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What is the treatment for external fissures?

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Ulcerative Colitis
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Posted 5/21/2009 3:21 AM (GMT 0)
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?
Posted 5/21/2009 5:14 AM (GMT 0)
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.

:)
Posted 5/21/2009 2:22 PM (GMT 0)
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.])
Posted 5/21/2009 2:57 PM (GMT 0)
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.
Posted 5/21/2009 5:49 PM (GMT 0)
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.

:)
Posted 5/22/2009 1:36 AM (GMT 0)
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
Posted 5/22/2009 3:31 AM (GMT 0)
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.
Posted 5/22/2009 5:41 AM (GMT 0)
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
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