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.
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 had a sphincterotomy many years ago before using botox for painful anal fissures became available. It was a simple procedure, and completely successful.
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.
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
@@Rydogg555 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.
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 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 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.
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.
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.
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 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.
@@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.
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.
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🎉🎉
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.
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 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 😉😂
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 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.
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.
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!
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. 🙂
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.
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 . )@(+₹+🎉
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! :(
Vegetables will send you to the bathroom more often, like twice a day. Then you will have to wipe an injured Uranus. Without fiber you can go maybe two days, and also save money on vegetables.
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
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?
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.
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 🎉🎉
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.
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.
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.
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.
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 🎉🎉
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.
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 had to have surgery to fix mine and the fissure returned. I am now awaiting a neurogastroenterology consult. Anal fissures are a real pain in the butt, but at least they are treatable with multiple methods: no butts about 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 . Best hai 🎉🎉
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 . @)(#+🎉
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?
Have you done or could you do a video on Ischiorectal abscesses with the complication of fistulas? I had never heard of this but now I’m hearing about it from lots of folks!Could you share information about this issue and how it can be dealt with? Thank you
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 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
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?
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.
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
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?
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😂
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.
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?
Terrible, terrible, terrible pain! Mine was a 6 month ordeal.
Please can u tell me wat u did in details ‼️‼️
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?
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’ve had 2 fissure repair surgeries. Most painful surgeries. It took a good 6 wks for the pain to subside.
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.
Would you guys consider doing a video on Hiccoughs? We know so little about them …separate myths from fact, treatment, etc.
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 ?
@@Rydogg555 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
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!
Bran buds and lots of water. Fruit and veggies too! 👍🏻☺️
no white bread, only whole grain...oatmeal with them bran buds going water soluable
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.
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 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.
Paul is it possible to get an internal infection with an open wound internally with fecal matter passing by it ? Regards Rob.
Very good and informative topic 👌🏾
Glad you think so!
Respectful, humerus medical doctors. God bless 🙏
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 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.
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😢😭😭😭
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.
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.
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.
Never keep the anusol next to your toothpaste! 😂 Seriously though, fissures are not nice! Happy easter, Docs! 🐰🐇🐣
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 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.
It hurts so bad all day long. Can't sit or stand or do anything. I take iron vitamins, and it causes constipation
It will pass
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
Prunes do wonders for me!
Nice
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.
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🎉🎉
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.
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
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
😂😂😂😂😂
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
Strady diet of Metamucil for 4 weeks worked for me
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
Happy Easter, Docs. Hope you have a decent break from work .... and us!
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 .
)@(#₹-🎉
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
Insert Star Trek/ Klingon joke here
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.
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!
Miralax and Konsyl (or meta mucin) daily, enough said.
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
Fissure can also occur without having a sphincter spasm. My brother got it and the doc said it is a mucosal tear without spasm.
Dr. Brad has a tell face...so about to crack up after the mention of botox!
I had this several times as a kid. It was awful. My doctor prescibed Glyceryl trinitrate paraffin ointment.
So what?
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.
Or sometimes it happens when things go in the wrong way.....IDK
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 .
)@(+₹+🎉
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! :(
Vegetables will send you to the bathroom more often, like twice a day. Then you will have to wipe an injured Uranus. Without fiber you can go maybe two days, and also save money on vegetables.
Yes but your stool will be hard and small and you will have to strain increasing the risk of both fissures and hemorrhoids. Up to you
I take fruit veggies gummy’s my issue is how does it heal down there when they put in a colostomy bag
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
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?
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
Eat fruits and vegetables, for at least 2 months
Love you guys. keep it up !!!!
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?
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.
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 🎉🎉
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.
Could you do a talk on "Do I need a Hip block/cortisone injection to diagnose an arthritis hip"?
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!
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.
Dr weening almost list a couple times whwn they were talking about making the lower unit look 20 years younger.
Great video!!! ❤️
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.
Oh you missed a chance to do a Blooper reel for this one. Looked like Dr. Weening was losing his (bleep) a few times during this segment.
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 🎉🎉
These sound horrid! I am so glad I have never had one. I never want one! How horrible.
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 had an anal fissure at the age of 12 because the only vegetable I ate was salad. My Dr cauterized it with only local anesthetic.
Ouch!
Yikes
Yes, feel your pain, 40 years ago I had a few tears/fissures and my Dr cauterized them with no anesthetic.I was awful.
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......
Great information! Can a pregnant woman can take botox injection for fissure?
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.
NITROGLYCERIN. The answer is NITROGLYCERIN. Why are we beating around the bush in the tush.
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 .
)@(#-₹🎉
I had to have surgery to fix mine and the fissure returned. I am now awaiting a neurogastroenterology consult. Anal fissures are a real pain in the butt, but at least they are treatable with multiple methods: no butts about 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 .
Best hai 🎉🎉
Can they grow into the brain? That would explain a lot 🤔
You guys make me laugh so much sometimes I wet my pants
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 .
@)(#+🎉
Professional presentation.
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?
Have you done or could you do a video on Ischiorectal abscesses with the complication of fistulas? I had never heard of this but now I’m hearing about it from lots of folks!Could you share information about this issue and how it can be dealt with? Thank you
I had that before!! It is not fun!!
Sure isn't
I’m not joking yall I’m dealing with one now. It’s freaking painful
Botox is a WIN for migraines. I am glad to learn it has uses beyond vanity.
Warm salty baths also help. I’ve had an anal fissure. It is not nice at all.