These issues all ultimately lead to so much discomfort and anxiety. I am watching, learning, and hopefully soon will be able to get some relief using all of the info. WAY more than my gastro doc ever told me. Thank you so much for what you do!!!
I just had to come on here and let you know that you saved me big time. Tried everything and even medications from local docs and they didn’t help. Was dealing with a fissure for a year. Came across your videos and listened to everything. Tried the panicura 5 and it worked. You have no idea how much that means to me. So thank you for everything and continue to be a great help to many others in need. This doc is the best people.
It Is a anal cream that he talked about once. It cost about $45. There may be a link in the description of his.TH-cam videos. Otherwise search on line for the name. May you feel better.
Thank you (again) Dr Chung for such a comprehensive and understandable discussion! I identify with 5 out of 10 of these reasons, and before meeting with you, I automatically expected….the worst. Once I understood this, I started to relax and not be overly worried, so therefore the spasms started to relent. I can still experience them, but not to the degree I once did and when they do happen, I know what to do. 🎉 If more and more medical personnel would actually truly do education and prevention, we would all be so much healthier!! You really are doing quite a wonderful service educating us all. 🥳🤗🥳 please, don’t stop!! If anyone else who reads this is wondering if they should invest in a consultation with you, schedule it, don’t hesitate, you wont regret!
Yes! I dealt with generalized anxiety for over a year then I started having these issues with my anus. Thank you for explaining Dr Chung. I am interested in you talking about how to fix it!.
Belly breathing or diaphragmatic breathing is most effective to relax the muscles from spasm. Doing pranayam correctly can relieve all these symptoms This is from my own experience. I had severe spasm whole day which was not letting fissure heal. Only this deep breathing has helped me alot.
@@awarenessaboutyourself7871 i would like to discuss more about how mush time did it take to relive the spasm I am not able to sit on a chair for more then 10 mints i feel something hard inside I have already seen 4-5 proctologist but they say i have nothing I am very depressed
8/10 of these symptoms. I didn't know that's what it was. Thank you Dr Chung for the information. 2 day listener and i went back watching every video i had a question for in the past. THANK YOU!!!!!! 🙇🏿♂️
I really like your content. I call mine the ring of fire the pain after a BM, but because of your video and a pelvic physiotherapist (Michelle Kenway on YT) im gonna say that I look at it different. My pain management and my view on it helps a lot! I am still in pain but I am not that anxious to go anymore. That really really really helped me.
Yes! This is my issue. I had to figure it out on my own. After years of tests, 3 different gastroenterologists, 2 GYN’s and a uroGYN, all who could not figure out my chronic constipation. Who all just kept giving me different types of laxatives. I knew it wasn’t a consistency problem, just by my symptoms. At first I thought I had some sort of pelvic prolapse and the gyn told me to do kegels. Come to find out (from my own research) I should have been doing reverse kegels, which I could not do them, until I learned to breathe correctly, by doing biological breathing. This has helped a lot. Although I still have a lot of the symptoms you talk about, they are so much more mild and the best thing is, I have pretty normal poops and feeling so much better. Thank you for such informative content.
Mine hurts so bad it effects my bladder. I just finally got relief with intestinal spam medication! It took 4 years! THE BURNING 🔥!!!! That's why I thought it was internal inside the intestines
Would have been nice to have some ways of treating? It was nice to learn about the different pains and fissues because it is not spoken of in society thank you Dr. ❤
Gotta share your itching solution n all videos OMFG ! I think I love u 😆 Thank you so much - god awful burning w spasms starts after itching can last for rest of day, took a month after injury to get to take a BM 2 hours later it’s on for rest of the day. That lasted for weeks - Since learning of & using your simple remedy, NOTHING 🤯 … I’m shocked !! 100% shocked !! Can’t thank you enough 🙏🙏🙏
Excellent as always, Dr. Chung! You really have a great talent for explaining these issues in a way that anyone can understand. I look forward to learning how to improve my Bottom End Health!💖
I have exactly this for many years after fissure operation because fissure would not self heal. Spasm now seems permanent. Have also had piles injected. Also internal camera all is healthy. This spasm gives me big problems. I have to take a lot of stool softeners fybogel. This also gives me problems with accidents. I hope so much your future video on this can help me and change my life. As I almost cannot leave the house.
Apply some oil down there and massage gently but do not insert your finger inside. Massage it on the outside and notice the change, I have done it myself.
I have a fistula with a constant pelvic floor cramping making voiding extremely painful. 3 separate trips to ER 1 dr said infected abcess 2 surgeon said there's nothing wrong with you this is psychiatric Dr 3 said u have a fissure. It's been 9 days only able to lay on side in bed and had to use a walker to get up due to weakness. I've gained 8 lbs in 3 days. In the end after 10 days I had surgery it was a abcess that turned into a fistula because hospital dismissed me after 5 ambulances. Oh wow what a time.
How you doing now. I had a similar experience. Had a seton place 3 weeks ago but I’m still experiencing drainage and pain while walking and sitting . How long did it take you to recover ?
@abehorton7224 I'm 6 months in with seton. Had incontinence month 1. Then they made me eat a l o t I had diahreea about 5 to 8 x a day from August til November when I cut back to 1 meal and no Fibre. Since then duahreea gone seton comfortable. Now in Dec they want to fistulotomy. I want to keep the seton. Dec 1 I'm telling them that and why.
@snow12343 hey that was June 2023. Well I took 2 more trips by ambulance was dismissed said a fissure. Given some preparation to help me defecate. Didn't work. Finally I got septic was unable to lift my chest off the bed. This time the ambulance had to dress me and cart me on a cot. I wad put in a que in a wheelchair started bleeding from there profusely. On way back from washroom I passed out a man caught me. Finally the nurses said cone in I was hooked to IV and a doctor took one look said Cat scan stat. After thst I had zillions bags of antibiotics and I finally peed. They told me I had a very large abcess and I was prepped for surgery I woke up and was apparently uncooperative. I spent 3 days in hospital. I had a seton now and the surgeon wants to do a fistulotomy. EXTREME PAIN was my main symptom. Plus weakness and confusion as I became septic. Worse experience of my life. Thanks for asking about it.
I had mistaken fissures & anal spasms for piles. & the doctor I went to suggested surgery right away. he didn't even inform correctly what is the problem I have. I didn't get the surgery & kept thinking I had piles.. for 2 years, I suffered from fissures, bleeding , pain & burning, without even knowing that I had fissures, not piles. I only researched about piles & thought I need to get surgery, & went back to same doc & got the surgery last week. he didn't even tell which surgery he performed, why & how will it help. Its my big mistake to not get a second opinion and get consultation from more places..T^T .. now I feel so sad & violated that I had only fissures that could be healed without a surgery, but was made to undergo surgery...
Hysterectomy effed up some things. 10dpo. And im so glad this information is available. I feel like im going crazy No urge, its literally spasms and pain. More like straight gas pain down there 😳
I go to the bathroom and the pain last 6 hrs every time. I try immediately sitting in a tub and then putting on my cardizem with lidocaine cream but it doesn’t work. It kills me.
@@bartsimpson-k4i thank you so much for asking. I ended up having a fissurectomy which I guess is technically a type of sphincterotomy. I’m now going on 13 weeks after the surgery come this Friday. I was able to go back to work 4 weeks after. It’s still something I pay attention to every day. I had pruritis after the surgery, had to take 2 antibiotics. All in all after the surgery wasn’t as terrible as before. Before the surgery was the worst pain I’ve ever gone through. It was definitely manageable and got better every week. Now I’m pretty much back to my normal life except because of this I changed My diet a little. Mostly cutting out my lovely vodka, soda, and most dairy. Also don’t have as much fast food. Again thank you for asking. I wish you good luck. I hope you’re not going through this.
This is a really fantastic video and I really appreciate it. God bless you Dr Chung. I wish I could hug you sometimes 😁 I never knew I had this but it is evident that I do, along with general weak and tight pelvic floor muscles which cause constipation
Hello dr. U r simply amazing. I would like to ask u if u could give us yr opinion about colonoscopies. If they are safe procedures and worth it concerning all the horror stories we hear about them. I am terrified to have one. Thanks
The prep is the worst part. You go to sleep and wake up. Cleaning out with prep is the #1 compliant. I have plenty of them at age 74. You will be fine.
@@wandajoycewyatt9395I don't understand how your doc can schedule you for such a thing when going to toilet many times will be really bad if you have fissure and hemorrhoids.
Not once was stress and anxiety mentioned! Spasms and when you sit down to go - and it doesn't 'want' to come out are signs of anxiety and IBS - The correlation between your brain and bowel are very close, so, if you're in a very stressed state your bowel is going to be really effected.
You mean pre-BM pain in the groin area? This happens to me when I’m holding it in too long because I don’t want to stop what I’m working on for a bathroom break. It can be one of those “pray to God make it stop” kinds of discomfort, but I’ve never had it last more than a few minutes thankfully. I can’t imagine that feeling going on longer than a few minutes. I’d be calling 911.
Thank you, Dr. Chung. This is very relevant to me after our consultation last week. I'm really looking forward to the video on the remedies! #1 - Pooping takes a while to get started - 15+ mins average #2 - Your farts are really loud! - Usually, control it by concentrating (external sphincter control?) or separating the butt cheeks #3 - You have to push to get the POOP out - I try to manage it by sitting longer duration (45 mins average) #4 - Poop looks like a thin spaghetti noodle - Generally slightly wider than an ink pen. #5 - Your anus shuts down the POOP pipeline - Only a problem during diarrhea or fissure. Long duration and relaxation techniques (Google maps scrolling) help #6 - Your anus feels like a grape - Rare but does happen (like right now). I always thought it was trapped gas. #7 - Anal pain can last for hours and hours! - I have been suffering from this for about a month after a fissure and subsequent 5 hours of back-to-back seated meetings #8 - The pain wakes you up at night! No Mercy! - Happened a couple of times during the last month. It was not excruciating but uncomfortable to wake me up #9 - "Burning" anal pain - Typically happens after diarrhea or a lot of poop. This was constant for about 3-4 days in the last month. I wonder if it is again the friction that causes this #10 - Bleeding + "Pain with a SOFT poop!!" - This happened quite a few times last year as streaks of thin lines on the poop. I thought it was undigested tomato!
10:00 I get this intense sensation/pain but not in my anus but up under the right rib area. happens out of nowhere for 1-2 seconds then gone but hurts so bad it gives me ptsd/ had tons of tests and they found nothing
Got every single symptoms. Came on after a fissure. Well I wonder if this was going on a little before the fissure but mainly got worse after. Even thought fissure healed it’s stuck like this. Tried the ointments but GTN eventually stopped working. pelvic physio kept aggravating it. Acupuncture didn’t work. Trying Botox now. Also tried amitriptyline and now trying duloxetine. At this point I feel like the doctors must think I’m making it up they are baffled it still hurts. At leas you understand. Look forward to the treatment video. Hopefully there’s something I’ve missed. Also they won’t prescribe me any sort of muscle relaxant so that’s frustrating as I would like to know how effective it would be.
Place electric heating pad or warm towel in your lap and the sphincter muscle will relax in no time. This helped me big time and I take it with me wherever I go.
you talked me out of it, im gonna die with my bleeding stage 4 prolapsed hemorrhoids... thanks for the honesty, my local doctors are god awful and very deceptive... taking Miralax is how i got the hemorrhoids in the first place... i didnt even take the 14g recommended, i only took 2 grams.... i spend the next couple days on the toilet with explosive diarrrhea and ended up with terrible hemorrhoids by the ned of it theyve been with me ever since on and off, well any time im standing...
Hey Doc, I am from Pakistan and I have been wathcing your videos since my hemmorried surgery. You are doing a great job. I really like the way you answer all the questions. I just want to discuss my case. I had my surgery 4 weeks ago. I am doing fine. My foctor left my wound open. I am doing fine but not 100% as I am still having a drainage on the guaze I place at my surgery place. It hase a small amount of yellow and green fluid on it. I am not feeling any pain or any blood in stool. I thought to discuss it with you. I am using Mycitracin cream at the wounds. Can you give your opinion on this one please. God Bless you.
Does your office or surgery room do Laser hemorrhoidectomy? I’ve been reading it reduces pain by a large margin. Please make a video on this or the differences with scalpel.
WHAT ABOUT FOR 7 YEARS I CAN'T SIT? IT HURTS TO SIT NORMALLY. I can adjust, shift on one buttock, then shift to the other, for awhile. And, sometimes the hurt goes away, but it always returns hours later or a day later. One possible clue, I have varicose veins both legs. Soon a v.v. doctor will work on me. So, maybe hemmorhoids, since h. are v.v. ??? Anyone care to advise?
I started to have this after I got hot in the back at work. This makes me feel less crazy and will help me to use accurate terms for things that I'd never experienced before the accident.
I get no. 8's. They feel like a muscle cramp to me and it will wake me up from sleeping and I just have to wait it out, about 5-10 minutes. I also have bleeding fishures when I am tired, and sometimes they last for a looonng time (several minutes). I have started using a bidet and that has helped ALOT!
i started getting anal spasms ever since having thromboses hems outside. Dec 27, 2024, i just had hemorrhoidectomy removal of all hems 2 external and 1 internal. I now have spasms so often due to ass is all swollen and often wake up from spasm pains every 2 hours when ever trying to sleep.
Hi Dr Chung, this is by far the most informative discussion I've come across about something like this, a very helpful presentation. I was wondering, and I don't know if this has been asked or discussed, but do anal spasms ever get confused for something nerve related like pudendal neuralgia?
Hey .... I have been dealing with what I was told was constipation. Now I am here trying to learn about this to help myself. I am also thinking pudendal nerve. Have you found out anything? I am taking Magnesium glycinate for the stress of this whole deal. It helps with muscle relaxation. But I would still have days that it wasn't enough. So I added vitamin B1.... oh man it really helped for a while... now it comes and goes on the helping that. So I am so very tired of dealing with this.
I have it 24/7 unless I quit lifting weights or if I'm on my feet to much and I only do upper body lifting for years because my pain and I thought it was Levator Ani Syndrome. I've been to 5 proctologist and 3 pelvic floor pts. I have all of these. The only reason I figure out anything is when I've been sick with covid and other illnesses that the pain is much better during that time. I post this because I hope it can help someone else. I spent so much time and money on hemorrhoid banding surgery pt etc to get no relief. I want to try a nerve block been chasing this for 5 years now. Good luck to everyone.
can I ask you something? Under the health plan of San mateo I beg the doctors to have the surgery within the first few months and I was denied of a surgery until July 2022. The pain started at the end of September 2021. As a doctor, do you think this is ethical me as a patient that these health providers allow my pain and suffering as a result lost my job and benefit due to this pain or because they denied my request for a surgery! And on top of that in 2023, I was diagnosed as having in the autism spectrum and before that I was only been told they have learning disability, even trying all my best. They still denied the surgery that I demanded and wanted. But they flat out rejected my request as a suffering patient and the health provider back then that I had was the health plan of San mateo.
I read dicyclomine can help this, is that true? I was presrcribed another muscle relaxer Methocarbamol,doesn't seem to help much (I have a fissure) While having a BM doesn't hurt, it's after and for hours and hours. Doesn't bother me at night when I'm laying down and during the night and even when I get up,it's after the BM.
My spasms are present the majority of the time, albeit painless, no blood unless straining strongly on internal hemorrhoids. I've been watching Michelle Kenway's vids...very helpful with Belly Breathing to relax. I have virtually every symptom you describe except pain, and have had the condition now for around 5 years, interestingly beginning after consuming some bad, rancid Trader Joe's peanut butter. Prior to that my movements were relatively normal, but since I discovered thru trial and error that peanut and nut butters lock up my colon like concrete. It takes a few weeks for that advanced constipation to pass. One particular "mechanical trigger" I've noticed is when laying down in bed, if any pressure of the mattress is upon the anus directly, or even just beneath the tailbone....seems to trigger an extra tightness. Therefore I most often sleep on my side. But my sphincter seems to now be in continual spasm. Your videos are THE most informative videos on this important subject. THANK YOU!
Does anyone know why but I can’t fart When I need to and when I try it doesn’t come out and when I squeeze I feel one of my insides about to come out I can feel it I am a male
i had a fissure 2 years ago. started off as a pit of pain due to constipation for w/e reason. not enough this. to much that w/e. then one day sharp pain during bowels. tons of straining. pushing. pain and spasms lasted all day. wether sitting down felt even in the car very uncomfortable. that lasted for a while. then found a bro on here who suggested fissure healing oil. along with that and using muralax. to keep poop soft. the pain got less and less. then finally had a poop with no pain. it was heaven. continued to use oil even after i thought it had passed JUST IN CASE. gradually got of muralax. poop has been OVERALL way better. soem times i have constipation again or w/e. maybe even a lil blood. this last week i have been really straining and muscles are sore from that and constpation so my muscles are spasming again. so i am trying muralax again to help soft poop .and breathing techniques. it seems that every now and then they can act up.
I'm scared just waiting on my doctor he's out this week but I'm waiting on the nurse to contact me to let me know what my doctor is saying. When i go take a poop my but hurts its pain like i never felt before something is hanging out my butt hole while im pooping i have to wipe softly and when im done the meat thats hanging goes back in my butt. Im so scared and its my life back their. Just waiting to see whats wrong. I have been researching and i think its rectal prolapsed!
I had grade ll hemeroid and I had done sclerotherapy. As per doctor it's completely cured. But am getting fissures once in a month(no bleeding) . Not thinking I have spasm , poop going with normal size. But why it's happening
Hii Dr. chung I'm just 19 and I'm suffering from anal fissure I tried lot of ointments lot of medicines but they don't work on me it's all about 5/6months I'm really very tensed..this problem impact on my personal and social life as well I can't go anywhere I can't join my institute classes because after deficate the pain remain last 8/9hours🥺🥺🥺now I want cure it by my self I don't want to come under a doctor they put proctoscope at all which is painful for me and as a girl I don't want surgery🥺🥺please help I'm from india..
Love you man. i got 10 outta 10. local idiot GP's kept prescribing laxatives. i described them the exact points u brought up, but they decided to try every laxative known to man...just to torture me.
I’m female and recently was diagnosed & treated with anorectal fistula. MRI at first suggested there was fluid between muscles but surgeon changed his mind! At first I was treated with draining seton but I’m now a few days into recovery from fistulectomy & fistulotomy, with Botox and high internal haemorrhoid banding. I’ve seen no sign of the band or haemorrhoid yet but it’s very painful. The spasms I get seem to stem from the hemmerhoid I’ve been complaining about for years. My queries are could a hemmerhoid actually be a hidden thrombosed hemmerhoid under the tissue? Can spasms cause bladder/uterus spasm? Can piriformis syndrome cause rectal pain? I’m so scared I’m going to be left like this because I can’t live this way. I cried so much when I awoke from surgery! I’m in Scotland so don’t know how I’d get to see you!
I have all of them except bleeding! The pain is burning, snakes biting or razor blades, it can be hell for a couple days. Still recovering from ileostomy reversal so that does not help!
@@BenNeal-f4p well i am back here because my muscles have been acting up again. BUT overall yes. first off have u had a fissure? because mine started from having a fissure
@ to be honest I was going through chronic stressing about somthing couldn’t eat or anything had panic attack then my anus got really tight then I had diarrhea with foul smell started feeling sharp pain since they my anus been won’t relaxed for me to pass soft stool or normally just been having thin small stool been going on for a months now!
i've got the loud farts, sitting on grapes feeling, a kinda fissure feeling after bowel movements. After 2 weeks doing sitz bath twice a day, some of the symtoms kinda ease a bit. for now i can sits normally most of the time.
@@snowy-19 back then the symptoms just like i wrote above. But it wont go away completely. So i went a general doctor.. got some anti inflamatory medicines & a suppository cream that i use them for 10 days. As for my diet, i went to clean diet.. no spicy food, less fried food, mid fiber food consumsion, do some light exercise and always sleep on my side. Im around 90% heal. At least No more pain when having bowel movement.
exercise can use ur spinchter mucles but u want to anyway to make them strong. but if ur hurting take it easier on the weights. but exercise can only help
Not getting urge not good, full colon, can barely eat, emaciated, stool gas trapping tight pelvis floor emotional trauma from all this drs have been dismissing me, you explain so much of symptoms drs not willing to listen, need help in Illinois or close to it
I am desperate for help. I have the same concerns and every symptom listed plus many more! I live in a rural area with only 1 small hospital ,not many Dr.'s office.I started struggling with this 6 months ago and it's only getting worse, everyday it's pain and discomfort. I'm talking that pain that will have you in cold sweats and uncontroably shaking, it's gotten so bad in my experience that it is as bad if not worse than child birth. Ive seen 3 differe Dr.s in my town that dont take me serious. They prescribe me antibiotics (idk why) tell me to drink fluids, and use enemas. I am 26 years old and I am healthy, I do not want to live my life in constant pain like I've been.
@@carinafierro6258 i’m having these exact same symptoms and also struggling to find help. Constantly being dismissed. In constant pain. Were you able to find any help?
Yeah the doctors are dismissing too and they are referring me to see a psychiatrist, this is weird ..I am sick of this disease , I went through a fistulectomy and in problem ever since
@exploringnaturalbeauty2102 they should give u a reason. If it depression I read a statement that over 90 % ppl who deal with that condition fall into depression of some sort. sorry you are experiencing this.
Never seen someone explain this with such an ease and directness.
How could you be so intelligent and exact??
Bathroom talk creeps me out normally but you do it in a way that I feel comfortable. Thank you for your content. Im learning so much!
These issues all ultimately lead to so much discomfort and anxiety. I am watching, learning, and hopefully soon will be able to get some relief using all of the info. WAY more than my gastro doc ever told me. Thank you so much for what you do!!!
I just had to come on here and let you know that you saved me big time. Tried everything and even medications from local docs and they didn’t help. Was dealing with a fissure for a year. Came across your videos and listened to everything. Tried the panicura 5 and it worked. You have no idea how much that means to me. So thank you for everything and continue to be a great help to many others in need. This doc is the best people.
Helped spasms?
@@kellielesher5623 yes it did. I swear by this stuff. You will heal much faster as well. Just make sure you use it 3 times a day at least.
@@jasonyates8796
Hi there could u please share your symptoms. ..
I have pain ...
😢
Hello pls what’s panicura 5?? Pls help me
It Is a anal cream that he talked about once. It cost about $45. There may be a link in the description of his.TH-cam videos. Otherwise search on line for the name.
May you feel better.
Thank you (again) Dr Chung for such a comprehensive and understandable discussion! I identify with 5 out of 10 of these reasons, and before meeting with you, I automatically expected….the worst. Once I understood this, I started to relax and not be overly worried, so therefore the spasms started to relent. I can still experience them, but not to the degree I once did and when they do happen, I know what to do. 🎉 If more and more medical personnel would actually truly do education and prevention, we would all be so much healthier!! You really are doing quite a wonderful service educating us all. 🥳🤗🥳 please, don’t stop!!
If anyone else who reads this is wondering if they should invest in a consultation with you, schedule it, don’t hesitate, you wont regret!
How do you get rid of anal spasms
What do u do to help them
Yes! I dealt with generalized anxiety for over a year then I started having these issues with my anus. Thank you for explaining Dr Chung. I am interested in you talking about how to fix it!.
Me too. I want to get better.
how r u now john?
Same here :(
@@abidraza4541 Same here... for almost all my life.
Same here i gonna go surgery in 1 month
Belly breathing or diaphragmatic breathing is most effective to relax the muscles from spasm. Doing pranayam correctly can relieve all these symptoms
This is from my own experience. I had severe spasm whole day which was not letting fissure heal. Only this deep breathing has helped me alot.
Is there any way to connet with you
Instagram or facebook or telegram or snapchat please reply
@@dupeshbhatia2347 why?
@@awarenessaboutyourself7871 i would like to discuss more about how mush time did it take to relive the spasm
I am not able to sit on a chair for more then 10 mints i feel something hard inside
I have already seen 4-5 proctologist but they say i have nothing
I am very depressed
@@dupeshbhatia2347 send me a friend request and I will try to figure out your problem and help you.
@@markmcgoveran6811 where on facebook??
8/10 of these symptoms. I didn't know that's what it was. Thank you Dr Chung for the information. 2 day listener and i went back watching every video i had a question for in the past. THANK YOU!!!!!! 🙇🏿♂️
Deserves 1000 likes
I really like your content. I call mine the ring of fire the pain after a BM, but because of your video and a pelvic physiotherapist (Michelle Kenway on YT) im gonna say that I look at it different. My pain management and my view on it helps a lot!
I am still in pain but I am not that anxious to go anymore. That really really really helped me.
how r u now?
@@bartsimpson-k4i well still healing and I got a hem.... 😵💫😵💫😵💫😵💫 Thats new but i dont have a ring of fire anymore.
What does ur pt do
Yes! This is my issue. I had to figure it out on my own. After years of tests, 3 different gastroenterologists, 2 GYN’s and a uroGYN, all who could not figure out my chronic constipation. Who all just kept giving me different types of laxatives. I knew it wasn’t a consistency problem, just by my symptoms. At first I thought I had some sort of pelvic prolapse and the gyn told me to do kegels. Come to find out (from my own research) I should have been doing reverse kegels, which I could not do them, until I learned to breathe correctly, by doing biological breathing. This has helped a lot. Although I still have a lot of the symptoms you talk about, they are so much more mild and the best thing is, I have pretty normal poops and feeling so much better. Thank you for such informative content.
Thanks for sharing your story. It really helps others like me ❤
1. Yes
2. Sort of
3. Yes
4. Not every often,
5. Yes
6. Not really sure
7. Yes
8. Yes
9. Yes
10. Yes
Mine hurts so bad it effects my bladder. I just finally got relief with intestinal spam medication! It took 4 years!
THE BURNING 🔥!!!! That's why I thought it was internal inside the intestines
Thank you so much…I have all10 symptoms all the time! So glad to know what’s up!
Would have been nice to have some ways of treating? It was nice to learn about the different pains and fissues because it is not spoken of in society thank you Dr. ❤
Gotta share your itching solution n all videos OMFG ! I think I love u 😆 Thank you so much - god awful burning w spasms starts after itching can last for rest of day, took a month after injury to get to take a BM 2 hours later it’s on for rest of the day. That lasted for weeks - Since learning of & using your simple remedy, NOTHING 🤯 … I’m shocked !! 100% shocked !! Can’t thank you enough 🙏🙏🙏
..You have explained it so well. Dr. Ching ..How to consult you or what specialist to go for treating this problem ..
Excellent as always, Dr. Chung! You really have a great talent for explaining these issues in a way that anyone can understand. I look forward to learning how to improve my Bottom End Health!💖
Thanks for the feedback!
I have exactly this for many years after fissure operation because fissure would not self heal. Spasm now seems permanent. Have also had piles injected. Also internal camera all is healthy. This spasm gives me big problems. I have to take a lot of stool softeners fybogel. This also gives me problems with accidents. I hope so much your future video on this can help me and change my life. As I almost cannot leave the house.
Belly breathing or diaphragmatic breathing is most effective to relax the muscles from spasm. Do pranayam correctly
Apply some oil down there and massage gently but do not insert your finger inside. Massage it on the outside and notice the change, I have done it myself.
@@mukeshbharadwaj4768 how much time it took
@@csatmaths7137 6-7 days
hi @mickeymousee sorry to hear but how r u managing it? is it any better now?
#7. Yes the pain is unbearable. I use a 5% lidocaine numbing cream. It works most of the time
Is there a video for hiw to treat this? Thank you
I have a fistula with a constant pelvic floor cramping making voiding extremely painful. 3 separate trips to ER 1 dr said infected abcess 2 surgeon said there's nothing wrong with you this is psychiatric Dr 3 said u have a fissure. It's been 9 days only able to lay on side in bed and had to use a walker to get up due to weakness. I've gained 8 lbs in 3 days. In the end after 10 days I had surgery it was a abcess that turned into a fistula because hospital dismissed me after 5 ambulances. Oh wow what a time.
How you doing now. I had a similar experience. Had a seton place 3 weeks ago but I’m still experiencing drainage and pain while walking and sitting . How long did it take you to recover ?
@abehorton7224 I'm 6 months in with seton. Had incontinence month 1. Then they made me eat a l o t I had diahreea about 5 to 8 x a day from August til November when I cut back to 1 meal and no Fibre. Since then duahreea gone seton comfortable. Now in Dec they want to fistulotomy. I want to keep the seton. Dec 1 I'm telling them that and why.
@@shimmer8289
Hi there
How are u now...
What were. Your symptoms could u please tell me
@snow12343 hey that was June 2023. Well I took 2 more trips by ambulance was dismissed said a fissure. Given some preparation to help me defecate. Didn't work. Finally I got septic was unable to lift my chest off the bed. This time the ambulance had to dress me and cart me on a cot. I wad put in a que in a wheelchair started bleeding from there profusely. On way back from washroom I passed out a man caught me. Finally the nurses said cone in I was hooked to IV and a doctor took one look said Cat scan stat. After thst I had zillions bags of antibiotics and I finally peed. They told me I had a very large abcess and I was prepped for surgery I woke up and was apparently uncooperative. I spent 3 days in hospital. I had a seton now and the surgeon wants to do a fistulotomy. EXTREME PAIN was my main symptom. Plus weakness and confusion as I became septic. Worse experience of my life. Thanks for asking about it.
@@shimmer8289
May Almighty heal u ...
Thanks for replying
I had mistaken fissures & anal spasms for piles. & the doctor I went to suggested surgery right away. he didn't even inform correctly what is the problem I have. I didn't get the surgery & kept thinking I had piles.. for 2 years, I suffered from fissures, bleeding , pain & burning, without even knowing that I had fissures, not piles. I only researched about piles & thought I need to get surgery, & went back to same doc & got the surgery last week. he didn't even tell which surgery he performed, why & how will it help. Its my big mistake to not get a second opinion and get consultation from more places..T^T .. now I feel so sad & violated that I had only fissures that could be healed without a surgery, but was made to undergo surgery...
Are u ok now?
@pinkitalukdar4701 no, I had complications, adverse reaction to medications & still suffering. I hate my life😢
I love the music you use. Thank you for the programme and hope your Christmas was good x
What else could cause these symptoms and what tests should be done
I find sitting in a warm bath up to my waist mostly helps relieve the pain from my occasional proctalgia.
Yes,
This is what I have! How
Have I missed this video? Was diagnosed
How is you doing now ? I’m just now going through this after chronic stress my anxiety 😢
Hysterectomy effed up some things. 10dpo. And im so glad this information is available. I feel like im going crazy
No urge, its literally spasms and pain. More like straight gas pain down there 😳
I go to the bathroom and the pain last 6 hrs every time. I try immediately sitting in a tub and then putting on my cardizem with lidocaine cream but it doesn’t work. It kills me.
sorry to hear how r u doing now?
@@bartsimpson-k4i thank you so much for asking. I ended up having a fissurectomy which I guess is technically a type of sphincterotomy. I’m now going on 13 weeks after the surgery come this Friday. I was able to go back to work 4 weeks after. It’s still something I pay attention to every day. I had pruritis after the surgery, had to take 2 antibiotics. All in all after the surgery wasn’t as terrible as before. Before the surgery was the worst pain I’ve ever gone through. It was definitely manageable and got better every week. Now I’m pretty much back to my normal life except because of this I changed
My diet a little. Mostly cutting out my lovely vodka, soda, and most dairy. Also don’t have as much fast food. Again thank you for asking. I wish you good luck. I hope you’re not going through this.
@@theeradic5629
Hi bro how are u now ...hope u will be okay...could u Please tellme about your symptoms....
Please 😢
yup that use to happen to me. i would literally have to lay on a matt and breath and let it pass.
Hi Dr, I have a lot of symptoms. Please let us know how to cure.
This is a really fantastic video and I really appreciate it. God bless you Dr Chung. I wish I could hug you sometimes 😁 I never knew I had this but it is evident that I do, along with general weak and tight pelvic floor muscles which cause constipation
I have tight pelvic floor muscle a lot which cause from constipation.
Great video! Please give some suggestions for relief and treatment. Thanks
Explained so well. The best explanation i ever heard, helped me understand my problem.
9/10 for me. Thank you Dr Chung!
Hello dr. U r simply amazing. I would like to ask u if u could give us yr opinion about colonoscopies. If they are safe procedures and worth it concerning all the horror stories we hear about them. I am terrified to have one. Thanks
The prep is the worst part. You go to sleep and wake up. Cleaning out with prep is the #1 compliant. I have plenty of them at age 74. You will be fine.
@@wandajoycewyatt9395I don't understand how your doc can schedule you for such a thing when going to toilet many times will be really bad if you have fissure and hemorrhoids.
Not once was stress and anxiety mentioned! Spasms and when you sit down to go - and it doesn't 'want' to come out are signs of anxiety and IBS - The correlation between your brain and bowel are very close, so, if you're in a very stressed state your bowel is going to be really effected.
He does in other videos but yes good point
You mean pre-BM pain in the groin area? This happens to me when I’m holding it in too long because I don’t want to stop what I’m working on for a bathroom break. It can be one of those “pray to God make it stop” kinds of discomfort, but I’ve never had it last more than a few minutes thankfully. I can’t imagine that feeling going on longer than a few minutes. I’d be calling 911.
💯
I'm in pain and laughing at the same time listening to this doctor. Thanks, doc.
Thank you, Dr. Chung. This is very relevant to me after our consultation last week. I'm really looking forward to the video on the remedies!
#1 - Pooping takes a while to get started - 15+ mins average
#2 - Your farts are really loud! - Usually, control it by concentrating (external sphincter control?) or separating the butt cheeks
#3 - You have to push to get the POOP out - I try to manage it by sitting longer duration (45 mins average)
#4 - Poop looks like a thin spaghetti noodle - Generally slightly wider than an ink pen.
#5 - Your anus shuts down the POOP pipeline - Only a problem during diarrhea or fissure. Long duration and relaxation techniques (Google maps scrolling) help
#6 - Your anus feels like a grape - Rare but does happen (like right now). I always thought it was trapped gas.
#7 - Anal pain can last for hours and hours! - I have been suffering from this for about a month after a fissure and subsequent 5 hours of back-to-back seated meetings
#8 - The pain wakes you up at night! No Mercy! - Happened a couple of times during the last month. It was not excruciating but uncomfortable to wake me up
#9 - "Burning" anal pain - Typically happens after diarrhea or a lot of poop. This was constant for about 3-4 days in the last month. I wonder if it is again the friction that causes this
#10 - Bleeding + "Pain with a SOFT poop!!" - This happened quite a few times last year as streaks of thin lines on the poop. I thought it was undigested tomato!
10:00 I get this intense sensation/pain but not in my anus but up under the right rib area. happens out of nowhere for 1-2 seconds then gone but hurts so bad it gives me ptsd/ had tons of tests and they found nothing
Got every single symptoms. Came on after a fissure. Well I wonder if this was going on a little before the fissure but mainly got worse after. Even thought fissure healed it’s stuck like this.
Tried the ointments but GTN eventually stopped working. pelvic physio kept aggravating it. Acupuncture didn’t work. Trying Botox now. Also tried amitriptyline and now trying duloxetine. At this point I feel like the doctors must think I’m making it up they are baffled it still hurts. At leas you understand.
Look forward to the treatment video. Hopefully there’s something I’ve missed.
Also they won’t prescribe me any sort of muscle relaxant so that’s frustrating as I would like to know how effective it would be.
I'm hoping the best for you. The series continues through the month.
Hi rookslife how r u now?
@@peterobrien2537 same old situation unfortunately! Thanks for asking though.
@@Rookslife sorry to hear ;( hope time will heal :)
Get some muscle relaxers to help you sleep it does work
Doc I feel muscles is tight inside it close before I finish doctor gave me ibresa but it don't relax what you receded I do have stress and anxiety
You have to Take magnesium to treat it
Does it connect to ibs? Cus it's like they are happening at once
Place electric heating pad or warm towel in your lap and the sphincter muscle will relax in no time. This helped me big time and I take it with me wherever I go.
I love this conversation!
Doctor I have sign number 8 what should I do please 😢
Thank you, you are amazing the way you have explained this issue.
I woke up last night in so much pain I felt like screaming
Mine starts after pooping 😭 every day, any help?
Hi bro how are u now...
Same here mine also starts after pooping but it lasts for the whole day..😢😢😢
I am going to try pranicura ointment. It worked well for my fissures. I just ordered again for my spasms. Let’s see if it fixes
you talked me out of it, im gonna die with my bleeding stage 4 prolapsed hemorrhoids... thanks for the honesty, my local doctors are god awful and very deceptive...
taking Miralax is how i got the hemorrhoids in the first place... i didnt even take the 14g recommended, i only took 2 grams.... i spend the next couple days on the toilet with explosive diarrrhea and ended up with terrible hemorrhoids by the ned of it theyve been with me ever since on and off, well any time im standing...
Yep yep yep glad I watched this again
How can you tell if it’s internal hemmeroid or just Anal spasm?
Same question 😢
Hey Doc, I am from Pakistan and I have been wathcing your videos since my hemmorried surgery. You are doing a great job. I really like the way you answer all the questions.
I just want to discuss my case.
I had my surgery 4 weeks ago. I am doing fine. My foctor left my wound open. I am doing fine but not 100% as I am still having a drainage on the guaze I place at my surgery place. It hase a small amount of yellow and green fluid on it. I am not feeling any pain or any blood in stool. I thought to discuss it with you. I am using Mycitracin cream at the wounds.
Can you give your opinion on this one please.
God Bless you.
How are you now brother??
Does your office or surgery room do Laser hemorrhoidectomy? I’ve been reading it reduces pain by a large margin. Please make a video on this or the differences with scalpel.
WHAT ABOUT FOR 7 YEARS I CAN'T SIT? IT HURTS TO SIT NORMALLY. I can adjust, shift on one buttock, then shift to the other, for awhile. And, sometimes the hurt goes away, but it always returns hours later or a day later. One possible clue, I have varicose veins both legs. Soon a v.v. doctor will work on me. So, maybe hemmorhoids, since h. are v.v. ??? Anyone care to advise?
I started to have this after I got hot in the back at work. This makes me feel less crazy and will help me to use accurate terms for things that I'd never experienced before the accident.
Kindly make more videos on this topic sir 🙏
Will do! The series continues through the month!
I get no. 8's. They feel like a muscle cramp to me and it will wake me up from sleeping and I just have to wait it out, about 5-10 minutes.
I also have bleeding fishures when I am tired, and sometimes they last for a looonng time (several minutes).
I have started using a bidet and that has helped ALOT!
Is this still happening? And if not how long did it last 1 or 2 weeks?
Thank you doctor chung
I can't believe, even after many decades of doing the deed, am still learning how to do it right. Wished we were all born with a user's manual.
What deed ?
Thanks doctor for your helpful information, I hope doctor you can say something about tensumus
i started getting anal spasms ever since having thromboses hems outside. Dec 27, 2024, i just had hemorrhoidectomy removal of all hems 2 external and 1 internal. I now have spasms so often due to ass is all swollen and often wake up from spasm pains every 2 hours when ever trying to sleep.
How do you solve it ?
Hi Dr Chung, this is by far the most informative discussion I've come across about something like this, a very helpful presentation. I was wondering, and I don't know if this has been asked or discussed, but do anal spasms ever get confused for something nerve related like pudendal neuralgia?
Hey .... I have been dealing with what I was told was constipation. Now I am here trying to learn about this to help myself. I am also thinking pudendal nerve. Have you found out anything? I am taking Magnesium glycinate for the stress of this whole deal. It helps with muscle relaxation. But I would still have days that it wasn't enough. So I added vitamin B1.... oh man it really helped for a while... now it comes and goes on the helping that. So I am so very tired of dealing with this.
I have it 24/7 unless I quit lifting weights or if I'm on my feet to much and I only do upper body lifting for years because my pain and I thought it was Levator Ani Syndrome. I've been to 5 proctologist and 3 pelvic floor pts. I have all of these. The only reason I figure out anything is when I've been sick with covid and other illnesses that the pain is much better during that time. I post this because I hope it can help someone else. I spent so much time and money on hemorrhoid banding surgery pt etc to get no relief. I want to try a nerve block been chasing this for 5 years now. Good luck to everyone.
Are you better now and how
Nice information Thanks 🙏
But what is the solution or treatment options?
That is coming soon!
can I ask you something? Under the health plan of San mateo I beg the doctors to have the surgery within the first few months and I was denied of a surgery until July 2022. The pain started at the end of September 2021.
As a doctor, do you think this is ethical me as a patient that these health providers allow my pain and suffering as a result lost my job and benefit due to this pain or because they denied my request for a surgery! And on top of that in 2023, I was diagnosed as having in the autism spectrum and before that I was only been told they have learning disability, even trying all my best. They still denied the surgery that I demanded and wanted. But they flat out rejected my request as a suffering patient and the health provider back then that I had was the health plan of San mateo.
I read dicyclomine can help this, is that true? I was presrcribed another muscle relaxer Methocarbamol,doesn't
seem to help much (I have a fissure) While having a BM doesn't hurt, it's after and for hours and hours. Doesn't bother me at night when I'm laying down and during the night and even when I get up,it's after the BM.
Hey doc, what about pulsating? I also have pulsating there.
My spasms are present the majority of the time, albeit painless, no blood unless straining strongly on internal hemorrhoids. I've been watching Michelle Kenway's vids...very helpful with Belly Breathing to relax. I have virtually every symptom you describe except pain, and have had the condition now for around 5 years, interestingly beginning after consuming some bad, rancid Trader Joe's peanut butter. Prior to that my movements were relatively normal, but since I discovered thru trial and error that peanut and nut butters lock up my colon like concrete. It takes a few weeks for that advanced constipation to pass. One particular "mechanical trigger" I've noticed is when laying down in bed, if any pressure of the mattress is upon the anus directly, or even just beneath the tailbone....seems to trigger an extra tightness. Therefore I most often sleep on my side. But my sphincter seems to now be in continual spasm. Your videos are THE most informative videos on this important subject. THANK YOU!
Does anyone know why but I can’t fart When I need to and when I try it doesn’t come out and when I squeeze I feel one of my insides about to come out I can feel it I am a male
The pain is HORRIBLE
Your voice sounds like you’re high it’s relaxing 😮
so what is the cure??
i had a fissure 2 years ago. started off as a pit of pain due to constipation for w/e reason. not enough this. to much that w/e. then one day sharp pain during bowels. tons of straining. pushing. pain and spasms lasted all day. wether sitting down felt even in the car very uncomfortable. that lasted for a while. then found a bro on here who suggested fissure healing oil. along with that and using muralax. to keep poop soft. the pain got less and less. then finally had a poop with no pain. it was heaven. continued to use oil even after i thought it had passed JUST IN CASE. gradually got of muralax. poop has been OVERALL way better. soem times i have constipation again or w/e. maybe even a lil blood. this last week i have been really straining and muscles are sore from that and constpation so my muscles are spasming again. so i am trying muralax again to help soft poop .and breathing techniques. it seems that every now and then they can act up.
I'm scared just waiting on my doctor he's out this week but I'm waiting on the nurse to contact me to let me know what my doctor is saying. When i go take a poop my but hurts its pain like i never felt before something is hanging out my butt hole while im pooping i have to wipe softly and when im done the meat thats hanging goes back in my butt. Im so scared and its my life back their. Just waiting to see whats wrong. I have been researching and i think its rectal prolapsed!
Did you find out what it was?
ONG I have this rn I wanna cry so bad it hurts so much….and I squeeze so hard to not poop
Ik heb het erg vaak wat doe ik er tegen ?....
Dr you made this so funny....I'm only on 3 and I cant stop laughing 😂😂😂😂
Yeah I'm wondering if I have spasming post surgery.
Can't poop... have been doing enemas for 8 months now why???
You're a great understandable teacher!
I have all those symptoms please help
How do we fix it???
I had grade ll hemeroid and I had done sclerotherapy. As per doctor it's completely cured. But am getting fissures once in a month(no bleeding) . Not thinking I have spasm , poop going with normal size. But why it's happening
Do u feel pain also
Hii Dr. chung I'm just 19 and I'm suffering from anal fissure I tried lot of ointments lot of medicines but they don't work on me it's all about 5/6months I'm really very tensed..this problem impact on my personal and social life as well I can't go anywhere I can't join my institute classes because after deficate the pain remain last 8/9hours🥺🥺🥺now I want cure it by my self I don't want to come under a doctor they put proctoscope at all which is painful for me and as a girl I don't want surgery🥺🥺please help I'm from india..
Same for me I'm just 20🥲 suffering from these kind of issues.. I tried everything but still..btw I'm from India too..how r u now
😢same and im 17
..how are you both now
@@girlonyoutube-k3m nothing changed
@@girlonyoutube-k3m nothing changed
@@Leic0199Sorry to hear that...😢im also the same...
THANK YOU!!!! What a great, friendly disposition you have!
i have a question does certain BP meds makes your hemorrhoids worse? If so what BP meds doesn’t interact to hemorrhoids?
Love you man. i got 10 outta 10. local idiot GP's kept prescribing laxatives. i described them the exact points u brought up, but they decided to try every laxative known to man...just to torture me.
Drs 🤦🏼♀️
I’m female and recently was diagnosed & treated with anorectal fistula. MRI at first suggested there was fluid between muscles but surgeon changed his mind! At first I was treated with draining seton but I’m now a few days into recovery from fistulectomy & fistulotomy, with Botox and high internal haemorrhoid banding. I’ve seen no sign of the band or haemorrhoid yet but it’s very painful. The spasms I get seem to stem from the hemmerhoid I’ve been complaining about for years. My queries are could a hemmerhoid actually be a hidden thrombosed hemmerhoid under the tissue? Can spasms cause bladder/uterus spasm? Can piriformis syndrome cause rectal pain? I’m so scared I’m going to be left like this because I can’t live this way. I cried so much when I awoke from surgery! I’m in Scotland so don’t know how I’d get to see you!
I have spasm in my left buttock i can't sit more than 10 minutes what should I do 😢
@@shardulpatil9218are you better now
I've had those spasms and an ice cube in a wet paper towel relieved the pain within a few minutes.
Will your blood work and stuff be off if there was cancer
Question, will a steroid help my spasms in the rectum.
I have all of them except bleeding! The pain is burning, snakes biting or razor blades, it can be hell for a couple days. Still recovering from ileostomy reversal so that does not help!
How you doing now ? Going through the same plz help
look up fissure oil. it will help. along with using a stool softner so the poop can be soft.
@@banderas2000 I’m man thanks are you ok now and how long you been having this ?
@@BenNeal-f4p well i am back here because my muscles have been acting up again. BUT overall yes. first off have u had a fissure? because mine started from having a fissure
@ to be honest I was going through chronic stressing about somthing couldn’t eat or anything had panic attack then my anus got really tight then I had diarrhea with foul smell started feeling sharp pain since they my anus been won’t relaxed for me to pass soft stool or normally just been having thin small stool been going on for a months now!
How can i fix this problem
please make videos regardind its treatment sir
Belly breathing or diaphragmatic breathing is most effective to relax the muscles from spasm. Do pranayam correctly
@@awarenessaboutyourself7871 actually i am facing fissures problem from very long time and the pain is so much for nearly whole day
@@Abhishek_makkar have you tried breathing pranayam? Are you facing constipation?
@Awarness about yourself.
Do you have video for this ?
@@awarenessaboutyourself7871 yes after some time it occurs automatically
i've got the loud farts, sitting on grapes feeling, a kinda fissure feeling after bowel movements. After 2 weeks doing sitz bath twice a day, some of the symtoms kinda ease a bit. for now i can sits normally most of the time.
Hi there could u please share your all symptoms. ...
I am dying...😢
How are u feeling now bro
@@snowy-19 back then the symptoms just like i wrote above. But it wont go away completely.
So i went a general doctor.. got some anti inflamatory medicines & a suppository cream that i use them for 10 days.
As for my diet, i went to clean diet.. no spicy food, less fried food, mid fiber food consumsion, do some light exercise and always sleep on my side.
Im around 90% heal. At least No more pain when having bowel movement.
In my case i usually experience the pain at night and it woke me up like i going to poop. And it last for 5 mins.
Can exercises trigger the fissure ?
It is possible.
@@yourfriendlyproctologisti think mine stated when i took up runninh
exercise can use ur spinchter mucles but u want to anyway to make them strong. but if ur hurting take it easier on the weights. but exercise can only help
Not getting urge not good, full colon, can barely eat, emaciated, stool gas trapping tight pelvis floor emotional trauma from all this drs have been dismissing me, you explain so much of symptoms drs not willing to listen, need help in Illinois or close to it
I am desperate for help. I have the same concerns and every symptom listed plus many more! I live in a rural area with only 1 small hospital ,not many Dr.'s office.I started struggling with this 6 months ago and it's only getting worse, everyday it's pain and discomfort. I'm talking that pain that will have you in cold sweats and uncontroably shaking, it's gotten so bad in my experience that it is as bad if not worse than child birth. Ive seen 3 differe Dr.s in my town that dont take me serious. They prescribe me antibiotics (idk why) tell me to drink fluids, and use enemas. I am 26 years old and I am healthy, I do not want to live my life in constant pain like I've been.
@@carinafierro6258 i’m having these exact same symptoms and also struggling to find help. Constantly being dismissed. In constant pain. Were you able to find any help?
This is happening to me too 😢
Yeah the doctors are dismissing too and they are referring me to see a psychiatrist, this is weird ..I am sick of this disease , I went through a fistulectomy and in problem ever since
@exploringnaturalbeauty2102 they should give u a reason. If it depression I read a statement that over 90 % ppl who deal with that condition fall into depression of some sort. sorry you are experiencing this.