Serious question. I asked in another video but it's old and not sure you'd see it. I have no pain or itching luckily, but I have had for years, swollen, thrombosed hemorrhoids all around my anus (dark purple lumps) and internal hemorrhoids. Does pranicura make these go away and, have you ever heard of a product called "healing bottoms"? I've been contemplating purchasing pranicura, and or healing bottoms kit #2 in hopes one will make these go away Could you do a video on your thoughts of this healing bottoms product?
I've had anal itch for nearly 20 years and Pranicura is the only product that provides 100% relief. Thanks so much for letting me know about this amazing product doc! Worth every penny.
Please doctor I have spasm in anus and Rectum ; and burning and itching in anus and same time fecal incontinence when it’s soft !! I did pelvic therapy, it didn’t help… the doctor told me it’s muscle problem and she told me may be meditation will help but it didn’t help!! And I’m not able to sit comfortably…. Will pranicura help me to sit comfortably with normal muscles anus ?? Thank you 😢🙏🏻
I never tought I would subscribe to a proctologist channel but since I have issues, you are the very best at making problems somewhat fun and giving (what seems to be) very good knowledge in the best way possible! Thank you from Québec bro!
I don’t have most of these problems…just some constipation…like since birth…I am fixing that thanks to you. Sure wish you were my doctor…you have a great way of explaining it all to us lay people. You are awesome…thanks so much.
I really appreciate you Doc! I got injured on my horse 14 years ago (63 now) and, after severe edemas and infections, have had 4 fistulas and severe spasms since then. On the first surgery, the doc did an unsolicited sphincterotomy, left some bad scar tissue, and trauma from his fat fingers, etc. Numerous docs over the years, including 2 at Mayo Clinic, did me NO good at all. YOU are the first I’ve heard putting out SOLID info. Thanks…from the very bottom of me! 😊 Your happy demeanor is also relaxing and reassuring!
Great info, thank you. All the things you talked about worked for me, especially the mental health relaxation aspect. Helpful knowledge helps me to relax, which in turn helps my spasms diminish. Whenever I do get a spasm now, which is infrequent compared to 6 months ago, I stop what I’m doing and evaluate my mood, what’s going on, etc. it really helps me gain some control over it all. 😊
Thank you Dr. Chung for this info. I’m 69 and started getting this about 35 years ago. At that time there was barely any info out there and you are right, the GP wasn't alot of help other than to say many people got it. As I look back it definitely was extremely painful at the highest stress times of my life and if I pushed too hard either walking or a workout. Now retired and they had calmed down and got them maybe once a month and more mild than in the past. They have just started much more over the last few weeks though. And I’ve had skinny stools too, although have no problem going every day. Only different thing for me now is I am walking much more and faster and pushing hard to walk longer more than normal right now, The spasm will wake me from a deep sleep. But I wanted to share with you something that helped me a great deal. All the things you talked about worked well for me. However, if I can catch it right at that point when I get that feeling of the spasm just starting, I take a few puffs of a ventolin puffer, get off my feet and try to put my feet up, or better is laying down on my back knees up and deep breath while mentally focusing on pelvic relaxation. I read this tip probably 20 years ago on a site I believe from Europe. It definitely helps . Also extreme foul gas comes out too. The good thing about this spasm is once it’s done it goes away fast, which is definitely great! Thank you again!
😊iseventy years gut bowel nerve anxiety pain but waking at night or early morning with burning pressured bowel pain improves on bm or getting up ok when I go to bed but lying down brings on the pain
You are so wonderful and i fewl like cryinf bc i finally feel like someone understands. Ive been in bed all week. I feel like ive lost my life. Thank you for your knowledge and compassion. Blessings to you.
You are saving me right now. I’ve had these pains since I was 16, so for 19 years now. Almost 11. And I didn’t realize what was going on for a long time. Shame has kept me from seeing a doctor about it, but I’m sick of having my sleep cycle thrown off, and with that, everything else. I’m going to implement everything in the video along with getting past the shame and making those DR appointments 💛💛
I’ve suffered from issues for years due to being on pain medication due to a tumor in my spine. So I’ve had a constant struggle with slower digestion, then I started have hardening of 💩 which led to me getting strong anal spasms, the hemorrhoids, then fissures. As a gay man this was extremely difficult for me personally and in relationship. This year I have been using the slow dilation technique by use of slowly increasing size width! It’s helped tremendously along with your kegel exercises
Thank you. Had my first old man visit to a doctor and he said in our conversation, how’s my stress going. That’s when I knew I needed to make a change in perspective, stress has to much control. I never expected a stress conversation to begin at a proctologist office Thank you for your videos.
Thank you Dr. Chung!!! I was diagnosed with Levator Ani Syndrome 6 months ago and I have gotten more information, education, and HOPE from your videos than from my proctologist and physiatrist. I went to my proctologist 6 months ago to schedule surgery for grade 3 hemorrhoids, after the checkup the Dr. told me I had LAS and that he would not do the surgery because “I would be miserable with pain the rest of my life” but he didn’t explained why this would be the case. It would be great if you can do a video expanding on how to deal with these 2 conditions concurrently and if in fact surgery for hemorrhoids is contraindicated for patients dealing with Levator Ani Syndrome (which btw my doctor told me it is an incurable condition). Again thank you so much for these videos!
I am going on 2 years of chronic tip end hemorrhoids & fissure. I can eat healthy, avoid having a flare up then eat a little too much bread one day and it just rips open my injury and im back to square one 😞 I feel hopeless sometimes, but watching this video gives me mental strength to not give up 🥺❤️
I use warmth and find it helps aLOT ! A wet washcloth warmed up in the microwave goes a very long way to relax the area and relieve the pain. Just have to be careful it's not too hot. I find this makes the pain go away very quickly
What I can’t understand is why it happens when you have been sound asleep for hours and it suddenly wakes you from a sound sleep when everything in your body is at its most relaxed state. Why does that happen in particular?
Just came here to ask this same thing, mine only happen in the middle of the night too. I am stressed out but you would think you’re the most relaxed during sleep.
Thank you for all the information. I have had 3 surgeries in the past 25 years, the last one just last year. It was extremely painful for 2 weeks post op, but I am doing better. However, I still have not so good days. I take colace and increased my fiber with fiber cereal, but have to be careful not to take too much, otherwise, I need to stay home until I feel I can safely be away from the bathroom. I sincerely appreciate your information on this subject, it's not usually one I can share with many people. Thank you again.
thanks so much you are helping me with this .....ive already seen improvement...youre a 100% solid gold fantastic person... all the best from australia
You are an awesome Doctor. I am going through this exact situation currently, and have seen doctor and specialist but no one has explained in way you have. It is a mental game to manage pain and your sympathetic way of explaining helps with that battle.
Dr. Chung I found myself here because I may have experienced it all down there, but now I know for sure because of my anxiety I have been suffering this. Thank you for your sharing your expertise with comedic efforts and providing simple solutions. I don’t have the pranicura but I made my own remedy using peppermint oil - which I believe is anti spasmadic
Dr Chung thank you so much! I have been getting better but have been frustrated about how slow the progress seems. Thank you for the positivity! I know I will be done with this soon!
People tend to be looking for an "instant fix" when they have an issue, and surgery can sound like the answer. But if you have a procedure, you will still have to go through recovery and physiotherapy, which can take a long time. It doesn't make sense to me why people wouldn't try physio first and avoid the expensive, painful and inconvenient surgery. You're going to get to the physio either way! Just knowing that there are pelvic floor specialists really helps. It might not occur to people to look for this specialty. The other problem might be convincing your insurance to cover it.
I ordered Pranicura right away as soon as I heard you mention it in the first video I’ve found 🙏🏼 So grateful for the info and this great product recommendation. I have a prolapsed grade 3-4 hemorrhoids and I gotta say, DON’T accidentally get a smudge on the inside parts 🤣🤣 Love the menthol once I learned how to properly apply it. Doing the 30 day challenge - applying it after my banding right now 🙌🏼🎉
Great video! The best thing is to have a soft poop, and when contracting the muscle, to do it very slowly. 400mg ibuprofen works as you said can confirm. Tylenol doesn't. Cream works too but need to reach the right spot. The main issue I have is sitting on a chair. Would be great if you can make a video on which seat cushions and sitting postures are best for hemmoroids, fissure, etc.
Hi, I’m Mia and I’m 36 years old and I have levator ani syndrome (plus an anal fissure since one month ago). I received physical therapy for seven years in Spain, it helped me a lot, but now I moved to Germany to live in Germany with my husband and I cannot find anyone nearby to help me. Literally no one. I just found one physio that didn’t even touch me…I don’t know what to do and I’m in a very dark place. My thoughts go to all of you and I hope we’ll all get better and soon, please! Thank you so much, doctor.
Hi Mia, my name is Lili, I reside in the USA. I'm so sorry to hear what you are going through, especially the fistula. 😢 I have a pelvic floor dysfunction with a stapled hemorroidctomy that went terrible wrong and I ended with levator ani syndrome. I am receiving epidurals and nerve block injections plus PT for pelvic floor. Are you able to go back to Spain to have your fistula fixed? You can get pelvic floor therapy on UA-cam watch Dr. BRI, PELVIC FLOOR THERAPIST. SHE IS THE BEST. Please keep me posted. Be well 🙏
@ Lili, thank you so so much! Your message meant a lot to me and I looked for that doctor and I’m trying with her and with different things…today (and yesterday) bad days, but I’m trying. You’re so brave! What you’re going through is so hard and I just want you to know I understand and appreciate a lot that you took your time to answer my message. I’ll go back to Spain for the holidays and I’ll go to my physio and I’ve already found someone “nearby” that may know something about this…I hope so, fingers crossed! Take good care! A big hug for you!
As I mentioned on another post, I can be at work and suddenly with no warning here comes the deep, extreme pain. without prescription pain medication, I could not make it home. People do not understand the pain 9/10.
A glass container with a little DMSO; add aloe gel if you like; add comfrey oil as main ingredient so it’s about 3x amount of what you used for DMSO & aloe gel. Dab it with a cotton ball & apply to your source of pain. You should feel a relaxation response. Look more into DMSO & comfrey. Can’t be near plastic or chemicals as it drives anything it touches into the bloodstream. But it’s an old anti inflammatory & relaxant. Comfrey heals tissues & fractured bones.
I get rectal spasms about once a year. They come on out of the blue. Yes, although it feels good to either sit on a tennis ball, sit on a toilet and push down like you’re having a bowel movement, they both help. But you know what helps me the most? And some people don’t believe this but if you think about it, yes it would work. Well, my mom used to get rectal spasms, and I found out that using an albuterol inhaler actually works! Yes, it works! I take two puffs of it as if I were taking it for asthma And if they don’t clear up in about 15 or 20 minutes, I take two more puffs off of it. Within another 15 minutes, they are gone. And within a year I get spasms again. There is no rhyme or reason as to why I get them but I do….
One random question why does my anal fissure looks all healed up bc it’s covered with scar tissue looking and now it has a tag and feel pain when u use the bathroom and feel it when I move around 😭😭😭
Have had problems with piles for 30+ years, always just suffering in silence, because of things I was told when speaking out about it. Piles got worse and multiplied, from grade 2 they grew fo 3 and four, but I was holding on. It was when I started getting reoccuring fissures, that the pain and spasms became intolerable. I started seing doctors, one told me he has to do a sphincteractomy, I ran away. Another surgeon looked at me from far, and said I do not have anything, and "it is a women's thing". (Men make over 60% of patients.) Another, private, doctor said my case is too advanced for the procedures he was doing... I have now lost count of how many doctors have had their fingers up my bum 😅 even a simple prescription requires an examination. Going for my second surgery now, first I had HALO, but because of reoccuring haemorrhoids going for a haemorroidectomy. Already suffering from anal spasms, and I am terrified that I will get stenosis 😢... I only wish the very first doctor had knowledge and empathy of you, Dr Chung!
As a 35 yr sufferer of proctalgia fugax …when I sense an episode coming on I quickly down 2-4 shots of moderately strong alcohol.. rum.,vodka, Peachtree Snapps. This works very quickly unlike oral meds which are too slow since most pain is gone in 20-24 min for me. Not an ideal fix but it does quickly reduce cramp and pain.
Thanks a lot Dr! I must say that watching your video is not easy as it makes us think about why I am stressed, what's going on, the answers can be critical and emotional😔. But this is crucial for healing and so that the bottom part can cooperate a bit more. Also you share a lot a of personal information. We know that you love persimmon and can eat 6 at a time, we know that you didn't need to use the entire tub of cream 🤣. I think your wiping routine was very interesting and was super scary as I am a person with bad OCD and contamination fear. I am so glad that I was being brave and continued watching your videos! Thanks a lot and you are really being helpful to many of us. 😄
Thanks!!! The problem is a retear is inevitable wen I reduce stool softeners even when I’ve been healed for months. Could at home dilation be answer to this? There is a study ongoing for this at the moment
As I'm trying to push a good one out. Straining. But what a great feeling when its all done. I do love what he says about pa8n medications. I couldn't get through the day without them because of back pain.
Place electric heating pad or warm towel in your lap and the sphincter muscle will relax in no time. This helped me big time and I take it with me wherever I go.
Bro not to put my business out there but I had some that had me clinch!!! Like an electric shock go up my behind hole bro and I’m like what in the world!!!!!!
Dr. Chung you gave me hope. I’ve been dealing with post infectious inflammation, a small hemorrhoid, and a small fissure for 6 weeks. I’ve been improving, but the progress seemed so slow that it was affecting me. I have gotten a little better, and like you said, that’s good news. Thank you for changing my outlook today! 🥹
Hello. I am having a lot of pain from a fissure ( I believe) and am wondering if it is normal to have pain by tail bone as well. I had a fissure 17 years ago that needed surgery and minor ones that have "healed" on their own intermittently ( 1 or 2 time a year) but now I have something that feels like a fissure, inflamed sore anus but also pain in tailbone and occasionally pain that radiates to left leg with the pain. Wondering if this is normal with a fissure.
I am pretty sure I have a fissure right now and YES!!! I have pain in my tailbone and radiating pain from the nerves down my legs and even into my feet. Some times it’s just a sharp stabbing pain and other times it’s full rectal, anal, bone and nerve pain.
I’ve had these spasms so bad I’ve blacked out and think I had a seizure. I was grunting loudly and rocking back and forth uncontrollably as my vision became tunnel vision and blurry. It was like I had no control over my body.
I don’t relate to the symptoms he mentions here, but I like his positiveness, my symptoms are weird. Sometimes I feel that the pain irradiates to the side of my lower abdomen.
For many years I had a diet of just the wrong type of foods, coffee, and soda. As a result I developed internal hemorrhoids, and thrombosed (dark purple lumps) hemorrhoids around the anus. Also fatty liver. All caused daily bloating, discomfort, and constipation. 3 years ago I switched to drinking water only, aside from 1 cup of green tea with ginger, or orange pekoe, black pekoe cut tea in the morning. I also use benefiber/prebiotics, and nature's bounty probiotic each day. I've lost extra weight, bloating is now gone, and passing waste is much smoother, easier. But I still have the internal hemorrhoids and thrombosed (dark purple lumps) hemorrhoids around the exterior of the anus, hoping to resolve these sans surgery. My point here is, your diet is a big factor, especially as you get older. And exercise your bum, as you get older those muscles break down and they are needed for bowel movement.
Dr. Chung mentioned that the thrombosed ones can be painful but only for 2-3 days. It will feel hard to touch. Do you experience it for longer duration?
Dr i have a steroid suppository that was prescribed a while back for my hemmheroids..can i use that to help reduce the internal inflammation and for pain? My muscle tightness and spasms were so bad and the pressure from constipation just added to it. Now im sp sore with a constant throbbing pain all day. Do you recommend the steroid suppository or should i just take IB PROPHIN?
Big Nice Professional Young Man.&.❤❤❤❤❤❤❤.&.Respect Love You Forewer. My dream to be checked from you for my health troubles. Good Health Doct Change b
I been thinking its a huria because I do lift alot of heavy things for work everyday and have not been able to work or do anything but lay in bed for 5 days now
The cream def does help me a lot so if anyone hasn't tried it its def worth a try to see if it helps you! I get itching on my skin around it though and have to rest using it sometimes which is annoying as its helping so much. Do you think i am allergic to something in it?
Thanks for the info I took a long sitz bath to let myself relax I spasmed about twice in the bath then no more. I just laid there for about 2 hours to let the muscles take a long break. I see now it's the muscles over working that creates the spasms gotta let them loosen up.
Buy some dilators and water base lube fix my spasms no more pain and helps my muscles relax and allow blood to flow. Started with my finger then move up on dilator size. I’m on second dilator and been feeling back to normal pre fissure
Hello dr. U r simply amazing. I would like to ask u if u could give us yr opinion about colonoscopies. If they are safe procedures and worth it concerning all the horror stories we hear about them. I am terrified to have one.
By the way: Dr. Chung I really like your videos, because they are very informative. Could you maybe tell us why is it that some of us are not able to use products with menthol in it beause it causes even more pain, while for other people sooths pain?
My proctologist gave me an internal pelvic floor massage ( 10 times). First time the muscle was hard as a rock, now soft. I suffer from chronic anal fissures. ( for 3 years, with 1,5 good yers). I am so thankful for your content!!!
Is Colace the only OTC stool softener you recommend? I do not use gelatin products and I do not see any Colace that isn't a gel cap. I know they have tablet forms which include laxatives but not just the softener.
You are so good in explaining I have levator ani spasm since nearly 2 years and the pain is everyday and comes better after 6pm but it's so frustrating and I start feeling depressed I am 65 years old
I have them as well, no fissures causing the pain, saw a PT and said very tight up there and believes it to be levator syndrome, now what? dealing with mine for about 5 months.
@@davidless57 levator ani is more common in women , sometimes tight there is due to anxiety and stress as well if this cycle is stopped it gets better i’ve read
@@peterobrien2537 my PT also claims it may have been due to the UTI i had which caused trauma in the muscle area. Since I'm an athlete, she also said athlete's are also more prone to get the spasms, go figure
Dr Chung can you please do a video on tenesmus. It is something I have had since I hàd surgery to repair rectal prolapse. It has changed my life and it is disabeling.
I have been facing chronic pain in anus area from last week and coughing just increases the pain, plz let me if this would go away by its own or what remedy is required, thanks in advance
Hello doctor can scar tissue be fixed by surgery? I am a post op patient, I had undergone fistula surgery two years back but after that my anus feels like it is swollen. Although very minimal pain but i am not able to completely clear my bowels , probably due to the scar that has formed that was diagnosed in colonoscopy post surgery. So is this cure able with few incisions or cuts or surgery?? Please help sir..
Curious to know if anything came of this. I’ve had 2 hemorrhoid surgeries and I have that constant swollen feeling with tight muscles. Wondering if anything can be done for scar tissue
I am having the same problem, last fistula surgery was done 2years back , now I am having scar tissue.... suffering with it now, hope scar can heal by itself without surgery 😢
Can these spazams cause increased visits to the bathroom? I'm going about 20-30 times a day. I feel my sphincter tighten. I try to relax and ultimately go. However, it's been over 2 weeks, and it won't stop. I have lost 10 pounds in 15 days. I feel horrible!
Hey Chung ! I just wanna ask you one thing is people got surgery for chronic fissure tag 2x or 3x times . Is it cause fecal incontinence please reply sir?
Yeah pain meds can help. I've never felt addicted and in fact, I hate them the more I've taken them really. They also make me super constipated so I cannot eat and take these. I only drink juice.
I don't know how to write a comment like this but I do know that when I was scared and facing surgery this was one of the places I looked for help/guidance so its one of the only places I can think of to post my story and what helped me. If you aren't interested of course my short answer is "Magnesium Glycinate" (600 mg a day, 300 at the morning 300 at night but I worked up from 200 a day to 400 then 600) but one thing I found incredibly difficult to cope with is while dealing with my issues I felt alone, I felt people didn't understand the issue and my hope is that by posting this I can help someone who needs it or at least maybe give someone a story they can relate to so they don't feel so alone in dealing with this. It is also incredibly difficult to talk about, I feel weird just typing this but I feel it is the right thing to do. I've had issues going to the bathroom since I can remember, I never went normally I always kind of had to physically exert not just my anal muscles but strain arms/legs to go as well because things simply didn't go. I knew something was wrong with me but doctors perpetually treated it as constipation and thats as deep as it got. I was able to go in varying degrees, some better some worse, but it was always inconsistent. I'd be on different forms of laxative like senacot, xlax, miralax etc and sometimes things would be OK others they would be terrible seemingly at random. It didn't matter what consistency I had when I found a solution, one day randomly it would stop working then back to the drawing board I would go. I always figured I would just one day age out of it and start going normally though. This was not a good way to think about it as later into my issue I was grasping with the fact that I may never know peace and will always have it which was a devastating thought.
When I hit around 18 I had my first visit to a colo rectal doctor because I started getting fissures from going. I also wasnt aware at the time but I also had started getting external hemhorroids which I just thought were blisters from the rectal cuts. My doctor diagnosed me with a pelvic floor disfunction/muscle spasm and gave me literature to a women's hospital for physical therapy. I didn't think of it at first but then he specifically pointed out even though it said women's hospital I was fine to go as they just treat that kind of problem there. Immediately I felt a wave of shame rush over me. I was embarrassed at the thought that I was a guy experiencing an issue that upon googling seemed common for pregnant women. So I did nothing and delt with the issue for around 5 more years. I hit 23 and decided I needed to tackle my issues again. Things hadn't gotten worse but I was once again tired of the experiences I was having, I also had been seeing gastros who put me on linzess I think for 130 mcg. I believe I started smaller but I don't remember what the exact dosage was for the first time they gave it to me, I was quickly upped to 130 and now I am actually on 290 and still am but this didn't help me, or if it did the results like previous ones were inconsistent but I found it better than doing nothing at all. I was also taking miralax daily during this time. Back to doctors though. I went to a different doctor than the first one I saw, she gave me suppositories for hydrocortisone and baclofen. I found great relief with these as I thought they made movements easier and helped with the fissure so I used both daily. After a few months I started getting skin breakdown rectally and went to see her again, she informed me i wasn't supposed to use the hydrocortisone for that long as it was wearing down my skin. She probably did notify me originally that I was supposed to stop after 2 weeks but I forgot or didn't care at the time until it caused issues. The baclofen I kept using regularly until once again it started providing mixed results. I lived like this for another 3 years give or take. I realize I missed a step here but between 23-26 I started seeing one of the physical therapists for pelvic floor disfunction. We did make progress and she did help me every week but the issue became that I would get constant fissures or hemhorroids and she wouldn't want to do internal work for the muscle those weeks for the risk of hurting me worse. This became more common sadly over time, we were able to try bio feedback but this gave mixed results as I was able to relax while laying there with the muscles but during movements either that level of relaxing didn't work or I was physically unable to relax during movements. Even during bad weeks though it was nice to just talk to someone about my issues and what progress/lack of progress I experienced with it each week.
I am now 26 and this year I decided to tackle my issues again. This started with seeing a new doctor again. This one informed me that the suppositories likely had little effect and any relief I had would have also been achieved by a glycerin suppository. I heavily disagreed with this notion as I didn't use them as a laxative i just found the laxatives provided slight relief to the difficult movements I was having. She recommended I try the botox procedure which I figured I had tried everything else she recommended so this was the logical step. I went into it with high hopes but the results were ultimately lacking. Week 1 I had an incredibly difficult time going at all, it was tons of strain and effort for nothing to come out at all or thin strands, this was also some of the hardest straining I have ever had to do. Week 2 I was still doing that but was able to have some progress with movements at least but I ended up having a "blister" pop up during one particularly difficult movement. I didn't feel pain but I definitely felt the mass swell up, it ruptured the same night with no pain felt but I knew that was likely not supposed to happen. I chalked it up to early botox stunning the muscle and it needed time to soften up. Week 3 and 4 were actually great strides in progress and things went ok. Week 5 things totally collapsed. I had another blister but the stunned effect wore off and I was certainly starting to feel pain again, not extreme pain but enough that it was unpleasant and not ignorable. This was also the time for my follow up with the surgery to talk to my doctor. I told her things werent great and I still had many issues along with the fissures, she couldn't do an internal exam because the fissure was prominently visible externally and she knew it would cause massive pain. She also was against doing the sphincterotomy or fissurectomy 1 because of my age and 2 because due to thin skin i had in that area from the hydrocortisone she was worried she couldn't stich it together as the skin would tear. a quote I remember is she wouldn't do it and she hoped no other doctor would either. She said I could do botox again in a few months but she couldn't do anything else for me. This was pretty devastating. I had an appointment with my gastro shortly after for unrelated issues but he was also aware of my struggles so we talked about that too. He also couldnt do an internal exam for the same reasons she couldn't. He prescribed me nitro glycerin for the fissures I was having and when I told him how she said there was nothing she could do for me he reassured me there was always something we can do and referred me to another doctor. I do also want to note at this point the pain from fissures started dominating my life, I was afraid to go outside for fear of having to use the bathroom, I was afraid to use the bathroom altogether, I felt bloated I lost 20 pounds just due to not eating and generally I felt terrible doing anything. One day in particular I spent maybe 8 hours after I woke up just laying in bed to avoid having painful bowel movements.
This appointment was straightforward. Enough time had passed that the external fissures healed and he was able to do an internal exam. He said he would scope me as needed but im guessing he felt all he needed to as he described to me that he could still partially see it externally and felt the scarring internally. He also felt the muscle spasm. I had told him everything I tried, I told him about my issue in varying degrees. My main frustration with him was he equated me talking about difficulty going as a gastro issue. From my perspective it wasn't that far back, it was the physical mechanics of trying to go that were failing me over and over again which is his department. He told me that I had already done everything he would recommend for someone in my situation and his last recommendation was to get the fissurectomy/sphincterotomy. It was either that or learn to live with it which at this point I decided wasn't an option. I was already aware of all of the risks such as a chance of incontinence. These thoughts terrified me but what terrified me more was the thought that if this didn't help me I would have nowhere else to go and no options left. Admittedly my family was more concerned about the incontinence than that part of it but that just adds into the emotional isolation i felt over this issue, they were supportive but they also didn't understand exactly what i was going through so they feared the procedure more than me living an already bad quality of life. He said I could call him to ask questions or schedule the appointment. Now this is where things turn around for me. I was desperate and scared so I clung to one other option suggested to me by my mother from one of her friends, an acupuncturist close to us. Now I want to say this is in NO WAY an endorsement for acupuncture, before I even get into my experience I had 0 confidence this would help me and even now I don't think getting poked by needles helps me at all but the supplements I 100% can say have made a tangible difference and I am taking my life back. Back to the story though. I saw her, painstakingly and embarrassingly described the issues I had been having to her and we did the needles for constipation. She told me to do a ton of things and it was a bit overwhelming. For one she suggested I start a non dairy no lectin diet. I had no idea what lectin was before coming in but its in A LOT of stuff. She said to exercise 20 minutes a day, take 1 serving of mira lax once an hour every hour until I was going every day and take 200 mg of this magnesium supplement she was going to sell to me. Now in my head when she suggested magnesium and this probiotic I immediately thought "here is the upsell she wants me to buy this worthless stuff that probably won't help me" I considered the whole thing a scam from the moment I walked in and this just kind of irritated me but I bought the probiotic and magnesium anyway because I felt I had to give this a fair shot and honestly, anything beat surgery. Now you may be thinking "probiotic? why didn't he say that helped him in the beginning?" I never took it, not once. Its on the shelf behind me still in its unopened glass bottle, I use it to crush the magnesium into dust and I take it with water because I hate swallowing tablets. What I did do is I stuck to the magnesium (200 mg at the time), exercise, miralax, and diet.
The exercise I don't think particularly contributed. I had been active at many points in my life including sports or for 2 years between 24-25 I went to the gym twice a week. This stopped a bit when my issues ramped up and I am starting to get back into it now. Point being this had no influence on my issues but I did it anyway. I also did stick to the lectin diet very strictly for 2 months, when things started going really well for me I would deviate here and there until I started deviating a lot more and it had no negative effects (this has been for weeks already and I am still fine) so I realized I was not lectin or dairy sensitive. The miralax was only a temporary solution and a rather intense one at that especially some days where id need 3 servings to go. Once that kind of regulated we lowered it to consistent amounts every day that I would gradually lower. I am currently down to .75 a serving of miralax a day and she will likely drop it to .5 next time I see her until I am off it. She also has me taking 1 serving of fiber a day and she is hesitant to increase it but that is supposed to ultimately take over the role of regulating my system. Early on I was only taking 200 mg of magnesium and not getting great results I had 2 difficult to pass movements that caused injury, one that was so bad I had to suddenly cancel an acupuncture appointment. She ended up calling me to which I thought she was just fiending for another appointment but we talked for a bit about my issue it turns out we had a miscommunication where she thought I had upped it to 400 (2 twice a day) but I only had been taking 2 a day (200) so I needed to up it which I did. I don't remember how smooth the curve was but once I reached 600 things hit a switch. The movements were very soft sometimes outright liquid but I heavily preferred it to the pain I had been in for months and different degrees all my life. This is kind of where I am at right now. I am still on my 290mcg of linzess, I am seeing my gastro next week and plan to discuss lowering it to 130 which is the next step down in dosage size and see what happens, if I have no negative effects I plan to gradually move off of this as well as the miralax from .75 a cup a day at the steady pace my acupuncturist recommends. Its still more than most take to go to the bathroom but this is the best I have ever gone all my life. I used to take this linzess along with 3 coalace and while that process was also particularly awful sometimes it gave results and sometimes it didn't. In short, 290 mcg of linzess, 600 mg of magnesium, .75 a serving of miralax, 1 serving of fiber from metamucil. At the risk of being gross even though we are on a video specifically about rectal issues. The movements vary from soft but solid, many small solids, a kind of paste consistency, to outright liquid. Its not pleasant to deal with the latter especially when out and about but once again this is a solution I 100% would take over surgery or the pain I had before. It is also possible toning down the other medications I am on will make this better but still this is a slow process. I just want to make sure anyone that takes up magnesium is sure to be aware that this will likely happen to them too if it works. My acupuncturist said it was good for muscle spasms and constipation. I have no idea if it was good for the spasm but I just know it works and my physical therapist agrees I am the best I have ever been especially since I was struggling with moral issues, she had me give her the info of the magnesium. I do know the brand name of it but I am avoiding giving it so people don't think this is an advertisement. It also says practitioner only on the bottle but I hope this doesnt prevent other people getting access to it. I still have a lot of steps to iron out to see if these things only work together or if I can remove some unnecessary parts of the equation but this is my life, this is my story and I hope some people can use this information to have their problem resolved like hopefully I have. I know I am talking about eventually getting off the medications I have for this but to be 100% clear if I need this exact mix of things to keep me going like this then I will gladly do it the rest of my life.
Take the 30 Day Pranicura challenge! Go to www.Pranicura.com to order! They also ship international as well!
I got my pranicura thanks a lot dr …hello from India.
I got the pranicura right now doctor 👋 on my 2nd week , lets Go !!
Serious question. I asked in another video but it's old and not sure you'd see it.
I have no pain or itching luckily, but I have had for years, swollen, thrombosed hemorrhoids all around my anus (dark purple lumps) and internal hemorrhoids.
Does pranicura make these go away and, have you ever heard of a product called "healing bottoms"?
I've been contemplating purchasing pranicura, and or healing bottoms kit #2 in hopes one will make these go away
Could you do a video on your thoughts of this healing bottoms product?
I've had anal itch for nearly 20 years and Pranicura is the only product that provides 100% relief. Thanks so much for letting me know about this amazing product doc! Worth every penny.
Please doctor I have spasm in anus and Rectum ; and burning and itching in anus and same time fecal incontinence when it’s soft !! I did pelvic therapy, it didn’t help… the doctor told me it’s muscle problem and she told me may be meditation will help but it didn’t help!! And I’m not able to sit comfortably…. Will pranicura help me to sit comfortably with normal muscles anus ?? Thank you 😢🙏🏻
I never tought I would subscribe to a proctologist channel but since I have issues, you are the very best at making problems somewhat fun and giving (what seems to be) very good knowledge in the best way possible! Thank you from Québec bro!
Thank you doc. You explain things so much better than any of my docs. You are a angel. A smart angel
I don’t have most of these problems…just some constipation…like since birth…I am fixing that thanks to you. Sure wish you were my doctor…you have a great way of explaining it all to us lay people. You are awesome…thanks so much.
I really appreciate you Doc! I got injured on my horse 14 years ago (63 now) and, after severe edemas and infections, have had 4 fistulas and severe spasms since then. On the first surgery, the doc did an unsolicited sphincterotomy, left some bad scar tissue, and trauma from his fat fingers, etc. Numerous docs over the years, including 2 at Mayo Clinic, did me NO good at all. YOU are the first I’ve heard putting out SOLID info. Thanks…from the very bottom of me! 😊 Your happy demeanor is also relaxing and reassuring!
Great info, thank you. All the things you talked about worked for me, especially the mental health relaxation aspect. Helpful knowledge helps me to relax, which in turn helps my spasms diminish. Whenever I do get a spasm now, which is infrequent compared to 6 months ago, I stop what I’m doing and evaluate my mood, what’s going on, etc. it really helps me gain some control over it all. 😊
Thank you Dr. Chung for this info. I’m 69 and started getting this about 35 years ago. At that time there was barely any info out there and you are right, the GP wasn't alot of help other than to say many people got it. As I look back it definitely was extremely painful at the highest stress times of my life and if I pushed too hard either walking or a workout. Now retired and they had calmed down and got them maybe once a month and more mild than in the past. They have just started much more over the last few weeks though. And I’ve had skinny stools too, although have no problem going every day. Only different thing for me now is I am walking much more and faster and pushing hard to walk longer more than normal right now, The spasm will wake me from a deep sleep. But I wanted to share with you something that helped me a great deal. All the things you talked about worked well for me. However, if I can catch it right at that point when I get that feeling of the spasm just starting, I take a few puffs of a ventolin puffer, get off my feet and try to put my feet up, or better is laying down on my back knees up and deep breath while mentally focusing on pelvic relaxation. I read this tip probably 20 years ago on a site I believe from Europe. It definitely helps . Also extreme foul gas comes out too. The good thing about this spasm is once it’s done it goes away fast, which is definitely great! Thank you again!
How
😊iseventy years gut bowel nerve anxiety pain but waking at night or early morning with burning pressured bowel pain improves on bm or getting up ok when I go to bed but lying down brings on the pain
Helloo.. just wanted to ask did u face any problem with anal stenosis i.e. anal width getting smaller?? Kindly reply
@@snehadeb7961 did your anal narrowing get better? i am facing it now... painful BM but afterwards just sore or raw feeling
You are so wonderful and i fewl like cryinf bc i finally feel like someone understands. Ive been in bed all week. I feel like ive lost my life. Thank you for your knowledge and compassion. Blessings to you.
i’m very sorry to hear. How r u doing now?
You are saving me right now. I’ve had these pains since I was 16, so for 19 years now. Almost 11. And I didn’t realize what was going on for a long time. Shame has kept me from seeing a doctor about it, but I’m sick of having my sleep cycle thrown off, and with that, everything else. I’m going to implement everything in the video along with getting past the shame and making those DR appointments 💛💛
Honestly, no one has ever talked about when the pain is unbearable. I’ve passed out multiple times from how intense it is!
I had this happen and passed out. I had no idea what was going on. I thought I was dying of butt pain
I’ve suffered from issues for years due to being on pain medication due to a tumor in my spine. So I’ve had a constant struggle with slower digestion, then I started have hardening of 💩 which led to me getting strong anal spasms, the hemorrhoids, then fissures. As a gay man this was extremely difficult for me personally and in relationship. This year I have been using the slow dilation technique by use of slowly increasing size width! It’s helped tremendously along with your kegel exercises
Thank you. Had my first old man visit to a doctor and he said in our conversation, how’s my stress going. That’s when I knew I needed to make a change in perspective, stress has to much control. I never expected a stress conversation to begin at a proctologist office Thank you for your videos.
Thank you Dr. Chung!!! I was diagnosed with Levator Ani Syndrome 6 months ago and I have gotten more information, education, and HOPE from your videos than from my proctologist and physiatrist. I went to my proctologist 6 months ago to schedule surgery for grade 3 hemorrhoids, after the checkup the Dr. told me I had LAS and that he would not do the surgery because “I would be miserable with pain the rest of my life” but he didn’t explained why this would be the case. It would be great if you can do a video expanding on how to deal with these 2 conditions concurrently and if in fact surgery for hemorrhoids is contraindicated for patients dealing with Levator Ani Syndrome (which btw my doctor told me it is an incurable condition). Again thank you so much for these videos!
how r u doing now with LAS? i heard that physiotherapy helps?
I am going on 2 years of chronic tip end hemorrhoids & fissure. I can eat healthy, avoid having a flare up then eat a little too much bread one day and it just rips open my injury and im back to square one 😞 I feel hopeless sometimes, but watching this video gives me mental strength to not give up 🥺❤️
Do u have pain and bleeding both or just one of them?
Im going through else different
The most useful video of all time
fair
I use warmth and find it helps aLOT ! A wet washcloth warmed up in the microwave goes a very long way to relax the area and relieve the pain. Just have to be careful it's not too hot. I find this makes the pain go away very quickly
What I can’t understand is why it happens when you have been sound asleep for hours and it suddenly wakes you from a sound sleep when everything in your body is at its most relaxed state. Why does that happen in particular?
Just came here to ask this same thing, mine only happen in the middle of the night too. I am stressed out but you would think you’re the most relaxed during sleep.
Thank you for all the information. I have had 3 surgeries in the past 25 years, the last one just last year. It was extremely painful for 2 weeks post op, but I am doing better. However, I still have not so good days. I take colace and increased my fiber with fiber cereal, but have to be careful not to take too much, otherwise, I need to stay home until I feel I can safely be away from the bathroom. I sincerely appreciate your information on this subject, it's not usually one I can share with many people. Thank you again.
Thanks for sharing your story. I wish you the best.
Three surgeries? Are they all same type? Hope you are getting better each and every day.
thanks so much you are helping me with this .....ive already seen improvement...youre a 100% solid gold fantastic person... all the best from australia
You are an awesome Doctor. I am going through this exact situation currently, and have seen doctor and specialist but no one has explained in way you have. It is a mental game to manage pain and your sympathetic way of explaining helps with that battle.
Dr. Chung I found myself here because I may have experienced it all down there, but now I know for sure because of my anxiety I have been suffering this. Thank you for your sharing your expertise with comedic efforts and providing simple solutions. I don’t have the pranicura but I made my own remedy using peppermint oil - which I believe is anti spasmadic
Dr Chung thank you so much! I have been getting better but have been frustrated about how slow the progress seems. Thank you for the positivity! I know I will be done with this soon!
Are you better now?
Are you ok now???
How r u doing now
People tend to be looking for an "instant fix" when they have an issue, and surgery can sound like the answer. But if you have a procedure, you will still have to go through recovery and physiotherapy, which can take a long time. It doesn't make sense to me why people wouldn't try physio first and avoid the expensive, painful and inconvenient surgery. You're going to get to the physio either way! Just knowing that there are pelvic floor specialists really helps. It might not occur to people to look for this specialty. The other problem might be convincing your insurance to cover it.
agreed!
Your angel. Your helping me more than my doctor. Northwell health. Long island.
I ordered Pranicura right away as soon as I heard you mention it in the first video I’ve found 🙏🏼 So grateful for the info and this great product recommendation. I have a prolapsed grade 3-4 hemorrhoids and I gotta say, DON’T accidentally get a smudge on the inside parts 🤣🤣 Love the menthol once I learned how to properly apply it. Doing the 30 day challenge - applying it after my banding right now 🙌🏼🎉
How you feeling now
Great video! The best thing is to have a soft poop, and when contracting the muscle, to do it very slowly. 400mg ibuprofen works as you said can confirm. Tylenol doesn't. Cream works too but need to reach the right spot. The main issue I have is sitting on a chair. Would be great if you can make a video on which seat cushions and sitting postures are best for hemmoroids, fissure, etc.
I second this about sitting! It’s really difficult
I second this 👋😭
Called to be a Doctor! Very refreshing!
What about walking does it help your floor muscles ?
Exercise with bands not straining?
Thank you so much doctor Chung! You are giving hope
Thanks for sharing your knowledge again doc. I really appreciate your videos.
Hi, I’m Mia and I’m 36 years old and I have levator ani syndrome (plus an anal fissure since one month ago). I received physical therapy for seven years in Spain, it helped me a lot, but now I moved to Germany to live in Germany with my husband and I cannot find anyone nearby to help me. Literally no one. I just found one physio that didn’t even touch me…I don’t know what to do and I’m in a very dark place. My thoughts go to all of you and I hope we’ll all get better and soon, please! Thank you so much, doctor.
Hi Mia, my name is Lili, I reside in the USA. I'm so sorry to hear what you are going through, especially the fistula. 😢 I have a pelvic floor dysfunction with a stapled hemorroidctomy that went terrible wrong and I ended with levator ani syndrome. I am receiving epidurals and nerve block injections plus PT for pelvic floor. Are you able to go back to Spain to have your fistula fixed? You can get pelvic floor therapy on UA-cam watch Dr. BRI, PELVIC FLOOR THERAPIST. SHE IS THE BEST. Please keep me posted. Be well 🙏
@ Lili, thank you so so much! Your message meant a lot to me and I looked for that doctor and I’m trying with her and with different things…today (and yesterday) bad days, but I’m trying. You’re so brave! What you’re going through is so hard and I just want you to know I understand and appreciate a lot that you took your time to answer my message. I’ll go back to Spain for the holidays and I’ll go to my physio and I’ve already found someone “nearby” that may know something about this…I hope so, fingers crossed! Take good care! A big hug for you!
As I mentioned on another post, I can be at work and suddenly with no warning here comes the deep, extreme pain. without prescription pain medication, I could not make it home. People do not understand the pain 9/10.
U still get pain ?
@@wateristhegod56I'm getting the pain.. you know how to help???
@ no please i am in pain too
It never goes away!!!😢😢
I am going to put your recommendations into action Dr. Thank you so much!
A glass container with a little DMSO; add aloe gel if you like; add comfrey oil as main ingredient so it’s about 3x amount of what you used for DMSO & aloe gel.
Dab it with a cotton ball & apply to your source of pain.
You should feel a relaxation response.
Look more into DMSO & comfrey.
Can’t be near plastic or chemicals as it drives anything it touches into the bloodstream. But it’s an old anti inflammatory & relaxant.
Comfrey heals tissues & fractured bones.
I get rectal spasms about once a year. They come on out of the blue. Yes, although it feels good to either sit on a tennis ball, sit on a toilet and push down like you’re having a bowel movement, they both help. But you know what helps me the most? And some people don’t believe this but if you think about it, yes it would work. Well, my mom used to get rectal spasms, and I found out that using an albuterol inhaler actually works! Yes, it works! I take two puffs of it as if I were taking it for asthma And if they don’t clear up in about 15 or 20 minutes, I take two more puffs off of it. Within another 15 minutes, they are gone. And within a year I get spasms again. There is no rhyme or reason as to why I get them but I do….
One random question why does my anal fissure looks all healed up bc it’s covered with scar tissue looking and now it has a tag and feel pain when u use the bathroom and feel it when I move around 😭😭😭
Thank you, great video it’s amazing the things we just don’t know or understand that can help us get better.
Have had problems with piles for 30+ years, always just suffering in silence, because of things I was told when speaking out about it. Piles got worse and multiplied, from grade 2 they grew fo 3 and four, but I was holding on. It was when I started getting reoccuring fissures, that the pain and spasms became intolerable. I started seing doctors, one told me he has to do a sphincteractomy, I ran away. Another surgeon looked at me from far, and said I do not have anything, and "it is a women's thing". (Men make over 60% of patients.) Another, private, doctor said my case is too advanced for the procedures he was doing... I have now lost count of how many doctors have had their fingers up my bum 😅 even a simple prescription requires an examination. Going for my second surgery now, first I had HALO, but because of reoccuring haemorrhoids going for a haemorroidectomy. Already suffering from anal spasms, and I am terrified that I will get stenosis 😢...
I only wish the very first doctor had knowledge and empathy of you, Dr Chung!
As a 35 yr sufferer of proctalgia fugax …when I sense an episode coming on I quickly down 2-4 shots of moderately strong alcohol.. rum.,vodka, Peachtree Snapps. This works very quickly unlike oral meds which are too slow since most pain is gone in 20-24 min for me. Not an ideal fix but it does quickly reduce cramp and pain.
This subject is helped by your knowledge mixed with humor. 😅😅😅😅😅😅😂😂
Thanks a lot Dr! I must say that watching your video is not easy as it makes us think about why I am stressed, what's going on, the answers can be critical and emotional😔. But this is crucial for healing and so that the bottom part can cooperate a bit more. Also you share a lot a of personal information. We know that you love persimmon and can eat 6 at a time, we know that you didn't need to use the entire tub of cream 🤣. I think your wiping routine was very interesting and was super scary as I am a person with bad OCD and contamination fear. I am so glad that I was being brave and continued watching your videos! Thanks a lot and you are really being helpful to many of us. 😄
I get mine off and on sometimes at night the pain is intense 😢
Thanks!!!
The problem is a retear is inevitable wen I reduce stool softeners even when I’ve been healed for months. Could at home dilation be answer to this? There is a study ongoing for this at the moment
Did you get heal from it now ???
I love you man thankyou so much!
As I'm trying to push a good one out. Straining. But what a great feeling when its all done. I do love what he says about pa8n medications. I couldn't get through the day without them because of back pain.
Place electric heating pad or warm towel in your lap and the sphincter muscle will relax in no time. This helped me big time and I take it with me wherever I go.
Bro not to put my business out there but I had some that had me clinch!!! Like an electric shock go up my behind hole bro and I’m like what in the world!!!!!!
This fissure is in a flare atm it’s actually the worst pain of my life! Iv had uterus large fibroids endometriosis tmj nothing is as bad as this!
Super great videos 💪💪
Does having hernia in stomach muscles make the pelvic floor weaker when doing exercises
Dr. Chung you gave me hope. I’ve been dealing with post infectious inflammation, a small hemorrhoid, and a small fissure for 6 weeks. I’ve been improving, but the progress seemed so slow that it was affecting me. I have gotten a little better, and like you said, that’s good news. Thank you for changing my outlook today! 🥹
You are fantastic, thank you. 🙏
Hello. I am having a lot of pain from a fissure ( I believe) and am wondering if it is normal to have pain by tail bone as well. I had a fissure 17 years ago that needed surgery and minor ones that have "healed" on their own intermittently ( 1 or 2 time a year) but now I have something that feels like a fissure, inflamed sore anus but also pain in tailbone and occasionally pain that radiates to left leg with the pain. Wondering if this is normal with a fissure.
I am pretty sure I have a fissure right now and YES!!! I have pain in my tailbone and radiating pain from the nerves down my legs and even into my feet. Some times it’s just a sharp stabbing pain and other times it’s full rectal, anal, bone and nerve pain.
@@MeadTheValkyrie is your fissure healed completely? Pain reduced?
how r u now?
Thank you doc ❤
Bad eating habits I believe caused my anal fissures. Hard stool due to eating red meat. I can’t wait to solved my problem.
Magnesium too right? 4:57
I’ve had these spasms so bad I’ve blacked out and think I had a seizure. I was grunting loudly and rocking back and forth uncontrollably as my vision became tunnel vision and blurry. It was like I had no control over my body.
Thanks Doc great video
I don’t relate to the symptoms he mentions here, but I like his positiveness, my symptoms are weird. Sometimes I feel that the pain irradiates to the side of my lower abdomen.
Can you recommend a muscle relaxer for this issue ?
For many years I had a diet of just the wrong type of foods, coffee, and soda.
As a result I developed internal hemorrhoids, and thrombosed (dark purple lumps) hemorrhoids around the anus.
Also fatty liver. All caused daily bloating, discomfort, and constipation.
3 years ago I switched to drinking water only, aside from 1 cup of green tea with ginger, or orange pekoe, black pekoe cut tea in the morning.
I also use benefiber/prebiotics, and nature's bounty probiotic each day.
I've lost extra weight, bloating is now gone, and passing waste is much smoother, easier.
But I still have the internal hemorrhoids and thrombosed (dark purple lumps) hemorrhoids around the exterior of the anus, hoping to resolve these sans surgery.
My point here is, your diet is a big factor, especially as you get older.
And exercise your bum, as you get older those muscles break down and they are needed for bowel movement.
Dr. Chung mentioned that the thrombosed ones can be painful but only for 2-3 days. It will feel hard to touch. Do you experience it for longer duration?
This is my life. Colitis and Fibromyalgia. Body feels totally screwed. Tight arse. I hope this helps.
Your fibromyalgia begin from your arse 😂 remember your chronic abdominal pain that's the key
The fibromyalgia coming from the colitis? I have the similar problem just very painfull fissure never healing up
Dr i have a steroid suppository that was prescribed a while back for my hemmheroids..can i use that to help reduce the internal inflammation and for pain? My muscle tightness and spasms were so bad and the pressure from constipation just added to it. Now im sp sore with a constant throbbing pain all day. Do you recommend the steroid suppository or should i just take IB PROPHIN?
Big Nice Professional Young Man.&.❤❤❤❤❤❤❤.&.Respect Love You Forewer. My dream to be checked from you for my health troubles. Good Health Doct Change b
I been thinking its a huria because I do lift alot of heavy things for work everyday and have not been able to work or do anything but lay in bed for 5 days now
Calmoseptine works too if you can’t afford Pranicura
Thank you! Thank you!
The cream def does help me a lot so if anyone hasn't tried it its def worth a try to see if it helps you! I get itching on my skin around it though and have to rest using it sometimes which is annoying as its helping so much. Do you think i am allergic to something in it?
I have IBS-constipation. Tightness on my upper abdomen below my ribs.
Thanks for the info I took a long sitz bath to let myself relax I spasmed about twice in the bath then no more. I just laid there for about 2 hours to let the muscles take a long break. I see now it's the muscles over working that creates the spasms gotta let them loosen up.
Dr. Colace will hurt your intestine in the long side. How long can we used ir with out side effects. I get scare that it will affect my intestines.
My Gyn told me about Calm magnesium research it if you want.
I’m in so much pain. 8 hours of spasm now
@Senin Dua I cry
Buy some dilators and water base lube fix my spasms no more pain and helps my muscles relax and allow blood to flow. Started with my finger then move up on dilator size. I’m on second dilator and been feeling back to normal pre fissure
Explain Plz@@Tested128
Hello dr. U r simply amazing. I would like to ask u if u could give us yr opinion about colonoscopies. If they are safe procedures and worth it concerning all the horror stories we hear about them. I am terrified to have one.
By the way: Dr. Chung I really like your videos, because they are very informative. Could you maybe tell us why is it that some of us are not able to use products with menthol in it beause it causes even more pain, while for other people sooths pain?
Hi Dr. How do you cure anismus caused by fissure. Puborectalis contraction seems very hard to break
My proctologist gave me an internal pelvic floor massage ( 10 times). First time the muscle was hard as a rock, now soft. I suffer from chronic anal fissures. ( for 3 years, with 1,5 good yers).
I am so thankful for your content!!!
Is your fissure healed ?
Is it like dilatation?
How do they massage it?
How was the massage?: please my muscle. is hard now 😢
@@deepanshu1456 yes!
Any idea how cremaffin works...and is it safe sir?
Is Colace the only OTC stool softener you recommend? I do not use gelatin products and I do not see any Colace that isn't a gel cap. I know they have tablet forms which include laxatives but not just the softener.
I want to see a physio again - but I am scared of them opening my fissure again if they do work there!
You are so good in explaining I have levator ani spasm since nearly 2 years and the pain is everyday and comes better after 6pm but it's so frustrating and I start feeling depressed I am 65 years old
is your pain mild or moderate and how long it lasts? i’ve got same symptoms recently
I have them as well, no fissures causing the pain, saw a PT and said very tight up there and believes it to be levator syndrome, now what? dealing with mine for about 5 months.
@@davidless57 levator ani is more common in women , sometimes tight there is due to anxiety and stress as well if this cycle is stopped it gets better i’ve read
@@peterobrien2537 my PT also claims it may have been due to the UTI i had which caused trauma in the muscle area. Since I'm an athlete, she also said athlete's are also more prone to get the spasms, go figure
@@davidless57have you found relief? Is it any better?
Dr Chung can you please do a video on tenesmus.
It is something I have had since I hàd surgery to repair rectal prolapse.
It has changed my life and it is disabeling.
I’ve had it too since having a hemorrhoidectomy.
I have been facing chronic pain in anus area from last week and coughing just increases the pain, plz let me if this would go away by its own or what remedy is required, thanks in advance
Hello doctor can scar tissue be fixed by surgery? I am a post op patient, I had undergone fistula surgery two years back but after that my anus feels like it is swollen. Although very minimal pain but i am not able to completely clear my bowels , probably due to the scar that has formed that was diagnosed in colonoscopy post surgery. So is this cure able with few incisions or cuts or surgery?? Please help sir..
Curious to know if anything came of this. I’ve had 2 hemorrhoid surgeries and I have that constant swollen feeling with tight muscles. Wondering if anything can be done for scar tissue
I am having the same problem, last fistula surgery was done 2years back , now I am having scar tissue.... suffering with it now, hope scar can heal by itself without surgery 😢
Scar tissue does not go away on its own. Hope you find some help.
Some have tried tens units where it feels safe “down there” for some non drug relief.
Can these spazams cause increased visits to the bathroom? I'm going about 20-30 times a day. I feel my sphincter tighten. I try to relax and ultimately go. However, it's been over 2 weeks, and it won't stop. I have lost 10 pounds in 15 days. I feel horrible!
Can fissure cause poop leake? What is the mechanism??!
What do you think of yeallow pitayas as a laxative ?
Hey Chung ! I just wanna ask you one thing is people got surgery for chronic fissure tag 2x or 3x times .
Is it cause fecal incontinence please reply sir?
How do I know if i have proctitis from all the trauma from constipation and pelvic floor dysfunction?
Yeah pain meds can help. I've never felt addicted and in fact, I hate them the more I've taken them really. They also make me super constipated so I cannot eat and take these. I only drink juice.
My gastro is giving my Valium suppositories for both vaginal and anal spasms. I’m hypertonic from childbirth, slice and dice and chronic IBSC.
But opiods pain med can lead to severe constipation ..then what ?
Hi dr what can he used for lubrication..is vaseline a good option for long term use
I’m not a doctor but since Vaseline is a carcinogen, NO! You can use coconut oil
How r u now ?
Did anyone got cure from this ? Please share with me I need your help ??
My sister has had fissure surgery 20 years ago she has not faced any problems yet? No incontinence
Tried posting my story in parts, its long and I am sorry but I am still posting it just cut down into different comments.
I don't know how to write a comment like this but I do know that when I was scared and facing surgery this was one of the places I looked for help/guidance so its one of the only places I can think of to post my story and what helped me. If you aren't interested of course my short answer is "Magnesium Glycinate" (600 mg a day, 300 at the morning 300 at night but I worked up from 200 a day to 400 then 600) but one thing I found incredibly difficult to cope with is while dealing with my issues I felt alone, I felt people didn't understand the issue and my hope is that by posting this I can help someone who needs it or at least maybe give someone a story they can relate to so they don't feel so alone in dealing with this. It is also incredibly difficult to talk about, I feel weird just typing this but I feel it is the right thing to do.
I've had issues going to the bathroom since I can remember, I never went normally I always kind of had to physically exert not just my anal muscles but strain arms/legs to go as well because things simply didn't go. I knew something was wrong with me but doctors perpetually treated it as constipation and thats as deep as it got. I was able to go in varying degrees, some better some worse, but it was always inconsistent. I'd be on different forms of laxative like senacot, xlax, miralax etc and sometimes things would be OK others they would be terrible seemingly at random. It didn't matter what consistency I had when I found a solution, one day randomly it would stop working then back to the drawing board I would go. I always figured I would just one day age out of it and start going normally though. This was not a good way to think about it as later into my issue I was grasping with the fact that I may never know peace and will always have it which was a devastating thought.
When I hit around 18 I had my first visit to a colo rectal doctor because I started getting fissures from going. I also wasnt aware at the time but I also had started getting external hemhorroids which I just thought were blisters from the rectal cuts. My doctor diagnosed me with a pelvic floor disfunction/muscle spasm and gave me literature to a women's hospital for physical therapy. I didn't think of it at first but then he specifically pointed out even though it said women's hospital I was fine to go as they just treat that kind of problem there. Immediately I felt a wave of shame rush over me. I was embarrassed at the thought that I was a guy experiencing an issue that upon googling seemed common for pregnant women. So I did nothing and delt with the issue for around 5 more years. I hit 23 and decided I needed to tackle my issues again. Things hadn't gotten worse but I was once again tired of the experiences I was having, I also had been seeing gastros who put me on linzess I think for 130 mcg. I believe I started smaller but I don't remember what the exact dosage was for the first time they gave it to me, I was quickly upped to 130 and now I am actually on 290 and still am but this didn't help me, or if it did the results like previous ones were inconsistent but I found it better than doing nothing at all. I was also taking miralax daily during this time. Back to doctors though. I went to a different doctor than the first one I saw, she gave me suppositories for hydrocortisone and baclofen. I found great relief with these as I thought they made movements easier and helped with the fissure so I used both daily. After a few months I started getting skin breakdown rectally and went to see her again, she informed me i wasn't supposed to use the hydrocortisone for that long as it was wearing down my skin. She probably did notify me originally that I was supposed to stop after 2 weeks but I forgot or didn't care at the time until it caused issues. The baclofen I kept using regularly until once again it started providing mixed results. I lived like this for another 3 years give or take. I realize I missed a step here but between 23-26 I started seeing one of the physical therapists for pelvic floor disfunction. We did make progress and she did help me every week but the issue became that I would get constant fissures or hemhorroids and she wouldn't want to do internal work for the muscle those weeks for the risk of hurting me worse. This became more common sadly over time, we were able to try bio feedback but this gave mixed results as I was able to relax while laying there with the muscles but during movements either that level of relaxing didn't work or I was physically unable to relax during movements. Even during bad weeks though it was nice to just talk to someone about my issues and what progress/lack of progress I experienced with it each week.
I am now 26 and this year I decided to tackle my issues again. This started with seeing a new doctor again. This one informed me that the suppositories likely had little effect and any relief I had would have also been achieved by a glycerin suppository. I heavily disagreed with this notion as I didn't use them as a laxative i just found the laxatives provided slight relief to the difficult movements I was having. She recommended I try the botox procedure which I figured I had tried everything else she recommended so this was the logical step. I went into it with high hopes but the results were ultimately lacking. Week 1 I had an incredibly difficult time going at all, it was tons of strain and effort for nothing to come out at all or thin strands, this was also some of the hardest straining I have ever had to do. Week 2 I was still doing that but was able to have some progress with movements at least but I ended up having a "blister" pop up during one particularly difficult movement. I didn't feel pain but I definitely felt the mass swell up, it ruptured the same night with no pain felt but I knew that was likely not supposed to happen. I chalked it up to early botox stunning the muscle and it needed time to soften up. Week 3 and 4 were actually great strides in progress and things went ok. Week 5 things totally collapsed. I had another blister but the stunned effect wore off and I was certainly starting to feel pain again, not extreme pain but enough that it was unpleasant and not ignorable. This was also the time for my follow up with the surgery to talk to my doctor. I told her things werent great and I still had many issues along with the fissures, she couldn't do an internal exam because the fissure was prominently visible externally and she knew it would cause massive pain. She also was against doing the sphincterotomy or fissurectomy 1 because of my age and 2 because due to thin skin i had in that area from the hydrocortisone she was worried she couldn't stich it together as the skin would tear. a quote I remember is she wouldn't do it and she hoped no other doctor would either. She said I could do botox again in a few months but she couldn't do anything else for me. This was pretty devastating. I had an appointment with my gastro shortly after for unrelated issues but he was also aware of my struggles so we talked about that too. He also couldnt do an internal exam for the same reasons she couldn't. He prescribed me nitro glycerin for the fissures I was having and when I told him how she said there was nothing she could do for me he reassured me there was always something we can do and referred me to another doctor. I do also want to note at this point the pain from fissures started dominating my life, I was afraid to go outside for fear of having to use the bathroom, I was afraid to use the bathroom altogether, I felt bloated I lost 20 pounds just due to not eating and generally I felt terrible doing anything. One day in particular I spent maybe 8 hours after I woke up just laying in bed to avoid having painful bowel movements.
This appointment was straightforward. Enough time had passed that the external fissures healed and he was able to do an internal exam. He said he would scope me as needed but im guessing he felt all he needed to as he described to me that he could still partially see it externally and felt the scarring internally. He also felt the muscle spasm. I had told him everything I tried, I told him about my issue in varying degrees. My main frustration with him was he equated me talking about difficulty going as a gastro issue. From my perspective it wasn't that far back, it was the physical mechanics of trying to go that were failing me over and over again which is his department. He told me that I had already done everything he would recommend for someone in my situation and his last recommendation was to get the fissurectomy/sphincterotomy. It was either that or learn to live with it which at this point I decided wasn't an option. I was already aware of all of the risks such as a chance of incontinence. These thoughts terrified me but what terrified me more was the thought that if this didn't help me I would have nowhere else to go and no options left. Admittedly my family was more concerned about the incontinence than that part of it but that just adds into the emotional isolation i felt over this issue, they were supportive but they also didn't understand exactly what i was going through so they feared the procedure more than me living an already bad quality of life. He said I could call him to ask questions or schedule the appointment.
Now this is where things turn around for me. I was desperate and scared so I clung to one other option suggested to me by my mother from one of her friends, an acupuncturist close to us. Now I want to say this is in NO WAY an endorsement for acupuncture, before I even get into my experience I had 0 confidence this would help me and even now I don't think getting poked by needles helps me at all but the supplements I 100% can say have made a tangible difference and I am taking my life back. Back to the story though. I saw her, painstakingly and embarrassingly described the issues I had been having to her and we did the needles for constipation. She told me to do a ton of things and it was a bit overwhelming. For one she suggested I start a non dairy no lectin diet. I had no idea what lectin was before coming in but its in A LOT of stuff. She said to exercise 20 minutes a day, take 1 serving of mira lax once an hour every hour until I was going every day and take 200 mg of this magnesium supplement she was going to sell to me. Now in my head when she suggested magnesium and this probiotic I immediately thought "here is the upsell she wants me to buy this worthless stuff that probably won't help me" I considered the whole thing a scam from the moment I walked in and this just kind of irritated me but I bought the probiotic and magnesium anyway because I felt I had to give this a fair shot and honestly, anything beat surgery. Now you may be thinking "probiotic? why didn't he say that helped him in the beginning?" I never took it, not once. Its on the shelf behind me still in its unopened glass bottle, I use it to crush the magnesium into dust and I take it with water because I hate swallowing tablets. What I did do is I stuck to the magnesium (200 mg at the time), exercise, miralax, and diet.
The exercise I don't think particularly contributed. I had been active at many points in my life including sports or for 2 years between 24-25 I went to the gym twice a week. This stopped a bit when my issues ramped up and I am starting to get back into it now. Point being this had no influence on my issues but I did it anyway. I also did stick to the lectin diet very strictly for 2 months, when things started going really well for me I would deviate here and there until I started deviating a lot more and it had no negative effects (this has been for weeks already and I am still fine) so I realized I was not lectin or dairy sensitive. The miralax was only a temporary solution and a rather intense one at that especially some days where id need 3 servings to go. Once that kind of regulated we lowered it to consistent amounts every day that I would gradually lower. I am currently down to .75 a serving of miralax a day and she will likely drop it to .5 next time I see her until I am off it. She also has me taking 1 serving of fiber a day and she is hesitant to increase it but that is supposed to ultimately take over the role of regulating my system. Early on I was only taking 200 mg of magnesium and not getting great results I had 2 difficult to pass movements that caused injury, one that was so bad I had to suddenly cancel an acupuncture appointment. She ended up calling me to which I thought she was just fiending for another appointment but we talked for a bit about my issue it turns out we had a miscommunication where she thought I had upped it to 400 (2 twice a day) but I only had been taking 2 a day (200) so I needed to up it which I did. I don't remember how smooth the curve was but once I reached 600 things hit a switch. The movements were very soft sometimes outright liquid but I heavily preferred it to the pain I had been in for months and different degrees all my life. This is kind of where I am at right now. I am still on my 290mcg of linzess, I am seeing my gastro next week and plan to discuss lowering it to 130 which is the next step down in dosage size and see what happens, if I have no negative effects I plan to gradually move off of this as well as the miralax from .75 a cup a day at the steady pace my acupuncturist recommends. Its still more than most take to go to the bathroom but this is the best I have ever gone all my life. I used to take this linzess along with 3 coalace and while that process was also particularly awful sometimes it gave results and sometimes it didn't. In short, 290 mcg of linzess, 600 mg of magnesium, .75 a serving of miralax, 1 serving of fiber from metamucil. At the risk of being gross even though we are on a video specifically about rectal issues. The movements vary from soft but solid, many small solids, a kind of paste consistency, to outright liquid. Its not pleasant to deal with the latter especially when out and about but once again this is a solution I 100% would take over surgery or the pain I had before. It is also possible toning down the other medications I am on will make this better but still this is a slow process. I just want to make sure anyone that takes up magnesium is sure to be aware that this will likely happen to them too if it works. My acupuncturist said it was good for muscle spasms and constipation. I have no idea if it was good for the spasm but I just know it works and my physical therapist agrees I am the best I have ever been especially since I was struggling with moral issues, she had me give her the info of the magnesium. I do know the brand name of it but I am avoiding giving it so people don't think this is an advertisement. It also says practitioner only on the bottle but I hope this doesnt prevent other people getting access to it. I still have a lot of steps to iron out to see if these things only work together or if I can remove some unnecessary parts of the equation but this is my life, this is my story and I hope some people can use this information to have their problem resolved like hopefully I have. I know I am talking about eventually getting off the medications I have for this but to be 100% clear if I need this exact mix of things to keep me going like this then I will gladly do it the rest of my life.
Thank you for sharing
Thank You Dr. Chung. Can you do a video on Proctitis?
Can you help me I have been told anal fissure and have spinster spasm my doctor recommended me a surgery what should I do
Break the cycle with tronolane (pramoxine) it’s an anesthetic like lidocaine which you can use too but it’s milder.
Would you of had to have something up your butt to have these spasms ???? Im having alot of these symptoms but i never had anything up there.
Hey Dr. has anyone ever been healed from that anal spams/pain permanently
YES!
What about wheatgrasssuperbalm cream for fissure please reply it is safe for use