I had this problem for 7 months! I was so stressed out and scared about it being something serious. I went to so many docs and colonoscopy. Only after that, I stopped stressing about it and it started to heal. The anxiety and stress definitely makes it worse. Now I’m healed with a regimen of magnesium oxide and nifedipine.
@@sagartripti yes I use the nutricost magnesium oxide 750mg from Amazon - I take two before bed every night as recommended by my gi doc- it’s worked so much better for me than colace or miralax to keep stools soft. I use the nefedipine every day for a while but now only as needed.
Magnesium Oxide is not a good source of magnesium. Magnesium citrate is best to make your stools soft, but don’t overdo it as you’ll end up with loose stools. If you don’t need it for that, magnesium maleate, glycinate, chelate forms are better absorbed. Nifedipine is for angina, Raynard’s, and high blood pressure so not for hemorrhoids!
Nothing helps the pain, not Tylenol or ibuprofen.My primary re prescribed Ativan,which is an anxiety med. I have taken it in the past when I am really worried or stressed (a health problem for me or someone close to me or someone dies) I take them for a short while so not to get addicted and only one a day if it REALLY bothers me that day. It's i find.. the ONLY thing that helps. My colorectal doc says it because it relaxes everything,including your tight anus I guess!!
Dr. Chung, your advice changed my life. I'm truly thankful for you!💖 I'm doing so well with my anal fissure that I usually forget I ever had it. And if I do get a flare up, I know just what to do. I still watch your new videos because I can always learn something new, and this one gave me a new perspective on the subject. (I started out thinking I had anal cancer!😱 I was too embarrassed to talk to a doctor, too.) I'm so much more comfortable with my condition thanks to your amazing bedside manner. Keep up the great work!😁👍
I also fixed my anal fissure as well. No more blood for over months now. I realized that I drink not enough water daily contributing to hard feces which leads to anal fissure. Before, I only poop for 2-3 times a week. Now, I am pooping daily with ease! Anyone watching this experiencing this, please consider hydrating your self daily, atleast 2.5- 3L of water. Then acompany it with healthy, fiber rich diet.
@@ManishK-fe6is drink a lots of water. Minimum should be 2.5L of water a day. Eat high fiber diet. If you can avoid eating crappy fast foods. Thats my secret. I have healed this way. I hope you do as well.
I wish my problem was as simple as yours, drinking 4 to 5 litres of water everyday. I go to toilet 2 to 3 times a day as well. Even then suffering from fissures.
I have had 2 surgeries for fissures and getting ready to have botox treatment. You are such a kind and friendly person you have helped me and countless others and we thank you.
I'm going through hell I had botox plus tag removal and I'm so defeated...I found your videos and have a deep dive I'm feeling like you are giving me a bit of hope 🙏
I got Botox last week. I had my fissure for 6 years. Honestly, my pain stopped the moment I woke up from anesthesia. In understand they give you a hefty dose of local anesthetic after the procedure, but even after it waned off (by the end of the day), all I felt was a mild discomfort. I actually stopped taking Ibuprofen the next day because there was absolutely no need. It took me 6 days to get a bowel movement post-op and I was nervous when it happened, but to my amazement, I barely felt anything. I could've cried tears of joy after that first poop. Medicine is amazing.
After 4 months I healed my fissure with combination of : Cold pressed castor oil , manuka honey umf grade 24 or higher , chewing my food a lot more , more water and no water 30 minutes before or after meals to prevent diluting stomach acid , celery juice to increase stomach acid. Increasing stomach acid will help with breaking down food to increase nutrient absorption to assist healing
@@rojaynarahman9522 soak a cotton pad with it and then place it on the anus. If you are constipated you can also massage it into your belly. Works very good
Used the Revivol -XR last night. It was FANTASTIC. My butt is in bad shape.. big external hemorrhoids, multiple episodes of loose stools daily for years, really sore.... after my bath I felt SO much better! This is NOT sponsored. I bought 2 bags (I have a large tub) and I'm off to buy more today. I have had so much experience with a sore butt... this is the best thing I've tried! Thanks, Dr Chung!
Thank you so much for this. I started having fissures and immediately thought cancer which stressed me out and made it a lot worse. It’s been about a week with lower stress and my fissures are starting to heal.
I started suffering from anal fissures about a year ago. Earlier before the onset, I was pooping what I have described as "fireplace logs". I take a generic of Miralax every morning. In recent weeks I have thought I was safe and relaxed my Miralax routine only to have them come right back the next day. I am thinking that it will be Miralax for life. I can probably live with that.
Can’t tell you how much I appreciate your channel! Your videos continue to be very helpful! My problem has been gone for almost a year now, but the feeling does occasionally reappear without warning and I think there’s something wrong and I get very careful. It’s good to know that I should be doing pelvic floor exercises because I haven’t been doing that.
Just wanted to let ya know How Thankful I am I found you. Had two doctors say Colon Cancer even one sending me to Mayo Clinic which I did Not go. Nor will I.. YES I pour blood when I have my Spells. But these doctor don't know half what I have learn from You.. As you say I get extra tight and Pop blood then I am sore and get weak . Finding You had been a God sent to my mental. As you say flare up and couple days goes away till hard bowels and back again.. I am doing somethings for that but not enough I guess.. Any way Thank You Thank You!!!!
Have been dealing with this for over a year. Have tried everything you have advised, keeps coming back. Really difficult along with other medical problems. Also making havic with having to keep buying products. Really stressed. Thank you Dr. For all your help.
I have had Anal Fissures for more than a year, I have been dealing with them just by taking laxatives also using creams. I'm glad I don't suffer from that terrible pain anymore it was like a life-ending, but I still experience similar pain because of the skin tag. I am now waiting to sort it out hopefully they will call me soon about the operation to take off . but thank god at least the pain is not as bad as before. I believe anyone can heal the anal fissures without surgery
I have a anal fissure. It comes with bleeding and itching. So i tried to understand how to poop without bleeding all these years. These are the things that i follow. 1) Make sure to poop everyday. Do not miss a day. So make it a routine 2) if you miss pooping a day, it mostly could lead to hard stool when you poop the next day. Or you might feel the necessity to strain. Never strain while having a poop. That is going to make you bleed. 3) if you miss pooping a day. Have lemon water. Just half a lemon in your water bottle is enough. Keep hydrating yourself. Next day you will poop for sure because lemon water helps with constipation. 4) Do not skip having food. If you have less food a day. You will find it hard to poop. This will definitely lead to constipation and will be rough on your fissure. Have a good quantity of breakfast, lunch and dinner. 5) Make sure to include a lot of fiber in your food that helps in softening your stool. 6) Have plenty of water everyday and keep yourself hydrated.
Your voice has been such a help, But I tried just to lean over weight on my belly and now I'm in pain. That most of my life. It's something that people don't like to talk about I've been over that for years
What’s helping me is juicing every day. I juice a carrot, apple, mango, banana, chia seed drink every morning. Keeps stools soft. Pain is almost completely gone.
Hello, Dr Chung. I have implemented the course you suggested to me. The result is very nice. I no longer have the fight with my going to the toilet. I don't have a fissure, I have horrible spasms.
Buy Collinsonia Root for fissure and rhoids. Game changer for Pain and itch. You still need to do all the other things in regards to diet and excercise to get you to the promise land.
After a back operation, buttocks muscles were all tight. A little too much walking leading to a tight anus. My doctor prescribed a pharmacy black cream preparation containing tar to stop the bleeding and creating a seal of the large fissure. After these difficult weeks, i always add some little cream of Cicalfate Avene directly on the anus after each shower. Life saving since over 10years now.
I started my next round of bladder cancer BCG treatments a couple of weeks ago. I hadn't been bothered by my fissure for a while. But, a couple of hours after my bladder treatment my fissure decided to to split open at the same time I was dealing with the bladder spasms. Since I am used to dealing with these discomforts I try not to overreact. I was concerned, however with having an open wound near to a source of attenuated bovine tuberculosis, which is what BCG is. I keep alcohol prep pads on hand for disinfection, just in case.
I've had the same fissure for 5 years, I havent looked but I suspect my fissure looks a lot like what you described, rubbery skin and a deep cut. What are the next steps you take with a fissure of that magnitude?
I took all the medication suggested, stool softeners, but nothing has worked for over a year. I ensured that u drink 2L of water a day. Several doctors have now told me to get surgery, so I’m getting it Tom. I too didn’t want any surgeries, but as per several doctors I have visited, surgery is the only option for me to cure the fissure (no fistula). There is a chance that it may reoccur, but when several doctors tell you to get a surgery than to suffer for years, selling them sitz bath isn’t going to help.
Bro make sure you’ve done everything under the sun bro I’m tellin u that operation cuts a muscle in ur bottom that never will go back to normal which means if they mess up u will be leaking poop forever and there’s nothing u can do
@@artanimator8158 a lot, even pain killers don’t help. It’s like the fissure never went away and on top of that additional pain got added when I sit, cough or move around.
Hi dr. I am so glad that you always mentioned find u r underlying reason of anal fissure And in my case I found it was hypertonic pelvic floor and now I am healing with physiotherapy to some extent Thank you
Doctor isn’t sphincterotomy (if successful) give a permanent relief from fissures? bcoz even if they then come back, there’s more blood flow to the anus from internal sphincter being relaxed so it heals faster then?
Hello again Dr. I was going to ask a few questions but you answered some in this video already. So I just want to ask a few more. One, how do these soaking baths help since the Fissure is on the inside and our butt holes are shut tight, lol. Secondly what diets are best to use while battling this fissure. Are certain foods better or worse than others? Is it true that fiber can be bad for fissures if taken too much? I was prescribed Benefiber of course and I try to eat oatmeal thinking I can keep my poops soft and finally speaking of that.. is it okay to take stool softeners and or laxatives like Dulcolax or Colace? Just trying ideas to get the poop out as soft and as quickly as possible, please help with these questions if you can. Thank you again for being our favorite Internet Doctor ( wish you really were my Dr).😊
1 year after surgery,. had fissure and paraproctitis. they say all is healed. Feeling constand discomfort, tension! cant walk for long. panic attacs added because of this, Life turned into nightmare. Is it normal thing at all??? it feels like i am only one who got into such..... dropped sport in which i was most life, libdo just got lost, the only wish is to you know what
Same for me. I had to drop my gym, body building goals. Now doing some simple exercises like walking😢. I also used to have tasty chicken everyday. Gave up that too. Yeah it takes away few things, and now Doc. Chung said there is higher chance of recurrence, I am already scared.
Idk if i have one but i know that a few weeks ago id get a burning sensation 24 FREAKING 7. So dang u comfortable and debilitating. Cant even sit comfortably without it feeling like i have to poo all the time.
Diltiazem cream and high fibre diet, as well as staying hydrated are what healed my fissure after 7 months. Diltiazem is a MUST for me at least, i learned about it wayyy too late after seeing a gastroenterologist, shoudve started it way sooner
Hello Dr have you seen chronic fissures with sentinel pile heal with first line treatment or botox and without surgery ? Please please let me know, Thank you very much
Dr Chung, can you discuss how to tell the difference between having a fissure vs a hem. I should know the difference because I’ve had both, as well as surgery for both. :/. Will prep h make fissures worse?
If a chronic fissure has a skin tag and hypertrophied papillae, do you believe it can still be healed with physical therapy and pelvic floor work? Or is surgery the only option at that point?
I recently healed my anal fissure that I suffered with for 3 months. It takes a combination of diet/lifestyle, hygiene, and most importantly getting the muscles to relax
I am tired of its cycle. I am doing everything and maintaining diet and routine but just 10 days before my periods i get weirdly constipated and get bleeding fissures, then it worsens for 10 days . and this cycle continues everytime . I am frustrated and dont know what to do anymore. Do you have any suggestion doc?
What do I do if I’m a gay man with a fissure that opens up constantly and the scar tissue breaks? I’ve practiced abstinence trying to heal it but one bad bowel movement breaks the scar tissue even months later
I had pain since 9 month a go i tried to many creams but it can't used i had checked scanned my doctors told me you don't have any problem no Hemorrhoid i didn't what i can do i have pain still now
I have had an anal fissure(s?) for about six months. My biggest complaint is itching. It is not a "mosquito bite" level of itching. It is like _poison ivy X 5_ . And of course a person can't address the itch in public. What is even a bigger problem is, the itch is worse at night. I have found no ointment that comes close to solving the problem. I'm starting to believe that it might be a reoccurrence of a fungal infection. That would explain the intensity of the itch and the fact that anal creams do not stop it.
Hi doc, may i know if having a fistula does affect in working overseas like SEAMAN, can i pass the medical when having a fistula? Thanks doc. And thanks to those whose willing to answer my question
Doctor mt name is William and i was goinng to ask a question i have bed sours and urine is coming oout of my wounds i was going to ask is that a fistla cause a doctor told me. That he going to send me the ANOTHER doctor for a second opinion
It's not okay to get an anal fissure because IT HURTS SO DAMN BAD!!! That's the problem with it. You can't get it fixed soon enough. ARGH! I'm buying some of those salts to have just in case. Thanks!
Could youuuu pleaseeeee do a video of why a fissure can still hurt? My fissure got open again.... now 5 weeks later.. I went to the doctor and he said.. everything is looking good?! I dont get it.... I said well I still have these rectal pain like the burning spasm feeling.. And he was like '' oh well maybe its still sensitive you can keep on using the cream'' But now I am like... its healed but..... whats going on? I also was like ''do I have hemroids...'' and he said '' well maybe inside but those won't hurt all is looking good'' but it still doest feel good. I dont know what to do... I dont have bleeding anymore but still this burning pain and spasm going on... Months ago with the same pain he also did a rectal exam inside and he said nothing was going on just the fissure. I saw more people on the internet with the same problem.... the doc telling them its healed even tho they still have this pain going on..... where the doc is just like '' oh yeah use the cream and some painkillers..'' but what do you do if the doc says its healed and sees nothing? Could there still be a wound somewhere which you cant see with the eye?
Hello Doctor, can you tell me if a skin tag scar tissue 4-5 CM prolapsing during BM - can be left alone and just let time pass by to accept it or this 5 cm is a big skin scar tissue that was formed during anal fissure and has to be cut off? thanks
I have had persistent anal fissures due to tight anal sphincter. Even after bowel training and physio to relax the pelvic floor, i could feel the anal muscles feeling tight for no apparent reason. Then it would hurt while pooping and/or bleed for a period before stopping after days or weeks. Then, quite by accident, I found that I could relax my anal muscles by putting my legs up on a high stool instead of a low stool. This means that I am almost in a squatting position while sitting on the toilet seat. In this position ,the anus muscles feel more relaxed and the poop doesn't stop suddenly as it did in the past.
I'm going on 20. I've had many gallons of blood come out of my bum. Going gluten free and stopped drinking beer and excessive hard liquor is the first thing I did that actually helped now im on a mission to fix ot all the way, but slipped and learned the hard way recently. Good luck to you, it can definitely be dealt with without surgery, but once you feel like you are back to new don't go hard like you are 25 years younger. Eating healthy is a great habit, love and take care of your body and it will love you back
Damn, it's well with you, I'm from Nigeria too. I had mine for 4 months but I saw an Anorectal surgeon on July 25th. He told me to get Nifedipine 20mg(which I take at night) Nitroglycerin ointment/Rectogesic which I apply inside directly on the nail fissure with a cotton swab, liquid paraffin of which I take 20ml every night to soften my stool the next morning, lidocaine gel 5% which numbs the pain and finally he told me to perform sitz bath with highly concentrated salt Luke warm water solution. Within a week I felt much better. After 2 weeks, I didn't feel the pain anymore. I'm still using these medications though just in case 😅(Godforbid)
I had this problem for 7 months! I was so stressed out and scared about it being something serious. I went to so many docs and colonoscopy. Only after that, I stopped stressing about it and it started to heal. The anxiety and stress definitely makes it worse. Now I’m healed with a regimen of magnesium oxide and nifedipine.
Hi, when you say magnesium oxide, is it a supplement? Can you please share the link and how you take it? Also do you apply nifedipine everyday?
@@sagartripti yes I use the nutricost magnesium oxide 750mg from Amazon - I take two before bed every night as recommended by my gi doc- it’s worked so much better for me than colace or miralax to keep stools soft.
I use the nefedipine every day for a while but now only as needed.
Magnesium Oxide is not a good source of magnesium. Magnesium citrate is best to make your stools soft, but don’t overdo it as you’ll end up with loose stools. If you don’t need it for that, magnesium maleate, glycinate, chelate forms are better absorbed. Nifedipine is for angina, Raynard’s, and high blood pressure so not for hemorrhoids!
Nothing helps the pain, not Tylenol or ibuprofen.My primary re prescribed Ativan,which is an anxiety med. I have taken it in the
past when I am really worried or stressed (a health problem for me or someone close to me or someone dies) I take them for a short while so not to get addicted and only one a day if it REALLY bothers me that day. It's i find.. the ONLY thing that helps. My colorectal doc says it because it relaxes everything,including your tight anus I guess!!
@@mountaingoddess9720 it's used to relax spincter muscles, it's an ointment docs prescribe and also Diltiazem.
Dr. Chung, your advice changed my life. I'm truly thankful for you!💖 I'm doing so well with my anal fissure that I usually forget I ever had it. And if I do get a flare up, I know just what to do. I still watch your new videos because I can always learn something new, and this one gave me a new perspective on the subject. (I started out thinking I had anal cancer!😱 I was too embarrassed to talk to a doctor, too.) I'm so much more comfortable with my condition thanks to your amazing bedside manner. Keep up the great work!😁👍
How's it?
How did you work on it?
I also fixed my anal fissure as well. No more blood for over months now.
I realized that I drink not enough water daily contributing to hard feces which leads to anal fissure. Before, I only poop for 2-3 times a week. Now, I am pooping daily with ease!
Anyone watching this experiencing this, please consider hydrating your self daily, atleast 2.5- 3L of water. Then acompany it with healthy, fiber rich diet.
Your fissure is cured ???? Plz tell me what to do
@@ManishK-fe6is drink a lots of water. Minimum should be 2.5L of water a day. Eat high fiber diet. If you can avoid eating crappy fast foods.
Thats my secret. I have healed this way. I hope you do as well.
I wish my problem was as simple as yours, drinking 4 to 5 litres of water everyday. I go to toilet 2 to 3 times a day as well.
Even then suffering from fissures.
But it's hurting 6 days n still.. I hv hemeriods aswell
Some people have low stomach acid it's not a fiber or a water issue
I have had 2 surgeries for fissures and getting ready to have botox treatment. You are such a kind and friendly person you have helped me and countless others and we thank you.
I'm going through hell I had botox plus tag removal and I'm so defeated...I found your videos and have a deep dive I'm feeling like you are giving me a bit of hope 🙏
@nataliesmith1026
how is the botox experience? When did you get it?
I got Botox last week. I had my fissure for 6 years. Honestly, my pain stopped the moment I woke up from anesthesia. In understand they give you a hefty dose of local anesthetic after the procedure, but even after it waned off (by the end of the day), all I felt was a mild discomfort. I actually stopped taking Ibuprofen the next day because there was absolutely no need. It took me 6 days to get a bowel movement post-op and I was nervous when it happened, but to my amazement, I barely felt anything. I could've cried tears of joy after that first poop. Medicine is amazing.
After 4 months I healed my fissure with combination of :
Cold pressed castor oil , manuka honey umf grade 24 or higher , chewing my food a lot more , more water and no water 30 minutes before or after meals to prevent diluting stomach acid , celery juice to increase stomach acid. Increasing stomach acid will help with breaking down food to increase nutrient absorption to assist healing
How to use cold pressed castor oil?
@@rojaynarahman9522 soak a cotton pad with it and then place it on the anus. If you are constipated you can also massage it into your belly. Works very good
Can I eat celery instead of juicing it?
@@rojaynarahman9522 apply to affected area in a cotton pad.
You can massage it on your belly if you are feeling constipated.
@@SuzanMiller-ou5kq I have found that this doesn’t work as well.
Used the Revivol -XR last night. It was FANTASTIC. My butt is in bad shape.. big external hemorrhoids, multiple episodes of loose stools daily for years, really sore.... after my bath I felt SO much better! This is NOT sponsored. I bought 2 bags (I have a large tub) and I'm off to buy more today. I have had so much experience with a sore butt... this is the best thing I've tried! Thanks, Dr Chung!
Thank you so much for this. I started having fissures and immediately thought cancer which stressed me out and made it a lot worse. It’s been about a week with lower stress and my fissures are starting to heal.
I’m facing the same issue .do u saw the doctor ?
This is the best doctor I have ever seen, his knowledge is very great, and he is also a good person, very understanding.
I wish all Drs were like you.
I started suffering from anal fissures about a year ago. Earlier before the onset, I was pooping what I have described as "fireplace logs". I take a generic of Miralax every morning. In recent weeks I have thought I was safe and relaxed my Miralax routine only to have them come right back the next day. I am thinking that it will be Miralax for life. I can probably live with that.
Anal fissures can be insanely painful.
I'm still in pain , because I didn't know what was going on
Tell me about it. Bloody hell.
Can’t tell you how much I appreciate your channel! Your videos continue to be very helpful! My problem has been gone for almost a year now, but the feeling does occasionally reappear without warning and I think there’s something wrong and I get very careful. It’s good to know that I should be doing pelvic floor exercises because I haven’t been doing that.
You are a great doctor. For not doing extra surgery on people who dont need surgery. You help people with health and money this way
Just wanted to let ya know How Thankful I am I found you. Had two doctors say Colon Cancer even one sending me to Mayo Clinic which I did Not go. Nor will I.. YES I pour blood when I have my Spells. But these doctor don't know half what I have learn from You.. As you say I get extra tight and Pop blood then I am sore and get weak . Finding You had been a God sent to my mental. As you say flare up and couple days goes away till hard bowels and back again.. I am doing somethings for that but not enough I guess.. Any way Thank You Thank You!!!!
Did you ever get diagnosed with a fissure by a Colorectal doctor
This really helped me get some relief and improved my quality of life. I’ve tried others but this was the one that helped the most.
God bless you Sir you are the best
I stop fiber and now no more bleeding
Pranicura helped me so much with my roids . Thank you Doctor.
Have been dealing with this for over a year. Have tried everything you have advised, keeps coming back. Really difficult along with other medical problems. Also making havic with having to keep buying products. Really stressed. Thank you Dr. For all your help.
I have had Anal Fissures for more than a year, I have been dealing with them just by taking laxatives also using creams.
I'm glad I don't suffer from that terrible pain anymore it was like a life-ending, but I still experience similar pain because of the skin tag. I am now waiting to sort it out hopefully they will call me soon about the operation to take off . but thank god at least the pain is not as bad as before. I believe anyone can heal the anal fissures without surgery
Bro can I heal chronic fissure without surgery pleas tell me
What exactly helped u??please tell
@@Shikha--deep are you suffering with fissure
@@Shikha--deephow r u now
I have a anal fissure. It comes with bleeding and itching. So i tried to understand how to poop without bleeding all these years. These are the things that i follow.
1) Make sure to poop everyday. Do not miss a day. So make it a routine
2) if you miss pooping a day, it mostly could lead to hard stool when you poop the next day. Or you might feel the necessity to strain. Never strain while having a poop. That is going to make you bleed.
3) if you miss pooping a day. Have lemon water. Just half a lemon in your water bottle is enough. Keep hydrating yourself. Next day you will poop for sure because lemon water helps with constipation.
4) Do not skip having food. If you have less food a day. You will find it hard to poop. This will definitely lead to constipation and will be rough on your fissure. Have a good quantity of breakfast, lunch and dinner.
5) Make sure to include a lot of fiber in your food that helps in softening your stool.
6) Have plenty of water everyday and keep yourself hydrated.
thanks for the tip
Your voice has been such a help, But I tried just to lean over weight on my belly and now I'm in pain.
That most of my life. It's something that people don't like to talk about I've been over that for years
This doctor is wonderful, he has a lot of knowledge, I love his videos
What’s helping me is juicing every day. I juice a carrot, apple, mango, banana, chia seed drink every morning. Keeps stools soft. Pain is almost completely gone.
thank you doctor for gaining new knowledge
Thanks for this great work doctor.
You a worth more to me
I love this video so much ❤ best Informations regarding this topic I found on the internet, and it’s so funny too 😂
doc your content are always informative!
This is something new information for me i learned a lot from it
You are awesome! Thank you so much!
Thank you doc. You’ve saved me so much worry.
Hello, Dr Chung. I have implemented the course you suggested to me.
The result is very nice.
I no longer have the fight with my going to the toilet.
I don't have a fissure, I have horrible spasms.
What cource? Link please
This is a good lecture. Thanks.
Thank you so much for the coupon. Just ordered another bag.
Impressive work, I like this video , very helpful and educative
Buy Collinsonia Root for fissure and rhoids. Game changer for Pain and itch. You still need to do all the other things in regards to diet and excercise to get you to the promise land.
Hi, Dr. Chung-what are you’re thought about eating carnivore for poop issues?
After a back operation, buttocks muscles were all tight. A little too much walking leading to a tight anus. My doctor prescribed a pharmacy black cream preparation containing tar to stop the bleeding and creating a seal of the large fissure. After these difficult weeks, i always add some little cream of Cicalfate Avene directly on the anus after each shower. Life saving since over 10years now.
estos productos me parecen excelentes funcionan muy buen los recomiendo
THANK YOU DRRRR
I started my next round of bladder cancer BCG treatments a couple of weeks ago. I hadn't been bothered by my fissure for a while. But, a couple of hours after my bladder treatment my fissure decided to to split open at the same time I was dealing with the bladder spasms. Since I am used to dealing with these discomforts I try not to overreact. I was concerned, however with having an open wound near to a source of attenuated bovine tuberculosis, which is what BCG is. I keep alcohol prep pads on hand for disinfection, just in case.
Is it a symptom of Bladder cancer ? I mean the fissure ? How are you doing ?
I think confidence in your lifestyle is so important……#1
Your amazing doc. Ty
I've had the same fissure for 5 years, I havent looked but I suspect my fissure looks a lot like what you described, rubbery skin and a deep cut. What are the next steps you take with a fissure of that magnitude?
How are you now , are your healed completely
I took all the medication suggested, stool softeners, but nothing has worked for over a year. I ensured that u drink 2L of water a day. Several doctors have now told me to get surgery, so I’m getting it Tom. I too didn’t want any surgeries, but as per several doctors I have visited, surgery is the only option for me to cure the fissure (no fistula). There is a chance that it may reoccur, but when several doctors tell you to get a surgery than to suffer for years, selling them sitz bath isn’t going to help.
Bro make sure you’ve done everything under the sun bro I’m tellin u that operation cuts a muscle in ur bottom that never will go back to normal which means if they mess up u will be leaking poop forever and there’s nothing u can do
@@StaydwnnM too late now, already got it done
@@Conk-bepisany pain?
@@artanimator8158 a lot, even pain killers don’t help. It’s like the fissure never went away and on top of that additional pain got added when I sit, cough or move around.
@@Conk-bepishow is it?
I have that bath salt and it works
thanks doc. your research is fascinating. I am interested in your channel
Hi dr. I am so glad that you always mentioned find u r underlying reason of anal fissure
And in my case I found it was hypertonic pelvic floor and now I am healing with physiotherapy to some extent
Thank you
How are you now ? I’m going through it 😢
@@BenNeal-f4p same or worse
Hi dr,do videos on colostomy for fissure
Thanks a lot!!
Due to high fiber diet for heaiing anal fissure, i have lost my weight a lot. If anyone has experienced the same please reply
Can I ask what high fiber foods do you eat?
I also felt that.. Though I m very over weight
How are you now? I also lost some weight for experiencing for 2 months now. It's extremely painful. Been to 2 doctors but non of em work
Doctor isn’t sphincterotomy (if successful) give a permanent relief from fissures? bcoz even if they then come back, there’s more blood flow to the anus from internal sphincter being relaxed so it heals faster then?
nope. unfortunately not permanent. Recurrences can happen, but they can actually heal faster.
Hello again Dr. I was going to ask a few questions but you answered some in this video already. So I just want to ask a few more. One, how do these soaking baths help since the Fissure is on the inside and our butt holes are shut tight, lol. Secondly what diets are best to use while battling this fissure. Are certain foods better or worse than others? Is it true that fiber can be bad for fissures if taken too much? I was prescribed Benefiber of course and I try to eat oatmeal thinking I can keep my poops soft and finally speaking of that.. is it okay to take stool softeners and or laxatives like Dulcolax or Colace? Just trying ideas to get the poop out as soft and as quickly as possible, please help with these questions if you can.
Thank you again for being our favorite Internet Doctor ( wish you really were my Dr).😊
Weirdly enough my fissure disappeared when I was undergoing sibo treatment.. hmmmmmmm... and nope I was not constipated..
I wish you were in Iowa❣️
1 year after surgery,. had fissure and paraproctitis. they say all is healed. Feeling constand discomfort, tension! cant walk for long. panic attacs added because of this, Life turned into nightmare. Is it normal thing at all??? it feels like i am only one who got into such.....
dropped sport in which i was most life, libdo just got lost, the only wish is to you know what
sorry to hear what surgery you went through if i may ask?
@@peterobrien2537 surgery on fissire and cut in muscles to delete paraproctitis
Same for me.
I had to drop my gym, body building goals. Now doing some simple exercises like walking😢. I also used to have tasty chicken everyday. Gave up that too.
Yeah it takes away few things, and now Doc. Chung said there is higher chance of recurrence, I am already scared.
im here feeling the same way 😭😭
How come after surgery it has occurred?
love you :D
❤❤❤
Idk if i have one but i know that a few weeks ago id get a burning sensation 24 FREAKING 7. So dang u comfortable and debilitating. Cant even sit comfortably without it feeling like i have to poo all the time.
Diltiazem cream and high fibre diet, as well as staying hydrated are what healed my fissure after 7 months. Diltiazem is a MUST for me at least, i learned about it wayyy too late after seeing a gastroenterologist, shoudve started it way sooner
Really...I am also doing the same but it isn't helping me that much...what to do?🥹
@@Shikha--deep docter ke pass jao didi agar abhi hua h 6 mahine se pahle ka h to thik ho jayega
Hello Dr have you seen chronic fissures with sentinel pile heal with first line treatment or botox and without surgery ? Please please let me know, Thank you very much
How long does it take? What about fissure what been around 3 years???
Thank you
Dr Chung, can you discuss how to tell the difference between having a fissure vs a hem. I should know the difference because I’ve had both, as well as surgery for both. :/. Will prep h make fissures worse?
Whats your opinion on botox injection in spinchter muscle. They say thats why it wont heal.
Been dealing with this on and off since I was 24, I’m 41 now. Sucks big time
If a chronic fissure has a skin tag and hypertrophied papillae, do you believe it can still be healed with physical therapy and pelvic floor work? Or is surgery the only option at that point?
Dr Chung, I am having a sphincterectomy and hemorrhoidectomy. My surgeon does it with a perineal block and sedation is this normal?
Hi, I had both those procedures together as well. You get to choose the anesthesia process here. I was sedated.
I recently healed my anal fissure that I suffered with for 3 months. It takes a combination of diet/lifestyle, hygiene, and most importantly getting the muscles to relax
What you did please tell me?
Bro please tell me what you did
Muscle relaxation techniques?
Please tell how you healed
@@gyanaranjan3268 how bad is your skin tag?
what do you think of doing botulinum toxin injections?
I am tired of its cycle. I am doing everything and maintaining diet and routine but just 10 days before my periods i get weirdly constipated and get bleeding fissures, then it worsens for 10 days . and this cycle continues everytime . I am frustrated and dont know what to do anymore.
Do you have any suggestion doc?
That is happening to me, every period seems to bring some blood in my poop but not alot.
omg same...
Guys how are you tackling it up and since how long have you've suffering
@@ps2062 I am taking laxatives/stool softeners. It really helps. I had a sphincterotomy around 7 months ago.
@@ps2062 I am managing with stool softeners and laxatives... I had a sphincterotomy last october
nice and very informative
What do I do if I’m a gay man with a fissure that opens up constantly and the scar tissue breaks? I’ve practiced abstinence trying to heal it but one bad bowel movement breaks the scar tissue even months later
I had pain since 9 month a go i tried to many creams but it can't used i had checked scanned my doctors told me you don't have any problem no Hemorrhoid i didn't what i can do i have pain still now
I have had an anal fissure(s?) for about six months. My biggest complaint is itching. It is not a "mosquito bite" level of itching. It is like _poison ivy X 5_ . And of course a person can't address the itch in public. What is even a bigger problem is, the itch is worse at night. I have found no ointment that comes close to solving the problem. I'm starting to believe that it might be a reoccurrence of a fungal infection. That would explain the intensity of the itch and the fact that anal creams do not stop it.
Yeah bro.... Itching is more bad than pain and blood stuff.
Hi doc, may i know if having a fistula does affect in working overseas like SEAMAN, can i pass the medical when having a fistula? Thanks doc. And thanks to those whose willing to answer my question
Doctor mt name is William and i was goinng to ask a question i have bed sours and urine is coming oout of my wounds i was going to ask is that a fistla cause a doctor told me. That he going to send me the ANOTHER doctor for a second opinion
It's not okay to get an anal fissure because IT HURTS SO DAMN BAD!!! That's the problem with it. You can't get it fixed soon enough. ARGH! I'm buying some of those salts to have just in case. Thanks!
Doc, how about ano-scrotal fistula?
How long can a person have a fissure, and is it dangerous to have it for a very very long time, or just uncomfortable.
One consult with you and I have a management plan for my fissure … yes it recurs but I have system to calm it down and heal it… no surgery🙏🏼 Dr Chung
Can you share your plan? :)
Doc do this effect your blood flow because I feel it affecting my blood flow
How does the itching go away , Dr chung?
Watch all of his vids he recommends creams and other solutions
How are you now ?
can I do kegel exercises when I have an open fissure?
Once in a while, yea, I've had mine about 10 years. They aren't going to heal, I've accepted it.
how bad is your skin tag from fissure? is it bothering you?
Now I m officially a member of anorectal community 😂
Could youuuu pleaseeeee do a video of why a fissure can still hurt? My fissure got open again.... now 5 weeks later.. I went to the doctor and he said.. everything is looking good?! I dont get it.... I said well I still have these rectal pain like the burning spasm feeling.. And he was like '' oh well maybe its still sensitive you can keep on using the cream'' But now I am like... its healed but..... whats going on? I also was like ''do I have hemroids...'' and he said '' well maybe inside but those won't hurt all is looking good'' but it still doest feel good. I dont know what to do... I dont have bleeding anymore but still this burning pain and spasm going on...
Months ago with the same pain he also did a rectal exam inside and he said nothing was going on just the fissure.
I saw more people on the internet with the same problem.... the doc telling them its healed even tho they still have this pain going on..... where the doc is just like '' oh yeah use the cream and some painkillers..'' but what do you do if the doc says its healed and sees nothing? Could there still be a wound somewhere which you cant see with the eye?
Hello Doctor, can you tell me if a skin tag scar tissue 4-5 CM prolapsing during BM - can be left alone and just let time pass by to accept it or this 5 cm is a big skin scar tissue that was formed during anal fissure and has to be cut off? thanks
Mannn this stuff is super painful 😂😂😂😂😂already healed from it once and now I'm trying this comment on it it is a curse.
How can he say everybody gets them. I know I never have.
My ibs has caused my fissure 😭😭
I have had persistent anal fissures due to tight anal sphincter. Even after bowel training and physio to relax the pelvic floor, i could feel the anal muscles feeling tight for no apparent reason. Then it would hurt while pooping and/or bleed for a period before stopping after days or weeks.
Then, quite by accident, I found that I could relax my anal muscles by putting my legs up on a high stool instead of a low stool. This means that I am almost in a squatting position while sitting on the toilet seat. In this position ,the anus muscles feel more relaxed and the poop doesn't stop suddenly as it did in the past.
I have a "Squatty Potty"
How you feeling now ??? Are you passing still normally? Is ur anus still tight ? Plz help I’m going through the same
I used vaseline I lubercate morning and night
Me too
You push you'll feel it the next time
Doctor, how can I avail your product?
Mine keeps getting inflamed every 2 weeks. I cant break the cycle.... yet!
going on three years with this problem, please tell me i’m not too far gone, really don’t want surgery. :/
I'm going on 20. I've had many gallons of blood come out of my bum. Going gluten free and stopped drinking beer and excessive hard liquor is the first thing I did that actually helped now im on a mission to fix ot all the way, but slipped and learned the hard way recently. Good luck to you, it can definitely be dealt with without surgery, but once you feel like you are back to new don't go hard like you are 25 years younger. Eating healthy is a great habit, love and take care of your body and it will love you back
3 years I’ve had my fissures and hemorrhoids
Completely healed?
@@pradeepkunjoor8655 no I still have them
How can I take care of my inner feature I’m from Nigeria I’ve been battling with more than 2 years now
Damn, it's well with you, I'm from Nigeria too.
I had mine for 4 months but I saw an Anorectal surgeon on July 25th.
He told me to get Nifedipine 20mg(which I take at night)
Nitroglycerin ointment/Rectogesic which I apply inside directly on the nail fissure with a cotton swab, liquid paraffin of which I take 20ml every night to soften my stool the next morning, lidocaine gel 5% which numbs the pain and finally he told me to perform sitz bath with highly concentrated salt Luke warm water solution. Within a week I felt much better. After 2 weeks, I didn't feel the pain anymore. I'm still using these medications though just in case 😅(Godforbid)