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Digestive Health
Question #24772
90 days ago
99

is fissure curable - #24772

Kabir

I am struggling with this persistent pain and it’s been driving me nuts! I went to the doc a couple weeks ago after noticing some bleeding when I go to the bathroom, and they told me I have an anal fissure. Ugh, just the mention of fissure made me cringe. I mean, I'm tryin’ to stay active and live my life, but this pain is seriously holding me back! They gave me some creams and said to take sitz baths — good old sitz baths!!! So awkward! But my question is, is fissure curable? I’m worried that I’ll be dealing with this forever, you know? The doc mentioned it could take a few weeks to heal, but I just don't feel any better yet and the thought, *is fissure curable* doesn't leave my mind. What if it doesn't heal properly? I read about some people having surgeries because it got worse and like, that freaks me out! Is fissure curable or is this something I’m gonna have forever? If any of you have been through this, please tell me, should I be asking for different treatment, or maybe even another opinion? I just want to get back to normal!

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Doctors' responses

Anal fissures are indeed curable, and most fissures heal with appropriate measures. It’s good to hear you’re actively taking steps recommended by your doctor, like using creams and sitz baths. These treatments can take time, so it’s normal not to notice immediate results, unfortunately – patience is key here. Sitz baths help relax the anal sphincter, easing pain and promoting healing, although the experience might seem awkward.

Healing can take anywhere from a few weeks to a couple of months, depending on severity and individual factors. If you’ve been adhering diligently to these remedies but haven’t seen improvement, contacting your doctor for a follow-up would be wise. They might evaluate whether there might be underlying issues or suggest adjustments in your treatment plan. Dietary changes can also play a significant role in promoting healing. Increasing fiber intake either from food or supplements and drinking plenty of water can make bowel movements easier and help with healing. Avoid constipating foods which can strain the area.

If chronic discomfort persists, other treatments like Botox injections or lateral internal sphincterotomy, a minor surgical procedure, could be considered safe and effective. But surgical options are generally preferred when conventional treatments fail. Each person’s situation is unique—your doctor can personalize recommendations better, incorporating possible comorbidities or lifestyle factors. Surgery doesn’t necessarily mean a complicated procedure; these are often minimally invasive, with good outcomes.

While worrying about it not healing is understandable, continuing management as recommended, maintaining open communication with healthcare providers, and tracking progress are vital steps. If symptoms worsen or new symptoms like fever or severe pain occur, seek medical attention promptly. Consult with your doctor to evaluate other options based on your results; it’s normal to ask questions or wonder about getting another opinion. Healing is usually possible, it just sometimes takes persistence and perhaps some additional tweaking to treatment.

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