Hemorrhoids and Anal fissures together? How do I treat them both?
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- Опубліковано 22 тра 2022
- Sometimes life will really throw some big curveballs. As if life couldn't get more complicated!
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
Your videos always makes me feel better. I tend to have the “why me?” syndrome about this topic.
Why me 😢
Me too 🫤
Me too
Surgery is the answer always , if home remedies haven’t worked :(
Yes why me?
I am 28 and your videos are healing me and reducing this pain !
Thank you Dr. Chung! I really appreciate your help getting me through this miserable experience of all 3. Healing really is 2 steps forward, 1 step back
So it’s not just me.
Thanks again Dr. Chung for sharing your knowledge on bottom end issues especially for some less fortunate that do not have a board-certified specialist in our area. I really appreciate you putting out these videos
Yes I have so many problems there. I do feel like the world is cruel. I never knew these issues were so bad until I got them myself.
Thank you so much for the great advice; you’re an absolute champion 😀
Hi Dr- so sweet of you to post all these videos. I have dealt with hems since my first baby 10 years ago and a fissure (and hems of course) since my second 7 years ago. My fissure got so bad last November I finally saw a doc who prescribed me nitro and I started taking stool softener, however I still have monthly flare ups. I am currently having a flare up with 5 days of soft poops but still daily bleeding and pain so just ordered Pranicura. Praying this will work -otherwise surgery!???
How are you know ?
These videos have been so helpful! I am thankful I found these. I'm going to try some of these options. I've been trying to get more fiber lately, and I had read that you basically can't get enough. I'm glad you clarified that not everyone needs the same amount of fiber. I'm relieved. No pun intended. Lol.
I had them both and it was a pain I would not wish on anyone. Brutal. Healing took a long time but finally!!! I had the botox shot for the fissure, I screamed for a week ( I think it affected the hemorrhoids ) but in the long run, it did help heal the fissure. Thanks Dr. for your video's, I know they can help a lot of people.
thank you so much for your time and knowledge that you share with us…
Your smile makes me smile involuntarily. You just exude positibe vibes :)
Thank you doctor so very much. I am suffering alot and you have given me information that will help me.
Oh I Loved you Doc😭❤️
My favourite doctor! Thank you for sharing your knowledge with us! I wish we had more doctors like you, no illnes would be a problem then. In my case, fissures stopped showing after hemoroids problem was solved.
Agreed!
How did you solved it?
@@globalentertainment5648 in my case sclerotherapy, but each case may be different
i get positive vibes when i see your videos...thank you doc
Super helpful, thanks Dr. Chung.
I suffered with both a few years ago and there was a lot of useless information out there, mostly from other countries. I appreciate your videos and I know others will, too.
Hello, how did you get better from it?
The most important thing that helped me was baths. At least two a day.
None of those sitz baths that fit inside the toilet (lots of pressure on the butt), a real bath stretched out in the tub.
Witch hazel helps a LOT. Tucks and Prep H pads are nice at work but I would really suggest a large bottle of it at home.
Also, watch your food. Diarrhea and watery stools can be just as bad as hard stools.
When the fissures were painful I found it best to keep covered in Neosporin, but this isn't advised to do long term. So when the pain lessened in a week or two, less creams to let dry and heal. Treat it as you would a cut or wound on your finger
@@TheBamazon thanks alot 😄
how are you now ?😢
Thank you for this great information. I have suffered from both Hemorrhoids and Anal Fissures for months.
Did you heal finally? And if yes, please share how you managed to fix it? Thanks 🙏🏼
How r you now
Thank you Dr. Chung! Your videos have helped me so much on my healing journey. I developed hemorrhoids and a chronic anal fissure after get destroyed by Bali Belly diarrhea 2 days relentless days in a row. I’m now fasting, applying Auqaphor and Witch Hazel, and have full confidence that everything will heal completely after watching your videos❤The hemorrhoid and fissure are getting MUCH better 6 days into the fast. Thank you again for everything, you have a wonderful heart!
Did the fast work?
@@nrtnrt6676 The fasting worked A LOT. It took 3 rounds of 1 week on, 1 week off. I’m still not 100% healed but it doesn’t hurt to poo anymore and there’s no hemorrhoids. I’m confident that at some point next year I’ll be 100% healed. Fasting has also positively impacted my life in a lot of ways as well. I highly recommend it!
@@jchurder i just don't understand why Drs advice against it. Ive heard of a few who have said it works.
Thank you for all your information. My hemorrhoid started to bleed profusely at work after wiping & i had to use tp as a "female pad" down there until it stopped. I was mortified!!
Honestly it's soo painful every single day, it feels like the pain increases with every stool, despite having a soft stool, so frustrating, but your videos made me feel so much better, gave me some hope that it will be better one day.
Me too ! Sick of this
Hello doctor! I want to thank you for your videos. You really helped me a lot. I also have a question for you. It is OK to go to the gym if I have a fistula? Can working out in general make the situation worse?
Sure, you can go to the gym. I recommend seeing a specialist near you.
Metamucil powder saved me and fiber gummies .. try to avoid taking so much laxatives or stool softeners it worsened the ibs for me
Soft stool is the key guys, yes it hurts even more even if it is soft but gradually it will heal. And yes take your meds.
So, when you have multiple conditions that require different creams, how do you apply them? Do you mix them and apply the mix on your skin? Do you apply one and after an hour the other?
Hello Dr. When are you suppose to take the stool softener? At nite?i take docusate sodium? Thank you
Hello Dr Chung. Thank you once again for the precious informations that you share with us and I hope that you are fine. I have a question : Do you know why even if we do not really feel the inside fissure anymore, or much much less than before, there is a burning sensation which stays next to the skin tag that is left (but it is like on the outside part of the anus near the skin tag)? I hope that you will understand my question. And still feel like there are cracks (micro fissures) outside. Thank you.
There can be! I advise you see a specialist near you.
Thank you so much Dr. Chung for the information! Your videos have helped me understand more about the issues I'm having. I thought I was suffereing from severe external thrombosed hemmorhoid pain. It was so bad I couldn't function and had to call out from work and I didn't eat for a couple days due to fear of having a bowel movement. I got the Hemorrhoid to shrink with lidocaine cream and stool softener, but I was still in excruciating pain. I think I also have an anal fissure. I am using the anal fissure oil from Healing Natural Oils and that has reduced the pain significantly and (hopefully) started the healing process. Time will tell.
Due to IBS and pelvic floor disorder, I've experienced all of the above. I've lived with hemorrhoids, fissures, abscesses, and fistulas. Aren't I a lucky guy? I've tolerated setons and a fistulotomy, but what I never want is hemorrhoidectomy or THD. Both of those sound horrible. And some of these docs even outright refuse to give pain medication after these procedures! The meds don't bind me like they do to some people, and I don't use more than I need to. But certain doctors don't even care. Luckily, mine were decent enough to allow me to have some.
Awesome doctor hello from Sènègal ... 😊
Hello!!!
Hi Doc, can you make a video about the digital rectal exam? What do proctologists feel for and how do you distinguish between different growths and lumps?
Great topic! It has been added to the list!
Very helpful- thank you a lot! What about having analfissure and analthrombose at the same time and how do they determine each other ?
I m suffering from both, can't tell how much pain i m getting all the day
Thank you!
Thank you so much
You are amazing Doctor . Do you take Kaiser Insurance ?
I'm sorry, I do not accept Kaiser.
Thank you so much .I take
Hi Dr. Chung! Could you provide any suggestion on the order of applying diltiazem and nitroglycerin? I have both cream (am also suffering from fissure and hemorrhoid) but I am not sure about when to use which cream. Before BM or after BM? Also, if I am no longer bleeding, should I continue using both or just one or the other? Does nitroglycerin help with hemorrhoid? Will appreciate any suggestion! Thank you!
Hey how many day u have to use nitroglycerin?
I am going through both of these right now and it is the most painful thing ever.
Doc I saw a new GI dr this week and he prescribed me nitrous glycerine oxide in a cream with lidocaine. Are you familiar with this treatment?? He didn't do an exam just based on my history of pelvic floor dysfunction, hemmheroids and chronic pain :(
Best Elitar Doctor Professional&Humam&Gentlement.&.❤❤❤❤❤❤.&.Love Respect Forewer.
Exactly,external hemerroids and anal fissures and a few,you have to look in the mirror,and open up the the hemerroids and you can see red/pink and these little holes and bleed sometimes but the painful to open up the hemerroids soo feel for you
I’m grade 2 inside and stage 4 out side
I just don't understand one thing. sometimes it hurts so much that it is almost impossible to endure and it is impossible even to make elementary movements. But after a few days everything passes, and there are no sensations for months, as if nothing had ever happened ..
Same!!
Same. For decade now!
Yup 👍 same
Same here am suffering for more than 12 years. So scared to go for colonoscopy
Same
Thank You
I’m currently going thru both, and it’s a slow painful torture.
I switched to a diet of mainly fruit and vegetables. It caused the fissure 😔 making sure I drink lots of water now
I thought my fissure was finally healed but no! I’m doing everything right! 😢 I have hemms too!
I was told my hemms will never go away. Also have a purple I believe thrombosed for like a year that won’t go away.
Im so glad i watched this video. I was wondering why I've had such a massive headache since taking the nitroglycerin ointment for my hemorrhoid flair up and anal fissure. They said apply 3 times a day but im applying 4-6. Would that be too much??
Hello Doctor Chang , I have been suffering severe pain From anal fissure. What medications should I take?
I dont feel so alone. No one talks about this. Question should i empty my bowels with colon hydrotherapy?
I think my dr. May have misdiagnosed a sentinel pile as a hemorrhoid. How do the treatments differ or is treatment the same?
9:39 not discouraging. Makes me feel like I’m not alone. I have them all. :(
One of the things that your channel has made me think of is the low-fat diet. If you don't have some fat in with your bowel movements that's a lot of friction on them hemorrhoids and everything.
Dr. Chung, wanted to know if a tiny lump forms when you have a fissure, my doctor said that my body formed that very close to the fissure to heal it, does that happen?
I'm not exactly sure what your doctor is referring to.
How can I get to you?
I mean how would I be able to contact you?
I had hemorrhoid banding in 2th March then 10 minutes later I was feeling strange thinks in my bump. Like after the gym you feel muscles pain. That time my doctor did 3 hemorrhoid banding in same time then 3 weeks later 2 again.
When I had to go to toilet I always feel something bad along my left leg as well like a nervous pain and I had a plenty blood as well. I got rectogesic cream after first banding because my doctor said maybe I have fissure as well, but definitely I never had before and I think I got it when he did first branding.
5 days before I did a big change for my eating and daily habit and since 2th of Marc last 4 days my bleeding almost gone and the pain after the toilet not the same like before. I hope I will be again the same person before the banding which normally wasn't very important and made my life worst.
My question is can I go to the gym and do any exercise before this fissure will dissappear? I normally do walking only, but because I reduced my food a lost 5kg in the last 3 months and I lost a lot muscles 🙃
Sorry about my English I hope you can understand what I mean.
I'm honestly not sure what happened with your procedure. I advise you see your doctor and discuss these events.
What are the treatments?
I have bad hemorrhoids after giving birth to huge babies (last one was 11 pounds😭😭😭) ive been having bleeding on and off for 2 years now 😭😭😭 had a colonoscopy my doctor couldn't see anything apparently. I need to find a new doctor. Some times it goes away for a while. Then the bleeding will come back. Currently nack for couple days. Ruining my quality of life I'm still so young 😭😭😭
Was diagnosed with dyssengernic defecation, along with every type of hemm. I said in my other comment.
What is the procedure called when they go in and surgically repair a perianal abcess cavity??...4cm deep...Been 3 months of slow healing.Been packing it and keeping clean but is healing soooo slow. Was 6cm at first..Wondering the medical term of this procedure.
I'm sorry, I'm not sure of the procedure you are referring to.
What is the medicine you mentioned? Dilatiazem??
What about surgical options for treatment? All those creme's just mask the problem and don't resolve then. Not to mention with all those cremes, your underwear will stick to that area because cremes are sticky and then you have a mess changing you underwear two times a day or rushing into the shower to wash all of that stuff off because cremes can cause itching. I know all of this from experience and that's why I would have loved to hear surgical options to permanently fix fissures and hemorrhoids together.
Dr.Chung I was diagnosed with an anal fissure about 4 weeks ago. Now my pain have Ceased since I been using the diltilzam cream. But I am still having anal bleeding after every couple of bowl movements. I was wondering if that is normal?
Its certainly possible. Please follow with your physician.
Hi doctor thanks for your video info
May I ask : Can dosage of diosmin and Hesperidin.(E.g daflon 500) help to treat acute / chronic haemorrhoid condition e.g internal piles or external pile(including thrombosed pile) ( heard it worked by reducing swelling (inflammation) & restoring normal vein function) .
Can we take diosmin & Hesperidin daily and used for long term for prevention of haemorrhoid? Appreciate your advice thanks .
Please speak to your physician regarding these medications. I do not use them.
Thanks doc for your reply.
May u advise that whether there is any recommended supplement that can help prevent the piles from flare up and also help to improve the circulation of veins of the piles to prevent clotting ? Your advice is much appreciated , thanks .
@@cssng7164 im taking that medication. It helped me so much . However, I got bad diarrhea. Sadly. I have both. Constipation and diarrhea.
Itching is not a problem co existing with the conditions like hemorrhoids, fissure etc. Itching is a side effect of the conditions mentioned.
Doc, I got that both and internal hemorrhoids , drain some muscus
I’ve had problems in my anus now for 18 months and it’s getting worst and not getting any help from my doctor
The pain is unbearable I’ve tried all the medication available in the uk nothing works
I also pee all the time any suggestions thanks love your channel
I take an antidepressant and Klonopin and suffer from constipation .also have a hemorrhoid .since miralax and preparation h it working
Good day Dr. Chung what happened if a person with chroins disses and undergo hemorrhoidectomy I hope notice thank you and god bless
It's not a straightforward answer. It depends on the context of the scenario.
Prep H and witch hazel dried me up in a bad way down there.
Lol yes my cell phone. Don’t look at the hidden folder lmao 5:32
I had internal hemorrhoids, external hemorrhoids, fissures, and anal fistulas. I'm 2 weeks post op from my hemorrhoidectomy surgery. Fun stuff! Great channel. :)
How are you now? Im same as you. I suffered a lot 4 weeks after surgery. Im at my seventh week, still pain when poopin
@@enesalimadhi5998 me too 6 weeks post operation - grade 3 haemoroid + chronic fissure. After pooping in the morning I am getting severe pain for the next 6 -8 hours still now. Not healing at all
I poop once in 2 days and I feel my fissure is keep expanding and the pain is untolerable. Will visit the doctor next week and see what is exactly happening with me
@@enesalimadhi5998 only you are getting pain while pooping or the pain last after pooping for how many hours?
@@enesalimadhi5998 how are you doing now, I'm after seveth week and still in pain when i poop. Is there a hope to get better?
Can fissures be aggravated from pressure due to an internal rectal prolapse?
I'm a 61yrs old lady. I had rectal vaginal fistula and (hemorrhoidectomy) but fistulectomy was not done. Now its 6 months . What should I do
Can gauzes cause irritation of the incision for a perianal abcess? When I walk, it feels like it rubs the wound.
Gauze will not damage the wound.
Yes I have it
I healed after 5 days with your Pranicura cream,but the fissures came back again after a week beacuse of medium hard stool. Thats always the problem,it comes back😪 ! Do y have tips to keep the stool soft every day. I drink a lot of water.
Congrats for healing it! Check out my other videos on anal fissures for tips.
How did you apply your Pranicura like how many times a day because I just put it on for the first time today
Dr. Chung, thank you for these videos. I just had a baby 2 months ago. First I had terrible coccyx pain for 2 weeks, then my perineal stitches from a 2nd degree tear started to come apart. After both of those healed-took a month, I began having terrible anal fissure pain. I am a week into using Rectiv, trying my best to have a lighter diet so I only go once a day, but it’s tricky bc I have to eat enough to keep up my breast milk supply for nursing. 🤦♀️ Basically, I eat a lot of nuts-high calorie/ low volume. It’s still incredibly painful when I use the bathroom, but I take a warm shower afterwards every time. I’ve watched several of your videos and I have a question about the “angles” of the rectum and anus. For whatever reason, it is more comfortable for me to stand to empty my bowels. If I sit or use the squatty potty, I feel like I’m stretching my anus further apart. Standing with my tailbone tucked under slightly is the only way. I also grip a few hair brushes in both hands to short circuit the pain receptors in my brain so the pain signals from my bottom aren’t as intense. Got it down to a real crazy science over here. What are your thoughts on why it’s more comfortable to stand?
Also, do you suspect that my issues from childbirth and everything I’ve experienced “down there” is really a symptom of my pelvic floor being out of wack?
Not sure exactly as I would need more details. But my guess would be your coccyx and trauma from birthing.
Standing for bowel movements was my favorite friend for over a month .
How do you come up with that though, i can't imagine having shit splashing all over my bathroom, or do you use a dry type of toilet like a litter box for cats@@cathyhayes3143
I have 2 anal fissure cut, internal hemorrhoid, thrombosed external hemorrhoids and ibs😇
Dr chung I have a question, can I take colace stool softener and hemonase tablet together?
I'm not familiar with hemonase.
Sir I had LIS and skin tag removal a month ago…there were frequent leaks in beginning now they have started to get less once or twice in a day or two…and I feel the area loose…sometimes I get scared if it’s a fart or poop as I am not able to judge like I was able to before… I am taking sitz bath twice a day after poop…
I want to understand if this is all normal and part of recovery and when this all will stop and will I be able to have my normal life back and by when…I am scared to go out as I am scared I might poop in my pants… there is no pain for last 2 weeks at all but I am having big time anxiety and panic attacks…
how are you now sir?
How are u now?
I had internal hems at stage 4 and a anal fissure very close to the anus that would not heal at all....and would split back open regularly after a heavy movement followed by flare ups that caused me to have to have time off work. It was some time before i realised myself (after researching) that i had an anal fissure also. My doc diagnosed me with hems only and so that is all i was treating.....for over 7 weeks....i thought i was healing until it split open again after a heavy movement...worse than before.....pure agony. So personally (through experience) i'd recommend stool softeners first for anyone tackling both of these issues. Then train yourself, like I had to, to poop without over stretching your anus. This is only really possible when using stool softeners. Cold compress after movements also helped. It only takes one bad stool to undo weeks of progress so stool softeners are a must. I use Lactulose.
So how long did it take to actually heal ?
I agree. Softening the stool is key, but not diarrhea. And trying for once a day BMs. . The only laxative that has really allowed for little to no pain for me was Restoralax which is made with Polethylene Glycol 3350. Also Dr. Cheung’s advice to not keep wiping over and over w toilet paper has helped. Treating the area as the sensitive area that it is. Gentle wiping once or twice, then maybe a gently flush of warm water from a cleansing bottle and then only blotting with tissue. Also using gentle unscented no alcohol baby wipes. The key word is gentle. Extra advice: be careful not to accidentally burn yourself in the desperate measures taken to relieve pain with hot water or microwaved hot packs!
My case is so similar to yours. I have been dealing with a fissure for the past 2 months after getting botox injected. I've been on a softner called Movicol - it makes the movement soft but the quantity that comes out during a BM is way too big for me and it often rips me open. It's also terrible to have to go anywhere else but at home because of the mess😒
I have lactulose syrup - will be trying that instead of the Movicol for the next few days to see how it works.
Would you mind expanding on how you trained yourself to go without overstretching?
@@MrKassie78 The way I deal with my BM is to wait until the point of no return, if you catch my drift, sit down at the last moment, now, don't push on top of the natural muscle movement because that allows too much through into the area you don't want stretched which can cause more damage...like it did for me. Instead, now I squeeze in at the moment of no return, but only enough to reduce the girth of the stool that is naturally coming out of its own accord...remember, no pushing....this is where lactose helps at the beginning. That and a decent diet. I've had to reduce the amount I eat...not by loads but, I ate too much anyway lol. Once the natural muscle movement has stopped (even if you feel there is more inside that decides it doesn't want to come out of its own accord)...do not push it out. When I get to that point I stop and finish. Doing it this way might mean more movements for you but at much lower risk of re-ripping something that needs to heal. Dude, I hope this helps and I hope you're ok. I'm not a doctor at all and am just letting you know what works for me. Good luck.
@@MrKassie78 oh and once ive finished, I use a cold compress around the area to reduce the pain....it works for me.
When l am feeling the pain for me to get better l will be feeling so cold even when it's not cold, so l put a warm blanket tight make sure l m real warm, the moment l sweat l also feel sleepy so that when the pain is gone
Please try to get to the point asap... I watched your video for 3 mins and 45s and i didn't got my answer. All you told during this time is one can get both fissure and hemaroids... I have both and I'm in pain... I want to know the answer to how can i feel better
Dr. Chung, as a Proctologist, when someone who has active fissures for 6 weeks internally (currently taking diltiazem for 4 weeks now) and doing BM and they feel the internal anal being so ITCHY and BURNING while releasing poop happening for a week now and itchyness and burning will disappear when finish pooping, why do you think that is? Is it because it's healing and it keeps opening while pooping?
(NO SPICY FOOD, Green Smoothie and Oatmeal ONLY EVERYDAY)
It's hard to say without seeing you. I suggest seeing a specialist near you or a video consultation with me.
Sir i have fissure and piles together i want your help how to cure and it's oinment please help me
Hello Doctor,
I'm having Sleeping problem at night
Feeling little tired at day
And frequently going to Urinating during the day, but no urinating at night.
Is it normal after Piles surgery or should I take 2nd opinion from some other venereologist
it can be within normal, but please speak with your surgeon.
@@yourfriendlyproctologist Thank you so much Doctor for the reply,
And a small update after 4 days,
I am getting good sleep at night
Tiredness during the day is also almost gone
Just I need to pee as much times as I drink glass of water.
I had the fissure operation three weeks ago by injecting Botox into the muscle and treating the edges of the fissure, knowing that it is chronic and I still feel pain when defecating without bleeding, but pain and burning? I would like to know the doctor’s opinion on Botox injections and how much is the wound healing rate
Fissure healing depends on completing the whole treatment plan. It will depend on many factors.
how are you, how long dod you had the fissure and did the botox work?
In fact, yes, the results were good and the pain went away quickly, but I still take a laxative solution called Movecal to avoid constipation.
Does the diltiazam actually help heal the fissure, or does it stop or lessen the anal spasms so that the fissure can heal on its own?
Both!
Hey doc! It would be great if you could do a video on Pilonidal sinus.
It has been added to the list. stay tuned!
u til when i canuse thw cream i have small feassure when i am usinh cream the hurt fade away but when i am not using it the hurt come back. hope
you help me doc thank you
You sure can! I have every type of hemorrhoids and 2 fissures! Ugh
Best way to annihilate the itch is with a Sonicare electric toothbrush
I was diagnosed with 3 internal hemorrhoids and rectal tear. I completed my first banding and was prescribed nifedipine ointment for the tear. I am finding a lot of conflicting info. on using nifedepine/lidocaine ointment. The ointment was dropped off by a deliery service and there were no instructions inside. Should the ointment be applied on the outside as well as just inside the anus?
I'm not sure I understand your diagnosis so it's difficult for me to make a diagnosis. Please have a thoughtful discussion with your doctor.
Nifedipine is a vasodilator to increase healing blood flow to fissure; Preparation H is vasoconstrictor to decrease blood swelling of hemorrhoids.
Hi doc, can hemorrhoid pain give you the urge to urinate?
Yes!
I can’t get out soft stool either :(
Yes my muscles are SO tight. I was advised to do intra rectal work and I’m prettt sure that’s how I got my anterior fissure.
I come here with that two problems and also with broken bones 😭😭😭😭
hi doc I am from pakistan I had my fissure and hemorrhoid surgery last week but feel pain when having poop I think I had fissure again please suggest me best cream which is available all around I am in so much pain again please answer my question
Please see your surgeon for recommendations as I do not know what procedure was done.
How are you now?
DR. CAN YOU PLEASE TALK ABOUT LASER PROCEDURES FOR ANAL FISURES?
Sure! the topic has been added to the list!
He has a video now