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.
*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/supplements; Probiotics....(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 !!!