My daughter had one! She is fine now! Hers was from constipation. She was burning and aching pains she said it hurts pretty bad. Thanks docs! ❤ Happy Easter to u guys and your families. 😊
The pain is absolutely terrible but it gets extremely discouraging because it seems like it will never get better but then one day it just does. It took 8 weeks, both times.
I have been suffering with anal fissue from past 1 year .. and slightest change in diet or holding up the urge to pass stool ..it starts the cycle of pain and bleeding and goes on for 2 weeks then gets healed. But keeps reoccurring. Try sitz bath 2 times a day, it really helps. God heal everyone going through this intolerable pain😢
Hi there thanks for sharing but my self I'm really struggling everyday when I go to the toilet, and I use fiber foods every day in my life also get fruits everyday but still the same 😢
Use Huggies wipes, sometimes it's not the fiber but the issue is that toilet paper is made from many chemicals that can irritate the anus (fissure), and micro cut you. Wipes allow moisture so the skin doesn't get irritated, and apply ointment (Vaseline) after every use and shower. DONT use toilet paper it makes it worse and prevents it from healing.
glycerine suppositories before you go are also great until it heals. Non Addictive and coats the fissure going in to lessen the likelihood of a tear. Fibre # 1
@@Beeyouteeful I used for about 6 months. However, still use to make sure it stays healed. Also completely safe according to surgeon to use as long as you want because it is not medicinal.
I had two goes of EUA and Botox & the fissure reestablished itself after a few months both times. I was then prescribed Rectogesic cream (Glycerine tri-nitrate aka GTN). GTN is a vasodilator and increases blood flow. The Fissure was gone in a few weeks. The only thing is you get systemic side effects with GTN (mostly a headache) as it's rapidly absorbed in rectal tissue. The side effects only last a few minutes with no long-term issues.
I had a sphincterotomy many years ago before using botox for painful anal fissures became available. It was a simple procedure, and completely successful.
I suffered for a few years, then with to see a Surgeon. The surgeon was great, gave me the cream and told me to use fiber, water, clean with tucks pads, took another few months, but I'm healed. THANK GOD!!@
I have had all of this, then got sent for more tests where they found that my sphincter muscles didnt work properly and surgery would likely not be successful and make me incontinent surgeon said it was too risky. Sometimes i would take that over the pain i still have.
I get them once in a while, and they are the direct result of constipation or straining caused by certain foods. The key is to monitor what you eat so you learn to avoid those foods which cause constipation so that you don't have to strain so much. I try to avoid eating too much meat, coffee, and cheese too. Recovery time is about 3-4 weeks, and the way tell it is healing, is by noticing the bleeding begins to subside in that it becomes spotty until it eventually stops completely.
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . )@(#₹-🎉
My ordeal was a year long one. First because it wasn’t diagnosed second I was having heart issues simultaneously I had a Quadruple Bypass and everyone asks about the pain. The bypass was nothing pain wise but the anal fisher was months of hell. Finally got hooked up with a good Gastro surgeon who tried the Botox which helped but I had to have the sphincterotomy and now it’s great. Thanks to all the good doctors out there.
My friend has had constipation too often and she changed her diet then regular movements are happening. A possible blocking caused her pain even though she eats enough fiber. Her doctor didn't have a reason but I knew she only drinks 1l of water a day. I say, now drink 3l+ of water as fiber and water seem equally important. She does and she's defacating a-ok now.
I’ve had both hemorrhoids and fissures (and heart and cancer et al), but I thought the hemorrhoids were more painful. When the fissures bled, it actually relieved the pressure. ANAL JOKE: Nobody was really surprised when he changed his name - Mercury, Venus, Earth, Mars, Jupiter, Saturn, Doug, Neptune, Pluto.
I use to have anal fissure(several years). I got rid of mine by doing intermittent fasting . It can't heal if you are always pooping . All fiber is going to do it keep you pooping. With fasting I would only poop every few days because I wasn't filling my intestines with food.
@@lloydkuutsi2537 The cream is prescription and mentioned in the video I think...Diltiazem maybe? The hot baths and cream both improve circulation in the area and help speed up healing.
@@lloydkuutsi2537 The cream is prescription call dilatzem (I think). Both the cream and hot baths work to increase blood flow in the area to help speed up healing.
Thank you Doctor Choy. Another Rock Star Guest Doctor like Doctor’s Zalzal and Weening. ALL such great, knowledgeable topics. For someone in their mid-60s, knowledge is power.
I've been eating a mostly plant based, high fiber diet for years. My stools are very regular and soft, yet I've still had several of these. I thonk my sphincter doesn't relax properly during defecation. So even though I'm doing all the right things, I still experience misery about once a year.
These guys left out anal spasm and pelvic floor therapy. Mine seems to be a combo of pelvic floor and fatty liver issues. So many possibilities for causes and surgeons are going to want to surgeon.
I was using the fiber supplements for years (remember Per Diem?). Pain came and went, but when it came it was excruciating. After unrelated melanoma scares and surgeries, I was referred to a rectal surgeon. His surgery on me was the ticket. Aftercare was a year of monthly visits where he painted the affected area with silver. Twenty years later and I'm still healed and pain-free.
I get this every now and again and it's extremely painful..It's usually when I start eating really bad..I'm going on a week now where it still hurts..Hoping it heals soon.
I had an extremely painful, anal fissure the ointment, medication rectiv which is nitroglycerin that’s specifically for anal fissures worked amazingly. Only thing that gets hard to get it hard to find I had to drive far away to a pharmacy that had it
I am 73. I am pretty well convinced that my anal fissures will not, and perhaps never will heal. I tried fiber and water, less fiber and more water, and various other combinations, all while using a topical, prescription ointment. Things improved and then after many months of using the ointment and then quitting its use, either the fissures immediately reopened or new fissures were created. In the past year I have used a Miralax store-brand once a day and since it allows more water to remain in the colon, it seems to solve my problem. Stools are soft and I am pain and bleeding-free. It is a relatively benign daily treatment in that the medication goes no farther than the colon. It does not enter the bloodstream. There are no other side-effects such as spontaneous bowel movements. When I miss a day, the pain returns the following day. I don't like the idea of taking a stool-softener daily, but I prefer it to pain and bleeding.
I had a sphincterotomy many years ago that developed into a fissure, then had to have that repaired and then another sphincterotomy because the first doctor did it in the wrong place. It sucked and hurt like he'll, I was in nursing school and could not sit down in class, ugh.
I got an anal fissure during childbirth. It seems that the area is weakened, as 30 years later it still raises its ugly head if I've eaten poorly and gotten constipated. Definitely very painful. Thanks for the video, docs. Botox - good to know. 🙂
First time watching you 😂 . You got to have a sense of humor when talking about the bum. It’s too painful otherwise.😊 I have a couple of digestive issues that I will always have. So it goes. BTW , I subscribed. I would always pick a Dr with a sense of humor. I’m nearing 70.
What is the difference between anal fissures and hemorrhoids? I have had problems with hemorrhoids back during the winter of 2020-2021. They came back a little bit over the past two months but not as bad as four years ago.
It looks like I was waiting for this podcast . I do suffer with this problem for almost 3 months doing all the right things ( lots of fiber , fluids , ointment prescribed by the Dr. ) Nothings works ! I have scheduled appointment we will see what is next , maybe botox ? - and I said I will never use that staff 😉😂
All the other doctors contradict what this doctor said. Even my own surgeon said do not add fiber and quit the vegetables. This doctor even says that it adds bulk. Several doctors including mine recommended the carnivore diet. Olive oil, avocado oil and fatty fish are beneficial. So far this is the only video I've watched that said to add vegetables and more fiber. Everybody agrees on more liquid. I'm not a doctor so I'm not going to argue with him but I will follow my doctor's instructions.
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . Kjsjdu🎉🎉
Mine have gotten worse. They’ve gotten longer and now even if my stool is soft, it still is absolute agony. I had to leave work bc I had a bowel movement that morning and the pain was so bad I couldn’t sit. I had another bowel moment and it was a nightmare. I cried and my hands were shaking. 😢😢😢 I sent a message to my pcp for help.
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . )@(+₹+🎉
My ex had to have one surgically corrected... when they asked him what he was there for that day, he said 'Yea, I'm in for a Rectal Re-tread today.' The surgical nurse about DIED laughing!
Thank you so much for this video! I didn't realize an anal fissure could be naturally occurring. I have had one since I add an episiotomy during the birth of my son almost 35 years ago. It has healed and flared up more times than I can count. It's brutal! I eat a very healthy diet and drink lots of fluids, fortunately. It's very sad that I was given no information or education on the subject by my doctor, but, I have been muddling along and managing it. I'll be asking my family doctor for a topical rx asap. Again, I thank you so much for this info!
Yeah I’ve been dealing with this for a while now. As soon as I got on a fiber and water diet it seems to have gotten better. Sometimes it’s super painful to use the bathroom and other times it’s easy. Probably gonna go to the doctor soon just to be safe and make sure it heals fully cuz it’s on and off for me.
Having the same issue mine been on and off for a year . But when it's on its so painful you don't want to even go to the toilet buy you no if you don't it will be even worse
Unfortunately for those of us with chronic diarrhea, who cannot tolerate fiber supplements, who already have urgency, who can't find a way to stop diarrhea that doesn't bring on constipation (that can be severe), and have had multiple anal fissures... and the pain is utterly intolerable.... 9/10 with bowel movements and for 30 minutes after... and those BM's are frequent.... This was my issue when I went to a colorectal surgeon. I had injections, creams, tried the cholestyramine (as I'd had a cholecystectomy years prior) and almost ended up in the ER, had to give myself an enema from tiniest dose of it...ended up having rectal surgery. Recovery was hell too. Was in so much pain for months. And can't take most painkillers. I was the patient from hell, because nothing worked for me! Any thoughts for me if this happens again? I still struggle with diarrhea most days. Still trying to find an answer for that.
Botox can also cause temporary incontinence. Had it spring of last year, along with skin tag removal from previous fissures. It healed pretty quickly afterward. The Botox also caused a thrombosed hem. (Came home from procedure with it, so I had to heal from TWO things then. Ugh.) Feel like I have another one and do all I can to keep stools soft. And fiber doesn’t work for everyone, especially the supplements that GI docs harp on. Trying to balance fiber, magnesium, stool softeners to go ok and just once a day. Working with a dietician now and we STILL haven’t figured it out! :(
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . Accha hai 🎉🎉
Thanks doctors for the elucidative explanation. I was personally suffering a lot from this problem a few months ago. Now the condition is better. Since then I am using "Sucral ano" cream and taking sitz bath daily. How long do I have to use the cream? Any suggestions?
The problem for me is the pain is only bad until i go to sleep once i wake up the pain either decreases or disappears completely its during and after a bowel movement i usually use prep h
A fissure is a small tear on the lining inside of the anus. A hemorrhoid is usually less painful and is an issue with the blood vessels outside or just inside the anus. A doctor will tell you very quickly.
My doctor said i had a fissure, ...that was over 20 years ago, i still have 'something' that pops out my hole when i pass a stool every single morning, i have to sit down on a hard surface and place pressure on my butt and it pops back in. ( i had a mishap many years ago where i bent down quickly to look at something under my vehicle and didnt notice a metal rod, it went straight up my butt hole and there was a sharp pain and blood, ever since then since the dostor said i had a fissure i just used some cream and it went away but then kept coming back, 20 years later stil in same situation), i really do not want surgery :(
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . @)(#+🎉
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . 🎉🎉🎉🎉
I don't know if I agree with you on fiber especially if people have IBS and chronic constipation it's not something they can just start immediately takes a long time to start feeling comfortable with this stuff.
I had the surgery sphincterotomy, it was no fun, took 3 months to recover/heal from the surgery, the bleeding would not stop for 3 months, and all of a sudden it stopped and I did not know why. I don't feel any significant improvement after the surgery though. I really hope somebody could develop some artificial butt to replace the whole organ down there, they built the artificial heart many years ago, why nobody do something for the butt, how hard could it be?
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . )@(#-₹🎉
Every time I hear anal fissure I think of The Office episode where Dwight had to pick the healthcare plan. And I now know more about anal fissures than I ever thought I needed to know.
When I saw the title of this I laughed because it reminded my of an The Office episode. They're shopping for medical insurance and have to submit a list of their pre-existing conditions. Michael doesn't believe anal fissures are a real thing and outs the employee who has them in front of the whole office.
My husband died from ALS and I have never heard of that, it doesn't make sense to paralyze, what's already paralyzed. That would compromise swallowing more. Even with a gastro feeding tube my husband liked to try to drink things. Botox can cause ALS so this seems stupid!!!😮
@@Mithras444 there’s not a single case described in literature of Botox causing ALS. Botox paralyzes muscle and salivary glands are not muscles. I’ve been involved in hundreds of cases of the Botox injections for drooling. It may not be life changing for the patients but is for the caregivers. You should research things before spreading misinformation. I’m very sorry you lost your husband, it is a horrible disease.
It's horrible. You can't concetrate or sit down. You have to lay down all the time. The Sphincterotomy fixed it for me. This was due to Covid and a bad diet.
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara . 🎉🎉🎉🎉
Use Huggies wipes, sometimes it's not the fiber but the issue is that toilet paper is made from many chemicals that can irritate the anus (fissure), and micro cut you. Wipes allow moisture so the skin doesn't get irritated, and apply ointment (Vaseline) after every use and shower. DONT use toilet paper it makes it worse and prevents it from healing.
I had anal fissures for 2 years, it lead to a fistula. It was very painful and distressing. And entailed 2 operations. I went to another hospital and they did a test and diagnosed rectal Gonorrhoea. I was given 2 tablets, 30 minutes after taking the tablets, I felt the symptoms start to subside and rapidly disappear. If someone has anal fissures that won't heal, it's a diagnosis that doctors should consider. Thank you for your work.
Umm... Rectal gonorrhea is a sexually transmitted disease. Sex safe with condoms and regular sexual health clinic checks are most important. If you have anal sex, you need to have an anal swab regularly. Also your throat needs to swabbed if you do oral sex. Penile, vaginal, anal and oral gonorrhea are things that exist!
@@marleyhill34 Thank you for the advice. Interestingly, I remember the doctor saying that gonorrhea can be transmitted through the use of fingers and I guess sex toys. Gonorrhoea is becoming more difficult to treat and some strains are antibiotic resistant. Untreated STD's can make you more vulnerable to HIV. People need to be educated and to stay safe. Thank you for taking the time to share your knowledge.
I had one for 9 months! Very painful...4th doctor, a surgeon did the sphnicterometey, which solved the issue in 1 week. 18 years later doing great!
Hey hi, after surgery is there any reoccurrance of fissure for u?
My surgery failed miserably and returned in 3 weeks after surgery
@@venu1602 which surgery u had name please and why ur surgery failed?
Any incontinence issues after? To tell you the truth, I'd rather wear a diaper than be in this much pain.
@@likhitha6038sphincteroctomy
My daughter had one! She is fine now! Hers was from constipation. She was burning and aching pains she said it hurts pretty bad. Thanks docs! ❤ Happy Easter to u guys and your families. 😊
What kind of treatment did she have?
Which surgery did she have?
What she did?
Stay away from constipation.
The doctor on our right was fun to watch: his expressions of “ughhhhh” or “ouuuuchhhh” showed up as the specialist surgeon spoke & described it.
The pain is absolutely terrible but it gets extremely discouraging because it seems like it will never get better but then one day it just does. It took 8 weeks, both times.
It’s been 3 years for me. Getting Botox in 2 weeks.
@@knife3did u get Botox any update ?
@@luisvan6176 I'm getting it on Thursday. Remind me and I can let you know how it went. Maybe by next weekend, I'll have more info to share.
This is exactly where i am.... Feeling it wont get better... In only 2 weeks in..
Nightmare absolute nightmare
@@irumkhan3381 can you describe your symptoms?
I have been suffering with anal fissue from past 1 year .. and slightest change in diet or holding up the urge to pass stool ..it starts the cycle of pain and bleeding and goes on for 2 weeks then gets healed. But keeps reoccurring. Try sitz bath 2 times a day, it really helps.
God heal everyone going through this intolerable pain😢
Thanks for sharing
Hi there thanks for sharing but my self I'm really struggling everyday when I go to the toilet, and I use fiber foods every day in my life also get fruits everyday but still the same 😢
Drinks lot of water @@TshilidziTshitimbi
Use Huggies wipes, sometimes it's not the fiber but the issue is that toilet paper is made from many chemicals that can irritate the anus (fissure), and micro cut you. Wipes allow moisture so the skin doesn't get irritated, and apply ointment (Vaseline) after every use and shower. DONT use toilet paper it makes it worse and prevents it from healing.
Try a stool softer for about a month and do sizt bath 2x a day. Limit you food intake and more more more more water@@TshilidziTshitimbi
Great informative video. The 3 docs can sell out stadiums doing stand up comedy on this topic. Great chemistry between the 3 of them.
Wow ... nothing like looking younger! No matter where it is! 😃
😂
I've been on the Keto/Intermittent fasting for three years now. Best way to go to stay healthy and regular.
What’s your fasting regimen?
glycerine suppositories before you go are also great until it heals. Non Addictive and coats the fissure going in to lessen the likelihood of a tear. Fibre # 1
How long did you use for ?
@@Beeyouteeful I used for about 6 months. However, still use to make sure it stays healed. Also completely safe according to surgeon to use as long as you want because it is not medicinal.
@@RedBartyour fissure is cured???
@@ManishK-fe6is yes
@@RedBart please tell me what to do
I had two goes of EUA and Botox & the fissure reestablished itself after a few months both times. I was then prescribed Rectogesic cream (Glycerine tri-nitrate aka GTN). GTN is a vasodilator and increases blood flow. The Fissure was gone in a few weeks. The only thing is you get systemic side effects with GTN (mostly a headache) as it's rapidly absorbed in rectal tissue. The side effects only last a few minutes with no long-term issues.
I have heard about this,is it really that effective?
@@collinsuche67 GTN cream is effective to start with.
GTN didn't work with me.
An apple a day keeps the colorectal surgeon away.
How about stopping anal sex
500g of apples.
Depends on how hard you throw the apple!
I wish this was true
@@suzanmiller558 This is my tongue-in-cheek assertion that a diet which routinely includes fiber will normally be good for the bowel/microbiome.
Terrible, terrible, terrible pain! Mine was a 6 month ordeal.
Please can u tell me wat u did in details ‼️‼️
They hurt all day long...not just during a BM...wouldn't wish this on my worst enemy.
Fiber and more fiber helps.
Yes!
I have them now and woooow talk about a burning knife@@TalkingWithDocs
I agree!
I know what you mean. 1 year for me. N yes fiber does help 😢
@@Sandra-xm6di mine didn’t hurts all the time unless I was digging in my ass😂
Dr weening is too funny. Your anus looks 20 years younger from the botox had me cracking up. I love these docs!
his facial expressions always crack me up - (no pun intended) - 😁
@@kat2878😂😅😢
….huhuhuhuh…. he said krack
Yeah, they'll kill you if you listen to them. Absolute hilarity.
So maybe a broth diet for two weeks. Prevent a bowel movement for 7 days?
I had a sphincterotomy many years ago before using botox for painful anal fissures became available. It was a simple procedure, and completely successful.
And did it heal completely?
@@luisvan6176 yes
Mine doesn't heal even after LIS,its been 4 months post surgery but doesn't heal completely yet. @@luisvan6176
Hi how is ur fissure now? After surgery did fissure reoccured?
I suffered for a few years, then with to see a Surgeon. The surgeon was great, gave me the cream and told me to use fiber, water, clean with tucks pads, took another few months, but I'm healed. THANK GOD!!@
Thanks for sharing!
I’ve had 2 fissure repair surgeries. Most painful surgeries. It took a good 6 wks for the pain to subside.
I’ve had this for 5 years and the pain got so bad I almost gave up. Currently finally seeing a doctor that is willing to help
Take magnesium supplements they are natural stool softener
I have had all of this, then got sent for more tests where they found that my sphincter muscles didnt work properly and surgery would likely not be successful and make me incontinent surgeon said it was too risky. Sometimes i would take that over the pain i still have.
Would you guys consider doing a video on Hiccoughs? We know so little about them …separate myths from fact, treatment, etc.
They HURT so much! I had one when I was pregnant with my son! It freaking was sooooooooooooo painful.
My butt doc fixed it, by the way. A stitch a day keeps a doctor well paid…and so worth it!
I get them once in a while, and they are the direct result of constipation or straining caused by certain foods. The key is to monitor what you eat so you learn to avoid those foods which cause constipation so that you don't have to strain so much. I try to avoid eating too much meat, coffee, and cheese too. Recovery time is about 3-4 weeks, and the way tell it is healing, is by noticing the bleeding begins to subside in that it becomes spotty until it eventually stops completely.
Bran buds and lots of water. Fruit and veggies too! 👍🏻☺️
no white bread, only whole grain...oatmeal with them bran buds going water soluable
Thank you to the doctors for this video. It was a relief to hear someone talking about it as no one talks about it!
Yes that’s what we thought!
Anal Fissures would be a great punk rock band name.
"The Anal Fissures, one night only."
Your comment made me LOL. Thanks for starting my Saturday with a laugh.
🤣😂😅SO funny ‘cause it’s TRUE!!
😂
Do remember that punk rock group called raging p@ssies? That was a punk rock group in Russia.
Paul is it possible to get an internal infection with an open wound internally with fecal matter passing by it ? Regards Rob.
Currently going through the pain right now. Worst feeling, crying every night can’t sleep I hate it. Hope it goes away soon
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
)@(#₹-🎉
My ordeal was a year long one. First because it wasn’t diagnosed second I was having heart issues simultaneously
I had a Quadruple Bypass and everyone asks about the pain. The bypass was nothing pain wise but the anal fisher was months of hell. Finally got hooked up with a good Gastro surgeon who tried the Botox which helped but I had to have the sphincterotomy and now it’s great.
Thanks to all the good doctors out there.
Thanks!
No problem! Wow thanks for the super thanks!
My friend has had constipation too often and she changed her diet then regular movements are happening. A possible blocking caused her pain even though she eats enough fiber. Her doctor didn't have a reason but I knew she only drinks 1l of water a day. I say, now drink 3l+ of water as fiber and water seem equally important. She does and she's defacating a-ok now.
I’ve had both hemorrhoids and fissures (and heart and cancer et al), but I thought the hemorrhoids were more painful. When the fissures bled, it actually relieved the pressure. ANAL JOKE: Nobody was really surprised when he changed his name - Mercury, Venus, Earth, Mars, Jupiter, Saturn, Doug, Neptune, Pluto.
I use to have anal fissure(several years). I got rid of mine by doing intermittent fasting . It can't heal if you are always pooping . All fiber is going to do it keep you pooping. With fasting I would only poop every few days because I wasn't filling my intestines with food.
Best advice ever
What was your fasting regimen?
I have fissures often can't Go poop everyday and hard poo so need advice
😂😂😂😂😂
But doesn’t that make one pass hard stools that would aggravate the issue?
Respectful, humerus medical doctors. God bless 🙏
This video was a pain in my ass. 😂
😂😂😂
Just like anal fissures!
Apparently you have never experienced these issues. It’s not comfortable.
@@michellelyon3149 I was uncomfortable during the entire video.
I m suffring right now very badly😢😭😭😭
These are extremely painful and can take a while to really heal. I found hot baths and the cream helped though.
Can u explain more on hot bath,and name of creams u use
@@lloydkuutsi2537 The cream is prescription and mentioned in the video I think...Diltiazem maybe? The hot baths and cream both improve circulation in the area and help speed up healing.
@@lloydkuutsi2537 The cream is prescription call dilatzem (I think). Both the cream and hot baths work to increase blood flow in the area to help speed up healing.
Sudo-creme, it workss
@@moo7210how long does it take to hill using that cream
Anal fissure after giving birth, I can’t even hold my newborn I hate it! It feels like death! I pray to god I heal soon! Please pray for me.
Me too have been facing the same for the past 9 months.Dont worry god is with you
Thank you Doctor Choy. Another Rock Star Guest Doctor like Doctor’s Zalzal and Weening. ALL such great, knowledgeable topics. For someone in their mid-60s, knowledge is power.
Wow, thank you! Doing our best cheryl
I've been eating a mostly plant based, high fiber diet for years. My stools are very regular and soft, yet I've still had several of these. I thonk my sphincter doesn't relax properly during defecation. So even though I'm doing all the right things, I still experience misery about once a year.
These guys left out anal spasm and pelvic floor therapy. Mine seems to be a combo of pelvic floor and fatty liver issues. So many possibilities for causes and surgeons are going to want to surgeon.
I had a fissure and i was in agony even walking but my doctor gave me xellilaprox sorry for the spelling but it was amazing .
I was using the fiber supplements for years (remember Per Diem?). Pain came and went, but when it came it was excruciating. After unrelated melanoma scares and surgeries, I was referred to a rectal surgeon. His surgery on me was the ticket. Aftercare was a year of monthly visits where he painted the affected area with silver. Twenty years later and I'm still healed and pain-free.
Thanks for sharing your experience.
I get this every now and again and it's extremely painful..It's usually when I start eating really bad..I'm going on a week now where it still hurts..Hoping it heals soon.
Yes eat better! More fruits and vegetables
It hurts so bad all day long. Can't sit or stand or do anything. I take iron vitamins, and it causes constipation
How are u now ?
Never keep the anusol next to your toothpaste! 😂 Seriously though, fissures are not nice! Happy easter, Docs! 🐰🐇🐣
Prunes do wonders for me!
Nice
I’ve been on the cream for over 6 weeks and it isn’t consistently working. I see the PA next week- hopefully to discuss Botox.
I had an extremely painful, anal fissure the ointment, medication rectiv which is nitroglycerin that’s specifically for anal fissures worked amazingly. Only thing that gets hard to get it hard to find I had to drive far away to a pharmacy that had it
It took 5 days to find the nitroglycerin and insurance doesn't cover it at least mine didn't they wanted $700!!! I was able to get it for $160
I am 73. I am pretty well convinced that my anal fissures will not, and perhaps never will heal. I tried fiber and water, less fiber and more water, and various other combinations, all while using a topical, prescription ointment. Things improved and then after many months of using the ointment and then quitting its use, either the fissures immediately reopened or new fissures were created. In the past year I have used a Miralax store-brand once a day and since it allows more water to remain in the colon, it seems to solve my problem. Stools are soft and I am pain and bleeding-free. It is a relatively benign daily treatment in that the medication goes no farther than the colon. It does not enter the bloodstream. There are no other side-effects such as spontaneous bowel movements. When I miss a day, the pain returns the following day. I don't like the idea of taking a stool-softener daily, but I prefer it to pain and bleeding.
Sounds reasonable. Some surgeons use Botox
Magnesium supplements work for some folks to soften stool.
I had a sphincterotomy many years ago that developed into a fissure, then had to have that repaired and then another sphincterotomy because the first doctor did it in the wrong place. It sucked and hurt like he'll, I was in nursing school and could not sit down in class, ugh.
How are you now?
How are you now?
Same here, i am also in nursing school,i am suffering from fissure from two months, it was like hell, it is the worst pain anyone ever feel 😢
Very good and informative topic 👌🏾
Glad you think so!
I got an anal fissure during childbirth. It seems that the area is weakened, as 30 years later it still raises its ugly head if I've eaten poorly and gotten constipated. Definitely very painful. Thanks for the video, docs. Botox - good to know. 🙂
Where did you give birth from? Just kidding that sounds painful
I had this several times as a kid. It was awful. My doctor prescibed Glyceryl trinitrate paraffin ointment.
So what?
First time watching you 😂 . You got to have a sense of humor when talking about the bum. It’s too painful otherwise.😊 I have a couple of digestive issues that I will always have. So it goes. BTW , I subscribed. I would always pick a Dr with a sense of humor. I’m nearing 70.
What is the difference between anal fissures and hemorrhoids? I have had problems with hemorrhoids back during the winter of 2020-2021. They came back a little bit over the past two months but not as bad as four years ago.
It looks like I was waiting for this podcast . I do suffer with this problem for almost 3 months doing all the right things ( lots of fiber , fluids , ointment prescribed by the Dr. ) Nothings works ! I have scheduled appointment we will see what is next , maybe botox ? - and I said I will never use that staff 😉😂
What happened? We have dr appt in a week
All the other doctors contradict what this doctor said. Even my own surgeon said do not add fiber and quit the vegetables. This doctor even says that it adds bulk. Several doctors including mine recommended the carnivore diet. Olive oil, avocado oil and fatty fish are beneficial. So far this is the only video I've watched that said to add vegetables and more fiber. Everybody agrees on more liquid. I'm not a doctor so I'm not going to argue with him but I will follow my doctor's instructions.
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
Kjsjdu🎉🎉
Strady diet of Metamucil for 4 weeks worked for me
Mine have gotten worse. They’ve gotten longer and now even if my stool is soft, it still is absolute agony. I had to leave work bc I had a bowel movement that morning and the pain was so bad I couldn’t sit. I had another bowel moment and it was a nightmare. I cried and my hands were shaking. 😢😢😢 I sent a message to my pcp for help.
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
)@(+₹+🎉
I just noticed that I have the fissure and this video has just helped me😊
Glad to hear that
My ex had to have one surgically corrected... when they asked him what he was there for that day, he said 'Yea, I'm in for a Rectal Re-tread today.' The surgical nurse about DIED laughing!
That's hilarious
Thank you so much for this video! I didn't realize an anal fissure could be naturally occurring. I have had one since I add an episiotomy during the birth of my son almost 35 years ago. It has healed and flared up more times than I can count. It's brutal! I eat a very healthy diet and drink lots of fluids, fortunately. It's very sad that I was given no information or education on the subject by my doctor, but, I have been muddling along and managing it. I'll be asking my family doctor for a topical rx asap. Again, I thank you so much for this info!
Too much insoluble fiber can make the problem worse. Fiber bulks up the stool. You don't want bulk.
So soluble fiber is much better?
It will pass
SEDATION, thank goodness he mentioned that
Btw, this video was excellent on Anal F. ( actually all your videos are so helpful and informative! 😀)
Syp. Dufalac u can take 15/20 ml @nit
Insert Star Trek/ Klingon joke here
Miralax and Konsyl (or meta mucin) daily, enough said.
Yeah I’ve been dealing with this for a while now. As soon as I got on a fiber and water diet it seems to have gotten better. Sometimes it’s super painful to use the bathroom and other times it’s easy. Probably gonna go to the doctor soon just to be safe and make sure it heals fully cuz it’s on and off for me.
Having the same issue mine been on and off for a year . But when it's on its so painful you don't want to even go to the toilet buy you no if you don't it will be even worse
Unfortunately for those of us with chronic diarrhea, who cannot tolerate fiber supplements, who already have urgency, who can't find a way to stop diarrhea that doesn't bring on constipation (that can be severe), and have had multiple anal fissures... and the pain is utterly intolerable.... 9/10 with bowel movements and for 30 minutes after... and those BM's are frequent.... This was my issue when I went to a colorectal surgeon. I had injections, creams, tried the cholestyramine (as I'd had a cholecystectomy years prior) and almost ended up in the ER, had to give myself an enema from tiniest dose of it...ended up having rectal surgery. Recovery was hell too. Was in so much pain for months. And can't take most painkillers.
I was the patient from hell, because nothing worked for me! Any thoughts for me if this happens again? I still struggle with diarrhea most days. Still trying to find an answer for that.
Botox can also cause temporary incontinence. Had it spring of last year, along with skin tag removal from previous fissures. It healed pretty quickly afterward. The Botox also caused a thrombosed hem. (Came home from procedure with it, so I had to heal from TWO things then. Ugh.) Feel like I have another one and do all I can to keep stools soft. And fiber doesn’t work for everyone, especially the supplements that GI docs harp on. Trying to balance fiber, magnesium, stool softeners to go ok and just once a day. Working with a dietician now and we STILL haven’t figured it out! :(
Can they grow into the brain? That would explain a lot 🤔
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
Accha hai 🎉🎉
Could you do a talk on "Do I need a Hip block/cortisone injection to diagnose an arthritis hip"?
Been battling fissure for 2 years now. I have been taking liquid parafin with lots of fruits and vegetables and it's year to heal......
Thanks doctors for the elucidative explanation. I was personally suffering a lot from this problem a few months ago. Now the condition is better. Since then I am using "Sucral ano" cream and taking sitz bath daily. How long do I have to use the cream? Any suggestions?
My problem was constipation .I am 69 year old even diet was not working . With ( Lax a day ) my fissures are gone ! 👍
Keep it up
Dr. Brad has a tell face...so about to crack up after the mention of botox!
The problem for me is the pain is only bad until i go to sleep once i wake up the pain either decreases or disappears completely its during and after a bowel movement i usually use prep h
Sorry to hear that
How can we tell if they are hemorrhoids or anal fissures before being examined? Is there a difference in the feeling and pain?
A fissure is a small tear on the lining inside of the anus. A hemorrhoid is usually less painful and is an issue with the blood vessels outside or just inside the anus.
A doctor will tell you very quickly.
Happy Easter, Docs. Hope you have a decent break from work .... and us!
My doctor said i had a fissure, ...that was over 20 years ago, i still have 'something' that pops out my hole when i pass a stool every single morning, i have to sit down on a hard surface and place pressure on my butt and it pops back in. ( i had a mishap many years ago where i bent down quickly to look at something under my vehicle and didnt notice a metal rod, it went straight up my butt hole and there was a sharp pain and blood, ever since then since the dostor said i had a fissure i just used some cream and it went away but then kept coming back, 20 years later stil in same situation), i really do not want surgery :(
That’s an interesting story
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
@)(#+🎉
Full hysterectomy shredded my rectum. It's not just one tear. I use very warm water when it's diarreah.
H fissures oil, on Amazon mixed with coconut oil homemade sepositories 50/50 mix, high fiber diet. Forget about botox. 🙏
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
🎉🎉🎉🎉
I recommend eating all bran buds. A cup a day will make it really easy to pass a stool.
I don't know if I agree with you on fiber especially if people have IBS and chronic constipation it's not something they can just start immediately takes a long time to start feeling comfortable with this stuff.
I had the surgery sphincterotomy, it was no fun, took 3 months to recover/heal from the surgery, the bleeding would not stop for 3 months, and all of a sudden it stopped and I did not know why. I don't feel any significant improvement after the surgery though. I really hope somebody could develop some artificial butt to replace the whole organ down there, they built the artificial heart many years ago, why nobody do something for the butt, how hard could it be?
My physician prescribed me suppository for fissures. It started before three months , was better in the middle and relapsed again.
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
)@(#-₹🎉
Or sometimes it happens when things go in the wrong way.....IDK
Great information! Can a pregnant woman can take botox injection for fissure?
Every time I hear anal fissure I think of The Office episode where Dwight had to pick the healthcare plan. And I now know more about anal fissures than I ever thought I needed to know.
Warm salty baths also help. I’ve had an anal fissure. It is not nice at all.
When I saw the title of this I laughed because it reminded my of an The Office episode. They're shopping for medical insurance and have to submit a list of their pre-existing conditions. Michael doesn't believe anal fissures are a real thing and outs the employee who has them in front of the whole office.
It was actually Dwight. But still poor Kevin
@@duncanmcauley7932 Oops, I stand corrected lol.
In radiology, we use Botox injections for salivary gland dysfunction in stroke/ALS patients who have excessive drooling due to inability to swallow
Many uses. Thanks Donnyl
My husband died from ALS and I have never heard of that, it doesn't make sense to paralyze, what's already paralyzed. That would compromise swallowing more. Even with a gastro feeding tube my husband liked to try to drink things. Botox can cause ALS so this seems stupid!!!😮
@@Mithras444 there’s not a single case described in literature of Botox causing ALS. Botox paralyzes muscle and salivary glands are not muscles. I’ve been involved in hundreds of cases of the Botox injections for drooling. It may not be life changing for the patients but is for the caregivers. You should research things before spreading misinformation. I’m very sorry you lost your husband, it is a horrible disease.
It's horrible. You can't concetrate or sit down. You have to lay down all the time. The Sphincterotomy fixed it for me. This was due to Covid and a bad diet.
So much pain since two months my doctor said after week if not the pain decreased using anoreal kream he will do harmonic surgery to it
Ye jo fissure he na bohot hi bhayank bimari hai mujhe bhi fissure huva tha aur jiss jagah par fissure hua tha wo area andar se bohot jyada hard ho gaya tha me bohot pareshan ho gai thi tb Maine Flipkart se pymol + livcon capsule aur manulex churna ka order Kiya aur use continue Kiya 3 mahine me pura complete thik ho gya fir se nahi huva dubara .
🎉🎉🎉🎉
I’m not joking yall I’m dealing with one now. It’s freaking painful
You guys make me laugh so much sometimes I wet my pants
Use Huggies wipes, sometimes it's not the fiber but the issue is that toilet paper is made from many chemicals that can irritate the anus (fissure), and micro cut you. Wipes allow moisture so the skin doesn't get irritated, and apply ointment (Vaseline) after every use and shower. DONT use toilet paper it makes it worse and prevents it from healing.
Thanks for sharing
I had anal fissures for 2 years, it lead to a fistula. It was very painful and distressing. And entailed 2 operations.
I went to another hospital and they did a test and diagnosed rectal Gonorrhoea. I was given 2 tablets, 30 minutes after taking the tablets, I felt the symptoms start to subside and rapidly disappear.
If someone has anal fissures that won't heal, it's a diagnosis that doctors should consider.
Thank you for your work.
Umm... Rectal gonorrhea is a sexually transmitted disease. Sex safe with condoms and regular sexual health clinic checks are most important. If you have anal sex, you need to have an anal swab regularly. Also your throat needs to swabbed if you do oral sex. Penile, vaginal, anal and oral gonorrhea are things that exist!
@@marleyhill34 Thank you for the advice. Interestingly, I remember the doctor saying that gonorrhea can be transmitted through the use of fingers and I guess sex toys.
Gonorrhoea is becoming more difficult to treat and some strains are antibiotic resistant. Untreated STD's can make you more vulnerable to HIV.
People need to be educated and to stay safe.
Thank you for taking the time to share your knowledge.
@@marleyhill34 Yes they do exist but the taste is to die for!
Dr weening almost list a couple times whwn they were talking about making the lower unit look 20 years younger.