You NEED to know the TRUTH about Anal Fissures!
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- Опубликовано: 26 дек 2024
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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.
I got Botox last week. I had my fissure for 6 years. Honestly, my pain stopped the moment I woke up from anesthesia. In understand they give you a hefty dose of local anesthetic after the procedure, but even after it waned off (by the end of the day), all I felt was a mild discomfort. I actually stopped taking Ibuprofen the next day because there was absolutely no need. It took me 6 days to get a bowel movement post-op and I was nervous when it happened, but to my amazement, I barely felt anything. I could've cried tears of joy after that first poop. Medicine is amazing.
I have had 2 surgeries for fissures and getting ready to have botox treatment. You are such a kind and friendly person you have helped me and countless others and we thank you.
Dr. Chung, your advice changed my life. I'm truly thankful for you!💖 I'm doing so well with my anal fissure that I usually forget I ever had it. And if I do get a flare up, I know just what to do. I still watch your new videos because I can always learn something new, and this one gave me a new perspective on the subject. (I started out thinking I had anal cancer!😱 I was too embarrassed to talk to a doctor, too.) I'm so much more comfortable with my condition thanks to your amazing bedside manner. Keep up the great work!😁👍
How's it?
How did you work on it?
You are a great doctor. For not doing extra surgery on people who dont need surgery. You help people with health and money this way
I also fixed my anal fissure as well. No more blood for over months now.
I realized that I drink not enough water daily contributing to hard feces which leads to anal fissure. Before, I only poop for 2-3 times a week. Now, I am pooping daily with ease!
Anyone watching this experiencing this, please consider hydrating your self daily, atleast 2.5- 3L of water. Then acompany it with healthy, fiber rich diet.
Your fissure is cured ???? Plz tell me what to do
@@ManishK-fe6is drink a lots of water. Minimum should be 2.5L of water a day. Eat high fiber diet. If you can avoid eating crappy fast foods.
Thats my secret. I have healed this way. I hope you do as well.
I wish my problem was as simple as yours, drinking 4 to 5 litres of water everyday. I go to toilet 2 to 3 times a day as well.
Even then suffering from fissures.
But it's hurting 6 days n still.. I hv hemeriods aswell
Some people have low stomach acid it's not a fiber or a water issue
I had this problem for 7 months! I was so stressed out and scared about it being something serious. I went to so many docs and colonoscopy. Only after that, I stopped stressing about it and it started to heal. The anxiety and stress definitely makes it worse. Now I’m healed with a regimen of magnesium oxide and nifedipine.
Hi, when you say magnesium oxide, is it a supplement? Can you please share the link and how you take it? Also do you apply nifedipine everyday?
@@sagartripti yes I use the nutricost magnesium oxide 750mg from Amazon - I take two before bed every night as recommended by my gi doc- it’s worked so much better for me than colace or miralax to keep stools soft.
I use the nefedipine every day for a while but now only as needed.
Magnesium Oxide is not a good source of magnesium. Magnesium citrate is best to make your stools soft, but don’t overdo it as you’ll end up with loose stools. If you don’t need it for that, magnesium maleate, glycinate, chelate forms are better absorbed. Nifedipine is for angina, Raynard’s, and high blood pressure so not for hemorrhoids!
Nothing helps the pain, not Tylenol or ibuprofen.My primary re prescribed Ativan,which is an anxiety med. I have taken it in the
past when I am really worried or stressed (a health problem for me or someone close to me or someone dies) I take them for a short while so not to get addicted and only one a day if it REALLY bothers me that day. It's i find.. the ONLY thing that helps. My colorectal doc says it because it relaxes everything,including your tight anus I guess!!
@@mountaingoddess9720 it's used to relax spincter muscles, it's an ointment docs prescribe and also Diltiazem.
I'm going through hell I had botox plus tag removal and I'm so defeated...I found your videos and have a deep dive I'm feeling like you are giving me a bit of hope 🙏
@nataliesmith1026
how is the botox experience? When did you get it?
After 4 months I healed my fissure with combination of :
Cold pressed castor oil , manuka honey umf grade 24 or higher , chewing my food a lot more , more water and no water 30 minutes before or after meals to prevent diluting stomach acid , celery juice to increase stomach acid. Increasing stomach acid will help with breaking down food to increase nutrient absorption to assist healing
How to use cold pressed castor oil?
@@rojaynarahman9522 soak a cotton pad with it and then place it on the anus. If you are constipated you can also massage it into your belly. Works very good
Can I eat celery instead of juicing it?
@@rojaynarahman9522 apply to affected area in a cotton pad.
You can massage it on your belly if you are feeling constipated.
@@SuzanMiller-ou5kq I have found that this doesn’t work as well.
I wish all Drs were like you.
This is the best doctor I have ever seen, his knowledge is very great, and he is also a good person, very understanding.
Used the Revivol -XR last night. It was FANTASTIC. My butt is in bad shape.. big external hemorrhoids, multiple episodes of loose stools daily for years, really sore.... after my bath I felt SO much better! This is NOT sponsored. I bought 2 bags (I have a large tub) and I'm off to buy more today. I have had so much experience with a sore butt... this is the best thing I've tried! Thanks, Dr Chung!
Thank you so much for this. I started having fissures and immediately thought cancer which stressed me out and made it a lot worse. It’s been about a week with lower stress and my fissures are starting to heal.
I’m facing the same issue .do u saw the doctor ?
I started suffering from anal fissures about a year ago. Earlier before the onset, I was pooping what I have described as "fireplace logs". I take a generic of Miralax every morning. In recent weeks I have thought I was safe and relaxed my Miralax routine only to have them come right back the next day. I am thinking that it will be Miralax for life. I can probably live with that.
What’s helping me is juicing every day. I juice a carrot, apple, mango, banana, chia seed drink every morning. Keeps stools soft. Pain is almost completely gone.
Can’t tell you how much I appreciate your channel! Your videos continue to be very helpful! My problem has been gone for almost a year now, but the feeling does occasionally reappear without warning and I think there’s something wrong and I get very careful. It’s good to know that I should be doing pelvic floor exercises because I haven’t been doing that.
This really helped me get some relief and improved my quality of life. I’ve tried others but this was the one that helped the most.
I stop fiber and now no more bleeding
Been dealing with this on and off since I was 24, I’m 41 now. Sucks big time
This doctor is wonderful, he has a lot of knowledge, I love his videos
Just wanted to let ya know How Thankful I am I found you. Had two doctors say Colon Cancer even one sending me to Mayo Clinic which I did Not go. Nor will I.. YES I pour blood when I have my Spells. But these doctor don't know half what I have learn from You.. As you say I get extra tight and Pop blood then I am sore and get weak . Finding You had been a God sent to my mental. As you say flare up and couple days goes away till hard bowels and back again.. I am doing somethings for that but not enough I guess.. Any way Thank You Thank You!!!!
Did you ever get diagnosed with a fissure by a Colorectal doctor
My ibs has caused my fissure 😭😭
Anal fissures can be insanely painful.
I'm still in pain , because I didn't know what was going on
Tell me about it. Bloody hell.
Pranicura helped me so much with my roids . Thank you Doctor.
Weirdly enough my fissure disappeared when I was undergoing sibo treatment.. hmmmmmmm... and nope I was not constipated..
Your voice has been such a help, But I tried just to lean over weight on my belly and now I'm in pain.
That most of my life. It's something that people don't like to talk about I've been over that for years
How long does it take? What about fissure what been around 3 years???
doc your content are always informative!
Thanks for this great work doctor.
You a worth more to me
Thank you so much for the coupon. Just ordered another bag.
Have been dealing with this for over a year. Have tried everything you have advised, keeps coming back. Really difficult along with other medical problems. Also making havic with having to keep buying products. Really stressed. Thank you Dr. For all your help.
God bless you Sir you are the best
thank you doctor for gaining new knowledge
What do I do if I’m a gay man with a fissure that opens up constantly and the scar tissue breaks? I’ve practiced abstinence trying to heal it but one bad bowel movement breaks the scar tissue even months later
This is a good lecture. Thanks.
Impressive work, I like this video , very helpful and educative
You are awesome! Thank you so much!
I love this video so much ❤ best Informations regarding this topic I found on the internet, and it’s so funny too 😂
Thank you doc. You’ve saved me so much worry.
This is something new information for me i learned a lot from it
Hello, Dr Chung. I have implemented the course you suggested to me.
The result is very nice.
I no longer have the fight with my going to the toilet.
I don't have a fissure, I have horrible spasms.
What cource? Link please
I have had Anal Fissures for more than a year, I have been dealing with them just by taking laxatives also using creams.
I'm glad I don't suffer from that terrible pain anymore it was like a life-ending, but I still experience similar pain because of the skin tag. I am now waiting to sort it out hopefully they will call me soon about the operation to take off . but thank god at least the pain is not as bad as before. I believe anyone can heal the anal fissures without surgery
Bro can I heal chronic fissure without surgery pleas tell me
What exactly helped u??please tell
@@Shikha--deep are you suffering with fissure
@@Shikha--deephow r u now
They’re so hard to heal 😩😩😩😩
Hi, Dr. Chung-what are you’re thought about eating carnivore for poop issues?
Hi dr,do videos on colostomy for fissure
Yeah that’s prob me 7:02 ugh 3 years now!
I have a anal fissure. It comes with bleeding and itching. So i tried to understand how to poop without bleeding all these years. These are the things that i follow.
1) Make sure to poop everyday. Do not miss a day. So make it a routine
2) if you miss pooping a day, it mostly could lead to hard stool when you poop the next day. Or you might feel the necessity to strain. Never strain while having a poop. That is going to make you bleed.
3) if you miss pooping a day. Have lemon water. Just half a lemon in your water bottle is enough. Keep hydrating yourself. Next day you will poop for sure because lemon water helps with constipation.
4) Do not skip having food. If you have less food a day. You will find it hard to poop. This will definitely lead to constipation and will be rough on your fissure. Have a good quantity of breakfast, lunch and dinner.
5) Make sure to include a lot of fiber in your food that helps in softening your stool.
6) Have plenty of water everyday and keep yourself hydrated.
thanks for the tip
I think confidence in your lifestyle is so important……#1
THANK YOU DRRRR
I wish you were in Iowa❣️
After a back operation, buttocks muscles were all tight. A little too much walking leading to a tight anus. My doctor prescribed a pharmacy black cream preparation containing tar to stop the bleeding and creating a seal of the large fissure. After these difficult weeks, i always add some little cream of Cicalfate Avene directly on the anus after each shower. Life saving since over 10years now.
Buy Collinsonia Root for fissure and rhoids. Game changer for Pain and itch. You still need to do all the other things in regards to diet and excercise to get you to the promise land.
Mine keeps getting inflamed every 2 weeks. I cant break the cycle.... yet!
what do you think of doing botulinum toxin injections?
Doctor isn’t sphincterotomy (if successful) give a permanent relief from fissures? bcoz even if they then come back, there’s more blood flow to the anus from internal sphincter being relaxed so it heals faster then?
nope. unfortunately not permanent. Recurrences can happen, but they can actually heal faster.
I started my next round of bladder cancer BCG treatments a couple of weeks ago. I hadn't been bothered by my fissure for a while. But, a couple of hours after my bladder treatment my fissure decided to to split open at the same time I was dealing with the bladder spasms. Since I am used to dealing with these discomforts I try not to overreact. I was concerned, however with having an open wound near to a source of attenuated bovine tuberculosis, which is what BCG is. I keep alcohol prep pads on hand for disinfection, just in case.
Is it a symptom of Bladder cancer ? I mean the fissure ? How are you doing ?
Doc, how about ano-scrotal fistula?
Now I m officially a member of anorectal community 😂
Thanks a lot!!
my fissure his killing me
I had pain since 9 month a go i tried to many creams but it can't used i had checked scanned my doctors told me you don't have any problem no Hemorrhoid i didn't what i can do i have pain still now
Due to high fiber diet for heaiing anal fissure, i have lost my weight a lot. If anyone has experienced the same please reply
Can I ask what high fiber foods do you eat?
I also felt that.. Though I m very over weight
How are you now? I also lost some weight for experiencing for 2 months now. It's extremely painful. Been to 2 doctors but non of em work
How is your fissure now?@@hannieloubasa2045
How does the itching go away , Dr chung?
Watch all of his vids he recommends creams and other solutions
How are you now ?
How can he say everybody gets them. I know I never have.
thanks doc. your research is fascinating. I am interested in your channel
3 years I’ve had my fissures and hemorrhoids
Completely healed?
@@pradeepkunjoor8655 no I still have them
I have that bath salt and it works
I took all the medication suggested, stool softeners, but nothing has worked for over a year. I ensured that u drink 2L of water a day. Several doctors have now told me to get surgery, so I’m getting it Tom. I too didn’t want any surgeries, but as per several doctors I have visited, surgery is the only option for me to cure the fissure (no fistula). There is a chance that it may reoccur, but when several doctors tell you to get a surgery than to suffer for years, selling them sitz bath isn’t going to help.
Bro make sure you’ve done everything under the sun bro I’m tellin u that operation cuts a muscle in ur bottom that never will go back to normal which means if they mess up u will be leaking poop forever and there’s nothing u can do
@@StaydwnnM too late now, already got it done
@@Conk-bepisany pain?
@@artanimator8158 a lot, even pain killers don’t help. It’s like the fissure never went away and on top of that additional pain got added when I sit, cough or move around.
@@Conk-bepishow is it?
Doctor, how can I avail your product?
love you :D
❤❤❤
Doc do this effect your blood flow because I feel it affecting my blood flow
Idk if i have one but i know that a few weeks ago id get a burning sensation 24 FREAKING 7. So dang u comfortable and debilitating. Cant even sit comfortably without it feeling like i have to poo all the time.
Thank you
Your amazing doc. Ty
1 year after surgery,. had fissure and paraproctitis. they say all is healed. Feeling constand discomfort, tension! cant walk for long. panic attacs added because of this, Life turned into nightmare. Is it normal thing at all??? it feels like i am only one who got into such.....
dropped sport in which i was most life, libdo just got lost, the only wish is to you know what
sorry to hear what surgery you went through if i may ask?
@@peterobrien2537 surgery on fissire and cut in muscles to delete paraproctitis
Same for me.
I had to drop my gym, body building goals. Now doing some simple exercises like walking😢. I also used to have tasty chicken everyday. Gave up that too.
Yeah it takes away few things, and now Doc. Chung said there is higher chance of recurrence, I am already scared.
im here feeling the same way 😭😭
How come after surgery it has occurred?
going on three years with this problem, please tell me i’m not too far gone, really don’t want surgery. :/
I'm going on 20. I've had many gallons of blood come out of my bum. Going gluten free and stopped drinking beer and excessive hard liquor is the first thing I did that actually helped now im on a mission to fix ot all the way, but slipped and learned the hard way recently. Good luck to you, it can definitely be dealt with without surgery, but once you feel like you are back to new don't go hard like you are 25 years younger. Eating healthy is a great habit, love and take care of your body and it will love you back
@@infinityiznow is it normal to frequently urinate when you have fissure
@sokastreet I don't believe so, maybe prostate issue, good luck....Since my last comment I actually had to get surgery and I'm glad I did, don't be afraid to go to the doctor like I was...that and I was always broke, medicade hooked me up!
I am tired of its cycle. I am doing everything and maintaining diet and routine but just 10 days before my periods i get weirdly constipated and get bleeding fissures, then it worsens for 10 days . and this cycle continues everytime . I am frustrated and dont know what to do anymore.
Do you have any suggestion doc?
That is happening to me, every period seems to bring some blood in my poop but not alot.
omg same...
Guys how are you tackling it up and since how long have you've suffering
@@ps2062 I am taking laxatives/stool softeners. It really helps. I had a sphincterotomy around 7 months ago.
@@ps2062 I am managing with stool softeners and laxatives... I had a sphincterotomy last october
Mannn this stuff is super painful 😂😂😂😂😂already healed from it once and now I'm trying this comment on it it is a curse.
can I do kegel exercises when I have an open fissure?
I've had the same fissure for 5 years, I havent looked but I suspect my fissure looks a lot like what you described, rubbery skin and a deep cut. What are the next steps you take with a fissure of that magnitude?
How are you now , are your healed completely
I have had persistent anal fissures due to tight anal sphincter. Even after bowel training and physio to relax the pelvic floor, i could feel the anal muscles feeling tight for no apparent reason. Then it would hurt while pooping and/or bleed for a period before stopping after days or weeks.
Then, quite by accident, I found that I could relax my anal muscles by putting my legs up on a high stool instead of a low stool. This means that I am almost in a squatting position while sitting on the toilet seat. In this position ,the anus muscles feel more relaxed and the poop doesn't stop suddenly as it did in the past.
I have a "Squatty Potty"
How you feeling now ??? Are you passing still normally? Is ur anus still tight ? Plz help I’m going through the same
I used vaseline I lubercate morning and night
Me too
estos productos me parecen excelentes funcionan muy buen los recomiendo
Hi, I'm from Indonesia and I've been suffering from anal fissure for 4 months. The doctor here advised me to use OXOFERIN for my anus. I used it for 14 days, but on the 11th day, there was a blood stain when I poop.But it doesn't hurt in my anus. After poop, I feel uncomfortable in my anus.Does Oxoferin work and can it cure fissures? Or will it just Placebo and temporarily cure my fissure? The problem is that yesterday I felt uncomfortable in my anus after I poop.when I wiped it with a tissue, there was a faint pink orange blood stain. Is it dangerous or not? And my anus feels uncomfortable like when I have diarrhea and poop a lot. I already have skin tags.
I'm from Indonesia miss
It's not okay to get an anal fissure because IT HURTS SO DAMN BAD!!! That's the problem with it. You can't get it fixed soon enough. ARGH! I'm buying some of those salts to have just in case. Thanks!
Doctor mt name is William and i was goinng to ask a question i have bed sours and urine is coming oout of my wounds i was going to ask is that a fistla cause a doctor told me. That he going to send me the ANOTHER doctor for a second opinion
Why won’t they help me? They don’t even examine me as you have described in other videos. They just glance
I got checked up. Oohhhhh God.... the pain was 2x more compared to pain I feel while poop.
How long can a person have a fissure, and is it dangerous to have it for a very very long time, or just uncomfortable.
I have had an anal fissure(s?) for about six months. My biggest complaint is itching. It is not a "mosquito bite" level of itching. It is like _poison ivy X 5_ . And of course a person can't address the itch in public. What is even a bigger problem is, the itch is worse at night. I have found no ointment that comes close to solving the problem. I'm starting to believe that it might be a reoccurrence of a fungal infection. That would explain the intensity of the itch and the fact that anal creams do not stop it.
Yeah bro.... Itching is more bad than pain and blood stuff.
Dr Chung, I am having a sphincterectomy and hemorrhoidectomy. My surgeon does it with a perineal block and sedation is this normal?
Hi, I had both those procedures together as well. You get to choose the anesthesia process here. I was sedated.
Hello Doctor, can you tell me if a skin tag scar tissue 4-5 CM prolapsing during BM - can be left alone and just let time pass by to accept it or this 5 cm is a big skin scar tissue that was formed during anal fissure and has to be cut off? thanks
Hello Dr have you seen chronic fissures with sentinel pile heal with first line treatment or botox and without surgery ? Please please let me know, Thank you very much
Hello again Dr. I was going to ask a few questions but you answered some in this video already. So I just want to ask a few more. One, how do these soaking baths help since the Fissure is on the inside and our butt holes are shut tight, lol. Secondly what diets are best to use while battling this fissure. Are certain foods better or worse than others? Is it true that fiber can be bad for fissures if taken too much? I was prescribed Benefiber of course and I try to eat oatmeal thinking I can keep my poops soft and finally speaking of that.. is it okay to take stool softeners and or laxatives like Dulcolax or Colace? Just trying ideas to get the poop out as soft and as quickly as possible, please help with these questions if you can.
Thank you again for being our favorite Internet Doctor ( wish you really were my Dr).😊
If a chronic fissure has a skin tag and hypertrophied papillae, do you believe it can still be healed with physical therapy and pelvic floor work? Or is surgery the only option at that point?
Dr Chung, can you discuss how to tell the difference between having a fissure vs a hem. I should know the difference because I’ve had both, as well as surgery for both. :/. Will prep h make fissures worse?
Diltiazem cream and high fibre diet, as well as staying hydrated are what healed my fissure after 7 months. Diltiazem is a MUST for me at least, i learned about it wayyy too late after seeing a gastroenterologist, shoudve started it way sooner
Really...I am also doing the same but it isn't helping me that much...what to do?🥹
@@Shikha--deep docter ke pass jao didi agar abhi hua h 6 mahine se pahle ka h to thik ho jayega
@@Shikha--deepwhatsapp happened thn pls reply
The truth: they freaking suck especially with anal spasms and hemorrhoids. Especially when you’re pregnant, constipated, can’t take anything, and pelvic floor therapy takes FOREVER to get into even paying out of pocket. The pain is unreal even with good textured stool. almost completely impairing. But seriously the Pranicura cream is a literal godsend, sitting in the shower/sitz baths really help soothe altho I try to just put my bum in that sitz salts bc not 100% positive theyre safe for pregnancy. Would love for you to share whether this is ok for pregnancy, Dr. Chang! Other than than relaxing the pelvic floor is the priority but hard to do, and kegels create more tension but can help get it all back in. Overall shitty experience lol (pun intended)
How are you feeling now ? Any better? I’m going through this also just started
Could youuuu pleaseeeee do a video of why a fissure can still hurt? My fissure got open again.... now 5 weeks later.. I went to the doctor and he said.. everything is looking good?! I dont get it.... I said well I still have these rectal pain like the burning spasm feeling.. And he was like '' oh well maybe its still sensitive you can keep on using the cream'' But now I am like... its healed but..... whats going on? I also was like ''do I have hemroids...'' and he said '' well maybe inside but those won't hurt all is looking good'' but it still doest feel good. I dont know what to do... I dont have bleeding anymore but still this burning pain and spasm going on...
Months ago with the same pain he also did a rectal exam inside and he said nothing was going on just the fissure.
I saw more people on the internet with the same problem.... the doc telling them its healed even tho they still have this pain going on..... where the doc is just like '' oh yeah use the cream and some painkillers..'' but what do you do if the doc says its healed and sees nothing? Could there still be a wound somewhere which you cant see with the eye?
I passed glass like hard stools and they created anal fissures since 1 week . They are bleeding and paining. Last splash in the pan was today. This was after using glycerine suppository. But that dint relieve my constipation much... and rather hard broken pieces of stools passed which further aggravated the fissures along with blood in the pan. Now I have a hard fecal plug again.
Can i get an olive oil + glycerine enema to soften it? So that the stool gets soft and passes. Is it safe to use olive oil plus glycerine enema in the presence of bleeding fissures...?
Try to water fast for 2 days...take at least 5 litres of water...after 2 days ,you may form watery poop...now start liquid diet and small amout of green leafy vegetables ...it will make ur poop soft which not gonna bother ur fissure.
Try coconut oil before you poop and before you go to bed.
Laxatives such as senokot are the best thing as you need the stools to be really loose otherwise you will be in a lot of pain
Sir..i have an anal fissure..from last 7-8 months..about 3 months ago it has healed...& I dont have pain & burning sensation under there..but then suddenly i got itching with burning sensation around anus..& now dr..gave me cremagel L plus escort ms..i got relief from it.but sometimes in a week i got burning & anal pain so what should i do..plzz anyone suggest...dr..says that fissure has became chronic..but it will heal in 6 weeks....& I also have a fear that it is becoming worse or what??... I also follow high fiber diet & 3 ltr water per day...so what should i do to heal it faster
How are you now brother
Whats your opinion on botox injection in spinchter muscle. They say thats why it wont heal.