bleeding fissure - stains

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New Member

Date Joined Jul 2009
Total Posts : 8
   Posted 7/7/2009 10:19 PM (GMT -7)   
I have a constantly bleeding fissure and some anal incontinence (small amount). The result is a lot of stained clothing.

What are the different options to stop the staining?

A pad is the first thought, but are there any brands/types that work well for the rear area? Are there other options?

Thanks in advance!

Elite Member

Date Joined Sep 2005
Total Posts : 10404
   Posted 7/8/2009 1:24 AM (GMT -7)   
Patientspiders is our absolute guru here, but seeing as she's not here, I'll offer a few ideas to get you started:

* yes, a menstrual pad can work very well. You'll have to experiment to find which one best suits your body shape & leakage. I find that it's better to have one without wings, but you may find the opposite. Perhaps it would be best to get a few smaller sample packs before you commit to spending lots of money on a larger package.
* you may find it also helps to put a little bit of gauze (or toilet paper) on the point of leakage, just to catch the ooze before it gets on your skin and irritates you.
* a little bit of zinc cream or similar can also help with the irritation.

I hope this helps. As I said, Patientspiders is our guru, so I'm sure she'll be along with her constantly wise recommendations.

Sorry you're having these difficulties.

Co-Moderator Crohn's Forum.

New meds thread

New Member

Date Joined Jul 2009
Total Posts : 8
   Posted 7/8/2009 7:53 AM (GMT -7)   
Thanks so much! I've tried the gauze/toilet paper thing, and it works well. I just thought there might be a more "formal" solution. Glad to hear my improvisation wasn't too far off the mark. Thank you, again.

Regular Member

Date Joined Jan 2006
Total Posts : 355
   Posted 7/8/2009 8:03 AM (GMT -7)   
I suffered with a large bleeding fissure for years. Ouch does not even come close to describing the pain. So sorry you are going through this. Are you on any specific rectal meds such as Rowasa enema, Cortenema or Cortifoam to try and help heal that sucker? In the mean time, I recommend those long mini pads and dark underwear......

Veteran Member

Date Joined Jul 2005
Total Posts : 733
   Posted 7/8/2009 8:44 AM (GMT -7)   
Thanks, Ivy. tongue I spent many moons stuck with these troubles...

The hands-down best and most easily refillable solution I found was at Walgreen's/Walmart. They should have, in their make-up section, little round facial cleansing pads that fold perfectly in half without being obtrusive in your crack. cool They are cheap, come with many pads, and are available 24/7 whenever and wherever you need them. I always kept handy-wipes around for "pilling" and an extra freshening whenever I used the lou and changed my pad.

I found that menstrual pads can work well, but some brands will start to disintegrate on your booty and create a big fuzzy mess if the pad is cut or altered, so watch out for that. Otherwise, that's an option too.

The last suggestion I have are by far the most hygenic pads, but they are from a medical supply store, and I don't know about your neck of the woods, but those are few and far between around here. If, by chance, you have access to one, check their first-aid section as well. There is a type of bandage covering, sometimes referred to as a type of gauze, that comes in 4x4 squares. It is more of a high-pile TP in softness, with the durability of gauze. The TP factor makes it super absorbent, so I would sometimes save this for long car rides or "bad" days. They sell a similar product at Wally worlds by the First Aid/Johnson and Johnson line. They're usually larger boxes on the bottom row, maybe 10 individually wrapped packages of 2 pads... These are nice, but are wayyyyy more expensive... too expensive in my humble opinion.

Hope that helps, but hope even more that your troubles go away soon.
27f, dx'd CD July '05 after 6 fistula/abscess surgeries
Remicade '05 through '08, with no other maintenance meds (ah, those were the days, eh?)
Tried Humira. Failed. Tried Gluten Free. Leaning towards Failure there too.
Currently on:
Cimzia (started 2-12-09) Again, not helping much, if at all.
Probiotics, Digestive Enzymes, Forvia vitamins, and calcium chewies
Feeling a bit jaded lately, but trying to keep my chin up.

Regular Member

Date Joined Feb 2009
Total Posts : 82
   Posted 7/8/2009 8:50 AM (GMT -7)   
Quick question:  Ivy, you mentioned zinc cream to help with irritation.  Do you mean external irritation?  Because I have had off-and-on leakage problems and occasionally, when it gets bad enough, I get some major chafing and some fairly severe pain.  It is usually somewhat preventable/treatable with a+d ointment and analgesic creams, but it I don't get to it in time, I can barely walk!  Anyway, I just wanted to confirm that the two are related and that it isn't unusual.  Sometimes my GI brushes over things and this was one of the subjects I've always been a bit confused about.
22 years old, Female.
Diagnosed with Crohn's Ileocolitis November 2008.
Currently taking Humira.

not creative
Regular Member

Date Joined Mar 2007
Total Posts : 469
   Posted 7/8/2009 10:40 AM (GMT -7)   
I have had some leakage from fistulas for a while now- it seems to be getting better with the cimzia but for a while I was looking at 3-5 pads a day!
I use Always brand ultra thin, long, without wings. They work well for me and because they are longer tend to hit the backside pretty well. When I was really bad, I would use the overnight ones but luckily Im past that now!
Laurenne, 24 Graduate from University of California, Davis. BA-Anthropology
Dx'd w/ IBS and CD in 2002
On: 6MP, 20mg Prednisone, Zoloft, Lialda and Imodium
Tried: LDN- Did nothing good, Remicade- allergic, Humira- no reaction

Elite Member

Date Joined Sep 2005
Total Posts : 10404
   Posted 7/8/2009 4:23 PM (GMT -7)   
Yes, I meant external irritation. Even though it mightn't seem a lot from one second to the next, the constant flow blood and pus and pooey stuff can end up causing very nasty irritation. I sometimes use nappy rash cream, too, but have worked out that it sometimes worsens the irritation (I don't know why?) so am very careful about using it.

Oh yes, and when it's bad I carry an old medicine bottle filled with water (or sometimes soapy water). Moisten the toilet paper with water, and you can clean yourself if you're out and about and start to feel itchy or sore. I remember patientspiders has a small squirty bottle that she uses for the same purpose.

All the best,

Co-Moderator Crohn's Forum.

New meds thread

Regular Member

Date Joined Apr 2008
Total Posts : 289
   Posted 7/8/2009 9:30 PM (GMT -7)   
I think most irritation after applying a protective cream could be caused by not having the area fully cleaned/dried...and you've just smeared goop on that now holds the 'nasty-fluid' residue against your skin. 0_o

To help remove stains from clothing? Wash right away, if you can. Also, buy an enzymatic cleaner, of the type sold to clean up pet accidents and stains. Soak thoroughly and allow to air dry. This allows the enzymes time to break down the odor and stain causing bacteria. You may need to soak/dry a few times, depending on the severity of the stain.
I usually do an aggressive hand scrub/wash asap. Then I rinse and SOAK the stained area with the pet enzymatic cleaner solution and let sit for at least an hour before I toss it in the wash with other laundry. I inspect the garment before putting it in the dryer. If it needs another round of enzymatic solution, I do it again.
I also keep "garbage" underwear. Underwear that is stained, so I do not wear my good/new panties and will wear the 'garbage' underwear on my bad days...and if that day's accident is too large...I don't cry when I toss them into the garbage.

Enzymatic pet-stain cleaners I like:
Simple Solution
Nature's Miracle
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  (asacol, hi-doses pred, colazol, 6MP=jaundice, remicade)  No remission. 
5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's. 
Changed maintenance med to Methotrexate (MTX) and am remaining manageable with 2tabs Immodium and a probiotic capsule every 12hrs.

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