Jan 2005
Total Posts : 140
   Posted 12/27/2009 9:05 PM (GMT -7)   
Thank you for your reply. I'll see if I can get in touch with my GI after the holidays.

For now I've been taking warm sitz baths and generally trying to keep the area clean.

Bane
Veteran Member


Date Joined May 2007
Total Posts : 589
   Posted 12/27/2009 9:59 PM (GMT -7)   
I have permanent fissures left over from my diagnosis. They get sore and irritated when I'm having a flare, but when I'm feeling fine they dont really bother me. There are a few things you can do to make them more comfortable.... the biggest, for me, is Calmoseptine. It's an ointment you put on "the affected areas" and it really really really really helps. You can get it at any pharmacy, but most don't keep it in stock so you'll probably have to ask them to order it. I typically keep a little bit on there 24/7. I put some on after I wipe, after I shower, or if its uncomfortable ill sometimes wipe it off and put fresh ointment on. I carry a tube with me wherever I go, flare or not. I also recommend investing in nice soft toilet paper. It's worth it. Soaking in the tub also helps, but I see you know that already.

Also, stay away from bicycle seats.
21, Male, diagnosed over Christmas Break of my Junior year in High School.


minou
Regular Member


Date Joined Jan 2005
Total Posts : 140
   Posted 12/28/2009 3:34 PM (GMT -7)   
Hahaha! Bicycle seats.

Mine don't bother me that much either. Actually, they don't bother me at all. I only noticed them because I was checking on an abscess that was healing. I take the baths because I'm afraid they'll develop into something worse. They are open wounds, right?

Thanks for the tips and the humour : )

2kidswithcrohns
New Member


Date Joined Dec 2009
Total Posts : 5
   Posted 12/28/2009 7:05 PM (GMT -7)   
Grukar, thanks for the info about calmoseptine. My son will be so happy if this alleviates some of his discomfort... Minou sorry about the anal issues. ugh.

Grandpato2
Veteran Member


Date Joined Dec 2009
Total Posts : 681
   Posted 12/29/2009 12:54 AM (GMT -7)   
Had a bad fissure when I was younger (30 years ago). Steroidal creams were the solution then. Worked for awhile but with many bm's a day it just got worse and worse. Had surgury eventually to get rid of it. It never came back I'm happy to say. Good luck minou
Male with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003.Had a gall bladder resection last month of 2009. Currently on 5-asa Salofalk ,Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. Entecort, Imuran and Prednisone in the past.


mthboards
New Member


Date Joined Dec 2009
Total Posts : 18
   Posted 12/29/2009 1:04 AM (GMT -7)   
Try vitamin D3 10000 iu a day.
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