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Regular Member

Date Joined Dec 2017
Total Posts : 43
   Posted 7/12/2018 3:34 PM (GMT -6)   
Just wondering if anyone else on the UC forum has ever been the lucky recipient of an anal fissure? If so what were your symptoms and how was it treated? Thanks for your input!

Forum Moderator

Date Joined Aug 2012
Total Posts : 13214
   Posted 7/12/2018 3:47 PM (GMT -6)   
Do you suspect you have one? Certainly we can have pain passing stool as the result of rectal-inflammation during a flare. The biggest difference between UC inflammation and a fissure is this:
1.) UC pain is only while passing stool, not after bms, and does not hurt to sit on your bottom.
2.) Fissures are pains during BMs that persists after completing it. You essentially have muscles spasming as a result of the anal muscle tear, spasms are painful, and that spasming continues after we are done pooping lasting a while after we are done. Fissures can also be painful to sit down on.

If it only hurts while you're pooping then it's just your garden variety of UC rectal inflammation.
Moderator Ulcerative Colitis
, 40, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasa

With UC, we're much like a footballer on our way to the bathroom: running, jumping over and agilely dodging around obstacles, and knocking out-of-the-way all that are in our path to the end-zone.

Veteran Member

Date Joined Aug 2011
Total Posts : 3152
   Posted 7/14/2018 8:42 AM (GMT -6)   
Hi there I currently have a fissure. I treat it with cortisone suppositories and a nitroglycerin and lidocaine oinment.
UC since 2002
Flaring since March 2018
Currently on Simponi, Wellbutrin 150 mg, Zoloft 50 mg, plant based calcium
CT scan on 4/18 showed pancolitis
Dexa scan on 10/09/2017 showed decreased bone density but some improvement in the spine

Regular Member

Date Joined May 2016
Total Posts : 276
   Posted 7/14/2018 10:22 AM (GMT -6)   
ask for nifedipine ointment - has to be made in a compounding pharmacy but it does not give the headache that the nitroglycerine ointment does.

diagnosed proctitis April 2016 s/p a c diff infection age 53
Nov 2017- ?Crohns colitis to mid transverse - mild/moderate
started Humira 11/17/17, -5/17- failed Humira
started Remicade 6/8/17 -on pred wean again
past meds- cortifoam, canasa, rowasa,balsalazide, prednisone
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