What is the treatment for external fissures?

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princesscolon
Veteran Member


Date Joined Apr 2006
Total Posts : 733
   Posted 5/20/2009 9:21 PM (GMT -6)   
I am pretty sure I have one even though I have been feeling great lately.  What can I do at home for it until my next doctor's appointment?
Diagnosed w/ Left-sided UC in 1995 at age 15, Prednisone, Rowasa & Hydrocort. Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Aloe Juice, Canasa, Entocort, Colazol, Anamantle, Remicade, had 1 inch deep rectal ulcer 2004, Remicade was working till Aug'07:Increased Remicade dosage-700mg every 6 weeks, had reaction, Current meds: Humira 4/4/08 to2/09, didnt work, 6MP start 6/24/08 100mgs, Lialda started 2/09 2.4 mgs daily, had rectal resection 4/27/09. Surgeon thinks ulcer is caused by pelvic floor disfunction. Currently I have no other ulcerations, biopsies and blood tests come back negative for Crohn's and UC. Don't know what or who to believe any more.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/20/2009 11:14 PM (GMT -6)   
My experiance from the beginning when I first got sick I was instructed to do plenty of sitz baths and Lidocane medicated numbing gel...I found over time adding epsom salts to the sitz baths much better and using extra virgine olive oil gently rubbed on after each sitz bath very healing, not as numbing but heals very fast, so in a pinch (if you don't want to go see your doc to get an RX for Lidocane) it's a good option.

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5181
   Posted 5/21/2009 8:22 AM (GMT -6)   
Paul L posted several times about his fissure & treatment in his April thread "Finally back to work". Quincy analized the Rx ointment he was given & wrote that it's a vasodilator-- intended to reduce pressure on the anus. (In case you want to look up his thread.) Hope you get relief from yours soon; keep us posted as time permits. / Old Hat (30 yrs with left-sided UC ... [etc.])

Paul L
Veteran Member


Date Joined Dec 2005
Total Posts : 647
   Posted 5/21/2009 8:57 AM (GMT -6)   
Are you sure it is a fissure? I have had an anal fissure for the last month and have been unable to work in that time. It produced the worst pain I have ever experienced, even worse than having my colon taken out. I was prescribed 2% Diltiazem powder mixed with Vaseline to be applied 3 times per day. The pharmacy had to mix it. It actually made things worse so the doctor told me to stop using it after a week. KSU on this forum told me of a pre mixed version with no Vaseline that she used in the UK. I asked my doctor about it and she said it is not available in Canada. My fissure is just now improving and I expect to go back to work on Monday.
Paul
Diagnosed in 2000 at age 43 with UC. Colon removed October 20/08.
Bad reaction to Asacol, Pentasa and Dipentum - can’t take any more 5ASAs.
Prednisone - worked well for 1 month, then side effects became unbearable.
6-MP - blood tests showed not metabolizing properly.
Corticosteroid enema, Flagyl, Ciprofloxin, VSL#3, Adacolumn Apheresis – no effect
Methotrexate with Remicade - 7 infusions with no improvement
Folic Acid and B12 injections.
Abatacept trial - no effect
Visit our photo albums at: http://www.laflammefamily.ca 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/21/2009 11:49 AM (GMT -6)   
Fissures can vary in severity, some are almost superficial and others can be soooo deep, when it feels like pooping razor blades it's a fissure.

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


princesscolon
Veteran Member


Date Joined Apr 2006
Total Posts : 733
   Posted 5/21/2009 7:36 PM (GMT -6)   
Thanks! I am pretty sure I have one, there is split skin right on my anus. I already do the sitz baths and have been putting some neosporin on it because I wasn't sure what to do for it, I guess I'll get some EVOO. Another weird thing for my butt to put in my medicine cabinet! :P
Diagnosed w/ Left-sided UC in 1995 at age 15, Prednisone, Rowasa & Hydrocort. Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Aloe Juice, Canasa, Entocort, Colazol, Anamantle, Remicade, had 1 inch deep rectal ulcer 2004, Remicade was working till Aug'07:Increased Remicade dosage-700mg every 6 weeks, had reaction, Current meds: Humira 4/4/08 to2/09, didnt work, 6MP start 6/24/08 100mgs, Lialda started 2/09 2.4 mgs daily, had rectal resection 4/27/09. Surgeon thinks ulcer is caused by pelvic floor disfunction. Currently I have no other ulcerations, biopsies and blood tests come back negative for Crohn's and UC. Don't know what or who to believe any more.


bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 5/21/2009 9:31 PM (GMT -6)   
Cortisone based suppositories, sitz baths, stool softners, more soluable fiber and stop pushing (and when you have to push exhale when doing so)
Hope this helps.
Moderate Pancolitis
Dx'd 05/2007
8 Pentasa per day (4/2)
Corti Foam p.m. 3-4X per week
Curcummin and Probiotics/Rueteri.
Bowel Soother and IntestiNew, Fish Oil, Calcium/Mag/Zinc, Multi Vitamin and Melatonin
Eliminated Fructose and Corn Syrup
Could never tolerate artificial sweetners
I try to excersice/swim daily
Did I happen to mention I HATE this disease!!!
 
*Recent Changes In Blue*


quincy
Elite Member


Date Joined May 2003
Total Posts : 30585
   Posted 5/21/2009 11:41 PM (GMT -6)   
Hi....hydrocortisone ointment over the counter from the pharmacy is good as well as zinc oxide.

Using a fibre supplement will help A LOT....keeping the stool softer/fluffier, easier to expel and not tend to open the fissure as readily during a bm.

Mind you, for me, it's the wiping most times that opens mine....and once the external hemmie "rears"...then the discomfort is tenfold.

My fissure is small, but bleeds a lot if ripped open. It doesn't normally hurt.

They definitely are in degrees of severity, and the goal would be to treat asap with anything that will help the inflammation and promote healing. Keeping them clean is key, any miniscule amount of stool left in them can promote more inflammation/discomfort or infection.
q
*Heather* Status: mild flare enemas tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 

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