Stress management and exercise for Anal Fissure treatment (Part 3/5)

[@yourfriendlyproctologist]

Another video on anal fissure treatment?? Yes, anal fissures are not easy and my plan is meant to be as complete as possible!

[@kathcares]

Some people think that a specialist is only supposed to treat a specific problem. Some specialists think that, too. I'm so glad that you take the time to explain how our overall health affects specific conditions. I have been meditating for a few months and it has definitely affected my health in a positive way! The returns on this small investment have been enormous!

[@yourfriendlyproctologist]

So true! The more I listen to my patients, I the more I learn about these conditions. The human body is extremely complex and everything is connected together so it makes sense that treatment needs to be approached from many different angles.

[@shureenaimar6159]

Thank you for talking about this and educating us all! The pain is nothing I’ve ever experienced in my entire life! At first I thought it was hemorrhoids but the pain was like glass coming out of my butt while having a BM and excruciating pain for 4-5 hours after. Absolutely incredible! Nothing I’ve ever experienced in my 52 hrs of life

[@Turbogyan]

How r u now?

[@sarahmirza1143]

How are you know

[@irenaw2504]

Hi, how are you now? I have the same issue

[@cariwithani]

I am going through this exact thing, have been for months. Today has been utterly horrendous, I'd rather go through childbirth again than this.

[@shubhashrivastava5740]

Hi doc.. you are soo right that stress causes all the problem. I have always been a person with good diet and being an indian we eat a complete plate with fiber, carbs, protein, and vitamins and probiotics in our diet daily. I keep myself hydrated by drinking 4liters of water ecery day.. i have been doing yoga since almoat 9 years now.. and have even droped 30kgs of my post pregnancy weight.. in all the healthy way poasible..
But life took a toll on me as my family life went uncontroable. I kept myself positve and motivated tried managing everything in the best way possible.. i was laughing, having fun with friends spending time with mh kids and what not.. i didnt think that dispite of doing all this my mind did not took the good part my body was stressed from inside and even after doing so much wonderful with my body and mind.. i got constipated for month (on and off) i never thought it will give me so much pain .. i ended up have one painful stool one day and today its been 6 months the pain does nit go away.. havr been diagnosed with fissure currently my doc prescribed my diltizem i hope things get better... i anal sprinter is too tight and it gives spasm like anything.
I have been managing my stress since long.. but sometime we dont realise that our body is stressing from inside nomatter what we try. I am also a very spritual person by birth.. so i believe there is a reason for everything in life to happen. I hope i can cope up with this situation gracefully and come out of it.
That you doc you are such a relief to soo many around suffering fro this pain... prayers for all of us. 🙏 i hope everyone gets well soon.

[@yourfriendlyproctologist]

Wow. incredible story. Thanks for sharing.

[@shubhashrivastava5740]

@@yourfriendlyproctologist sir i just wanted to know one thing... is it possible to check the anus and rectum problems through MRI .. like y do doc needs to do an anoscopy .. see from outside i have beed detected with a fissure.. but what if i have internal piles as well... i heard in india they check through MRI but here they dont do that ways.. y so

[@Refulgent_Rascal]

How are you doing now? Have you healed?

[@user-yu6ov4nf5y]

@@shubhashrivastava5740 hey i am suffering from hard stools which are only hard from the starting and fissures any suggestions for me?

[@SomeGal]

@@user-yu6ov4nf5y Pears are a God-send. Eat a whole one (cored) for breakfast, an avocado for lunch, and beans at dinner. Water with every meal. TRUST.

[@naturegirl4074]

Yeah don’t let yourself get to that point where you’re so anxious it makes you tighter because it’s hard to come back from

[@JonysiguelVEVO]

Hi! I'm an anesthesiology resident and I've had my fissure for like a year. I'm looking at your channel and hoping to put everything you say into practice. Keep up the good work doc, you've earned yourself another subscriber.

[@yourfriendlyproctologist]

Appreciate the kind words! Congratulations on your success thus far in your career! I wish you the best.

[@pratikyadav5884]

Hi Jonathan, how is your fissure now?

[@gyanaranjan3268]

How r u now

[@JonysiguelVEVO]

Hey everyone, so I've seen some interest in my present situation haha. I'm doing great! I began to be really careful with my diet, I drank lots of water and I took a stool softener every day for 2 months. I stopped bleeding after a few days, the pain went away after like 2 weeks, by week 4 or 5 I was healed. I live a completely normal life now, I don't worry about anything other than common sense good eating habits, lots of water and that's it.

[@gyanaranjan3268]

@@JonysiguelVEVO sir how many months it took to u to recover? Was it chronic

[@HenkduPlooy-ym3ed]

You are a wonderful person and Dr. Truly we need more people like you.. You have wonderful advice and help, thank you so much.

[@sachinvinith813]

thankyou for being who you are, not many doctors are open about this issue, based on your explanation I think it's only right I experience pain at the middle of night(since I'm stress up most on midnight's) and iam on anti dep medications. I can understand how stress relaxation works for this, thanks doc

[@InternDoc_]

Hey Doc
You're really helping us by provinding new information in every videos!
I am a 3rd year med student
I have got internal hemorrhoid since 5 years
And recurring anal fissures..
I tried every conservative med but nothing worked for me
I hate going to doctors now
Suffering silently now..
Please give some lifestyle advices doc

[@SomeGal]

You hate going to the doctor and you are a med student! I understand entirely. I also work in healthcare and do not want to see a doctor! They are zero help! Glad Dr. Chung and hopefully you (and me) are part of the change healthcare desperately needs (just listen to our patients!).

[@VarunSharma-pn8jo]

Thanks, Doc really superb information as I'm probably suffering from stress, anxiety, or depression.. and it's actually leading to all the things you have mentioned. Neck strain, numbness, anal fissure, left abdomen pain, back pain even tinnitus Distress.. you name it.. and after all the CTs Ultra, x-rays etc.. you name all the reports are fine. Seen a few doctors and always feel that maybe some doctor will actually say or tell me hey this is what is wrong with you.. but all the reports are fine (figures crossed). Now just trying to relax my mind and do some meditation, yoga maybe travel but still struggling to beat it...!!

[@user-yu6ov4nf5y]

hey i am suffering from hard stools which are only hard from the starting and fissures any suggestions for me?

[@ferencferenc6849]

Very good channel! Thanks for your advice. I have 1 external and 2 internal superficial fissures for 10 months and now I learned a lot of new things from these videos! I hope I can avoid Botox or surgery. Greetings from Hungary

[@yourfriendlyproctologist]

I wish you the best on your recovery! Thank you for commenting.

[@Refulgent_Rascal]

How are you doing now? Did you manage to heal them?

[@ferencferenc6849]

@@Refulgent_Rascal I feel better but not fully healed yet... I have better and worse days depending on my stool consistency...

[@gyanaranjan3268]

​@@ferencferenc6849how are you doing now?

[@Jeff-tk8wu]

Your videos give me hope thank you. Going on 9 months with 3 visits no change I'm going to apply my cream the way you suggest. My doctor said go to First knuckle but that really angers the fissure gonna try the q tip method.

[@SF-fs1ei]

Dear Dr Chung you are fantastic, thank you very much for providing such beneficial and comprehensive information about anal fissures and haemorrhoids! I am a sufferer (fissure+grade 2 haemorrhoid) and have been to many primary care doctors and a colorectal surgeon recently but your videos give me so much hope and reassurance, Thank you very much!! God bless you. 🤲

[@deborahcohen4045]

Hi Dr. Chung thank you so much for these amazing videos they are perfect! Questions: 1. what do you think about CBD oil in relaxation/treatment of anal fissures 2. could you put a link to all these anal fissure video series in your text above so they are easy to find? 3. Please keep this up! Your attitude is so encouraging, and the breathing and relaxation and positive attitude really does help in this particular issue! All the data ive seen suggests anal fissures reccur, CCB are only marginally better than placebo, and studies make no mention of the role of stress and relaxation in treatment. I am a PGY3 family medicine resident and aside from having an anal fissure myself during interview season while I look for job, you are helping me teach patients!! I found you on youtube when I was trying to understand what the heck a sitz bath was, and despite asking all the doctors around I didnt get an answer I just got awkward looks, it was great to finally have an answer and actual details.

[@yourfriendlyproctologist]

Great to hear from you! You are going to help so many people. CBD has many uses but I don't have experience recommending CBD application on the anus.

[@paulineviverette7769]

Dr. Chung, I'm so glad I found you. I wish you could refer me to a Chicago/Hazel Crest, IL proctologist just like yourself. It would be a gift from heaven! Lord, I pray!❤❤🙏🙏

[@irenaw2504]

​@@yourfriendlyproctologisthi, thank you so much for your vidoes. Could you please explain a bit more about diltiazem cream?
1. Can you put it inside the anus or only on the outside ? 2 How long does it take for it to start working? When should the pain ease?

[@Mamoo777]

This is so stressful!!,who would have thought that a cut down there could cause such hell.

[@susanwright1999]

You're a god send .

[@8saroj7]

Mix one glass Cold milk and one lemon juice , drink in empty stomach just after waking up for 3-7 days in the morning. Anal muscles problem will be relaxed.

[@nrtnrt6676]

Im waiting nearly 2 years for treatment on the NHS in the UK.

[@user-ck7uh8yq6u]

Any luck?

[@nrtnrt6676]

@@user-ck7uh8yq6u I have had botox 4 times, skin tag removal and LIS. Still the same. Although skin tag removal recommended. Seeing pelvic floor physio tomorrow for first time as it may simply be the sphincter muscle tightening and causing severe inflammation. Any questions feel free to ask.

[@modupeolokun9414]

Thanks doctor, this really helps.

[@yourfriendlyproctologist]

I'm so glad to hear you are doing better! Thank you so much for letting me know...it's inspiring.

[@user-vr4dg9hi7m]

Hi doctor. First thank you for these videos. Question : driving for 4-5 hours daily is ok when we have fissure ? Thank you

[@hopes1569]

Hello I m getting the sling tag removed in the same time than botox injection in March 28th I have my fissure since 3 months

[@worlddaves]

Dr. Chung, is running a good exercise to improve blood flow too?

[@shuvopaul7764]

Thank you very much mate, I have a question, I am having this fissure near about 2 months and trying to follow all of your instruction,
Q. Can I go to gym and do my gym workout dose it make it worse like weight lifting or hard workout, I am in weight loss journey and lost near about 8kilo but now not having enough confident to go to gym again,I might make it worse

[@TNTechy]

Which surgery is best for anal fissure open surgery or laser surgery please sir reply me.

[@YoYo-yx8vu]

Thanks

[@sharingiscaring.2578]

Dr can we inject jatyadi oil by crying for annal fisrsure treatment...as i have watched few videos.. plz reply 😭

[@rakeshmek]

Dr Is it true that few years after LIS, internal spinchter connect can become tighter naturally ..

[@yourfriendlyproctologist]

Its possible

[@SomeGal]

So just general exercise? Or exercise targeted at the pelvic floor?

[@jilross4892]

So what to do if nothing passes anymore? Is that a dangerous situation?

[@scottcolvill5558]

Do i just have to push through the pain?

[@hannahverschuuren5116]

Dear Dr Chung, do you think road cycling can make fissures worse? I go cycling daily in the morning, after my bowel movement. I always have pain after a bowel movement, so I can't really feel if cycling is making it worse or not, because it hurts anyways.

[@yourfriendlyproctologist]

I don't believe cycling makes fissures worse, but they can irritate the fissure. I don't believe cycling is dangerous to fissures.

[@relaxandlivelife7093]

I went to 3 doctors already and still no relief

[@LongCOVIDAdvocator]

Do you think it is okay to walk 30+ min a day? Yes, I feel discomfort every 3 - 5 min.

[@yourfriendlyproctologist]

it's ok to walk with an anal fissure, but I wouldn't recommend lots of walking if it irritates your anal fissure.

[@LongCOVIDAdvocator]

@@yourfriendlyproctologist Hey doc, good news! I'm not experiencing discomfort anymore after i used the bathroom. I think my fissure healed quickly b/c of the sitz bath. I let the warm air in instead of the water itself and it worked! However, it dosen't mean i'll go back to my old habits, i'll still continue my fiber intake.

[@yourfriendlyproctologist]

@@LongCOVIDAdvocator Congratulations! Best to you.

[@user-yu6ov4nf5y]

@@LongCOVIDAdvocator hey i am suffering from hard stools which are only hard from the starting and fissures any suggestions for me?

[@hari1868]

i had fissures cured by a GP i hv anxiety that i will get again..now no fissure but feel the anal is sore the skin is sore. i use coconut oil is that ok?

[@Freecats439]

Hello
Thanks for the videos. Very helpful points. I watched through almost all and didn’t get answer to one of my questions. I have fissure history for about 13 years, this time has been staying with me for 5 weeks of blood and pain and horror of doing number 2😢 I went to a colorectal surgeon who prescribed nefidipine .2%. I understand this is going to relax the sphincter muscle and it is a process; but if it is going to bleed everyday, how is it going to heal at all? Is it possible that the wound starts to close and I still bleed from a smaller part of the wound?

[@jojovelazquez13]

I want to cry

[@hopes1569]

Me too you are not alone how do you feel?

[@jojovelazquez13]

@@hopes1569 not painful to go to bathroom any more but it’s painful when I get stressed because I tend to tighten

[@hopes1569]

@@jojovelazquez13 are you going to do a surgery? I m going to have Botox and skin tag removal on March 28 I advice you to not do my mistake and wait 3 months before seeing a doctor it will be too late then

[@user-yu6ov4nf5y]

@@jojovelazquez13 hey i am suffering from hard stools which are only hard from the starting and fissures any suggestions for me?

[@nicelyguyt4324]

How do you stop the anal fissure pain..!! Is there medication 💊 or any method to help.with the pain...

[@yourfriendlyproctologist]

Thanks for the taking the time to comment. So sorry to hear you are having pain! I will make a video on this topic and it has been added to the list.

[@aranyabarua5362]

Hey doc. Last February 28 I had done surgery of chronic anal fissure. 22 days passed. Can I ride motorcycle now?

[@yourfriendlyproctologist]

You will need to discuss this with your surgeon who did your procedure.

[@oussamadjabali9306]

how are you now sir ?

[@jamiequantrille6951]

Oh Lord Jesus, please help me. 😭

[@dadnaleyla9271]

No help most of these guys talk but no real solutions

[@gracezeppieri5111]

Sex is painful too

[@babyboy1971]

See a pelvic floor specialist. That’s not the fissure that’s the pelvic floor being hypertonic.