how to cure fissure permanently - #22085
I am really struggling with this painful issue of anal fissures and it feels like I’ve tried everything but nothing seems to work permanently! For about the last six months, I’ve dealt with intense pain during and after bowel movements, and honestly, it’s been affecting my life more than I’d like to admit. I’ve seen a couple of doctors who suggested creams and sitz baths, which provided some relief, but that’s about it. Also, I’m a bit worried about the long-term effects. I avoid certain foods like spicy stuff because they just make it worse, and I keep hearing about how diet plays a role in how to cure fissure permanently, but I’m not sure what's the best route to take. I’ve read about surgical options too, but that freaks me out! Are there any natural remedies or lifestyle changes that could really help how to cure fissure permanently? Or should I consider seeing a specialist just for a different perspective? I guess I'm just tired of living in fear of the next bathroom visit, you know? Plus, I'm worried that it’ll become a chronic issue if I don’t figure out how to cure fissure permanently. Any advice would seriously be appreciated!
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Doctors' responses
First, it’s important to understand that anal fissures, although common and usually manageable, can indeed become chronic if not addressed properly. The key to curing a fissure permanently often lies in a combination of lifestyle modifications, medical treatments, and, if necessary, surgical interventions. The strategy typically includes ensuring soft and regular bowel movements—this can help prevent the strain that can aggravate or cause fissures. Increasing your dietary fiber intake with fruits, vegetables, and whole grains is essential. Aim for a gradual increase to avoid bloating, and drink plenty of water as adequate hydration is vital for fiber to work effectively. You mentioned avoiding spicy foods, which is wise if they trigger discomfort or worsen your symptoms—continue monitoring and adjusting as needed.
Over-the-counter ointments or prescription medications, such as topical nitroglycerin, can promote blood flow to the anal area, speeding up healing. Calcium channel blockers, like diltiazem, may also be recommended by your doctor for persistent cases. Sitz baths—sitting in warm water for about 10-15 minutes several times a day, particularly after bowel movements—can soothe and help keep the area clean, reducing pain and facilitating healing. While these non-invasive treatments might not yield immediate results, patience can pay off.
If these measures fail, consulting a colorectal surgeon might be prudent. Surgical options, although intimidating, are increasingly safe and effective. Lateral internal sphincterotomy, one common procedure, involves cutting a small portion of the anal sphincter to reduce spasm and pain, promoting healing. For most patients, surgery leads to lasting relief.
Ensure you’re managing stress too, since it can affect digestive health. Integrating stress-relief practices, like meditation or yoga, into your routine might help. Remember, even natural remedies and lifestyle changes should be discussed with a healthcare provider, particularly to avoid interactions with existing conditions or treatments. Consider seeing a specialist if symptoms persist despite these interventions—it could offer new insights or options that align with your comfort and needs.
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