The REAL problem is the Internal Anal Sphincter!
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- Опубликовано: 27 июл 2023
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😷 Dr. Chung is offering 💻 video consultations to everyone! This is Your time to tell your story and give additional information to help Dr. Chung give some recommendations to help you with your bottom end issues. There is a fee for this service.
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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.
We need doctors like you who really cares for their patients and give true advice😇
Couldn't agree more
I had my first Pelvic Floor therapy session last week on the NHS and already made a HUGE difference. I have suffered with this for 5 years and now see and end in sight. Thankyou Jesus!
Also cold or almost cold sitz baths really help rather than was ones as this is helping reduce my inflamation to. Also i stopped watching 24hour news to reduce stress levels.
Don't give up on God and He won't give up on you!
I had my first Pelvic Floor therapy session last week on the NHS and already made a HUGE difference. I have suffered with this for 5 years and now see and end in sight. Thankyou Jesus!
Also cold or almost cold sitz baths really help rather than warm ones as this is helping reduce my inflamation to. Also i stopped watching 24hour news to reduce stress levels.
Don't give up on God and He won't give up on you!
I love how you talk about the things we all need to know about.
You are an angel. You are helping me out so much. I need to write a letter to you explaining why. I had a hemorrhoidectomy, and i never been the same. Inner sphincter no longer the same. You have just described my entire problem. 😢😢😢😢
I've been listening to you thus far so i will listen to you now! You've helped out alot these past 4 weeks!!!
Great advice. Thank you very much!
Doc, I just want to thank you for making these videos, even aside from the stellar medical advice your tone and demeanor are so validating and comforting, you’ve really helped me get through the mental trials of this painful experience. Your advocating for more natural ways of healing is so encouraging, again I just want to thank you for doing what you do 🥲
I am so glad I found your channel! After watching hours of your videos yesterday, I am already seeing results!
Thank you! God Bless you!
Thank you so much for this advice. I saw immediate improvement by following it.
You are a blessing did you know , you are loved by so many Lyn ❤
Always great medicine, thanks again!! I can tell you that learning to relax this muscle changed everything for me and I rarely have problems with spasms now. 🎉😊
Thank you so much!! Your information is absolutely very comforting and so honest and from the heart!
Glad it's helping you.
Thank you again Dr Chung for sharing your knowledge and videos with us. Your videos are like a hand reaching down into the put of despair. ❤
I really needed someone who related and actually could find the cause and remedy. Thank you sir 😊also I just had the worst lower back spasms. I was terrified. Literally happened 3 days ago…you’re honestly my favorite person…god send
Exactly what I need at the moment
You are so awesome. Thank you
This doctor is the best i learned so much from him.
i forgot too meantion he is so correct, when you go to the bathroom stop worrying about this, Trust me it made things worser for me. Now if i bleed i just go with it, i massage my anus and it goes away.
You are gem Dr
Thank you doctor!thank you! thank you! thank you!🎉
@yourfriendlyproctologist Dr Chung. Wow I shouldve taken your advice when you first told me about seeing a pelvic floor therapist. She has made toileting a lot better!!!! Who knew how complex the inner muscles were! I'm glad you are educating us with these videos! $$ was the issue but it is worth every penny and i am on my 15th session and i love it.
Thank you Dr
Thank you thats good information DR.
God bless you there very sore and burning 😢❤❤
Thank you so much for your educational videos! They are very relatable, helpful and comforting. I’m in the process of figuring out exactly what is causing my bright red bleeding episodes. I’m only 30 years old and had to get a colonoscopy which came back normal. They didn’t even detect hemorrhoids. My MD is now referring me back to GI to have an exam. I had this feeling that my anal sphincter muscles were too tight even before watching this video. I’m a physical therapist assistant so I was overjoyed to hear you recommend a pelvic floor specialist. I’m going to take all the necessary steps my doctor recommends to figure out where the bleeding is coming from but I’m also now going to see if he can refer me to a pelvic floor specialist since I’ve been dealing with constipation since I was a child. Sorry for the long rant, but maybe someone out there can relate to my story. It’s such a process and really does interfere with your life. Thank you again for these videos. I’ve been watching a bunch of them back to back just trying to learn more. Keep up the great work! You are helping so many people ❤️
How are you now?
Thanks
Thanks, I am feeling better with the therapy 😊not burning by not eating any apicy food
Doctor, after your detailed explanation on anal fissures, mine is almost healed. Thanks for all that you do. I look forward to healing it more and wish that all your viewers also find healing. Thanks again🙏
Wooohooooo! Congrats!
@jobit3834 actually it started healing within a month. Just focus on relaxing, and exercising. Avoid tension in stomach and anus. Keep a healthy diet. Stay HYDRATED. Everyday yoga or exercises. And most importantly sleep for me plus no stress and good mental health. On days that I'm stressed and having a bad time, I tend to have pain during excretion
Mines healed within a week and I started back eating junk and it relapsed this time it took 3 weeks with strick diet and using a salt solution in a syringe to shoot it up into the anus before a bowel movement really helped with the pain
@@promisekept2057could you give details about salt solution
After being operated for anal fissures far too many times without success in Australia, this message sure does resonate! Thanks Dr Chung
Is its LIS surgery?
Yes
What went wrong after surgery
@@sassysharky5958 Pain has continued after having LIS surgery. Dr Chung's message here is good advice imo.
Yo ur a good guy bro
Every medical professional should recommend the correct treatment. It is malpractice that the stereotype is that surgeons only recommend surgery and internal medical physicians only recommend drugs. Whatever is correct to do is what should be done. Well done Dr.
It always comes back, no matter what.
Hey @your friendly proctologist What is exercises to do for constipation?
Could you please explain about the rectal prolapse with animation and how can repair with excercise? Please
What a thumb nail sirji,great innovation 😂
I recently got the dreaded butt noid lol.. I’ve been taking salt baths, helps a lot but the best thing I found is the Prep H lidocaine spray…omg it’s the highest strength you can get other than Rx, it’s less messy than cream and long lasting!! One tip… spray on a tissue to apply because it stings a bit at first.
Also, has Dr. Chung made a video about scar tissue after surgery? I have a tiny raised bump where the abscess used to be, and my CRS has examined it and said it was good to go. It's scar tissue. It scared the soul out of me. How can you tell if you have another abscess or if it's just scar tissue? So many questions, and so few docs like Dr. Chung who are willing to answer them.
Omg this is me!!!!
What do you think about slippery elm?
Can you apply pranicura and diltiazem at the same time to heal fissures?
Doctor Does taking senokot help move hard wide stools out!
Hi Dr Chung, great video once again. My wife has suffered for years now and it’s depressing and I can’t take her pain for her.
I have looked and can’t find info on this, but could a fall on the coccyx have any knock on effect in the anal region?
I am actually seeing a surgeon to.orrow after 12 months wait .
I was tolled I had a hemorrhoids for ages so I watch you nothing worked then I lost 10 kg was bleed alot go anemic and was only awake 3 hours a day turns out I had ibd for about a year and every said it was a hemorrhoids now I'm on a infusion for 2 year alot better now 😊
Should i get normal surgery or pph with staples
u said u had got it banded did that resolve issues?
Is itching and irritation common symptoms of HSIL lesions? Won't be able to see my proctologist for 2 weeks.
I think I get a condition called proctalgia fugax, at least I think that’s what the GI surgeon said when he touched a place that brought on severe pain. If I’m at work, I have to leave immediately as the pain is 9/10. On the occasion when it comes on, only prescription pain medication and a heating pad, stops the debilitating pain. Can you address this? Am I alone in having this? By the way, I exercise everyday. I am a retired triathlete (this condition started then).
Could rectal pressure be a symptom of an anal spasm? I got a fistulotomy, and my doc says it's healing up pretty well. But I have a lingering pressure in that area that feels really, really uncomfortable.
I can't get my finger in far. Only to first knuckle. What about a wand?
Dr. Chung I had a question. I've got anal fissures and applying nifedipine ointment using the rectal applicator inside the anus hurts a bit. Should I continue using it or is there some other way?
Please when you visit the wash room and see blood in your puu , please what could be the problem?
The Axx man!
Thank you for the great insights and advice. But my problem is that I am a pole dancer and figure skater, so I already do a huge amount of stretching and body conditioning as a complement to these sports; and whenever I look at pelvic floor exercises videos, I see that I am already doing those same exercises at the gym, in warm-ups before a show, etc. So my question is: where do I go from here to treat my awful sphincter spams that started with an anal fissure?
Dr c can I have 2 fissures at the same time?
What to do about slow motility?
Have any of you tried healing oils? And seen results? I want to try but ugh I don't want to waste money if it doesn't work. I'm tired of this situation it's very frustrating to have good days and then boom! Back to square one.. 😔
Hi Doc, can you please do a video for people who poop large amounts of poo? Not the size of the poo but the amount. What are the causes, and is it normal?
Please I need assistance and advice, I had hemorrhoid surgery 4months ago, some days I feel good down there and other days it’s one thing or the other, the most common I feel right now is that I get liquid poop leaking out my anus, really frustrating and it’s depriving me of leaving the house because some days just might be heavier than others, please is this normal and will it ever stop? I also feel like my anal hole has become too small to pass out poop properly. Please someone talk to me.
Sphincterotomy took my pain and bleed but gave me unshaped hole and feeling that I always constipated and hemorrhoids my butthole swelling and close my hole thats why i always feel my number 2 never done even if i go to the toilet and i cant fix this i go to many many many doctors
Dr. Chung, Your videos are immensely informative on a subject not given deserved attention. Question: For those who must live with "chronic" anal fissures for a long period of time (5-15 years), what is the chance of developing anal fistula? What about developing a form of anal cancer? Would greatly appreciate your opinion. Thanks again.
I have good days and bad days. Some days, it looks like I field dressed a deer in the toilet. I'm severely anemic from that bleeding and possibly internal bleeding somewhere else. Carnivore diet and eating liver often helps replace iron loss
it this the same when you do self-stimulation and when you come, the muscle from anus squeezing multiple times..it hurts for my hemo. I think this is one of the problem aside from straining.
So I’ve had an anal fissure for about 2 years now, I’ve used every cream and wipe that I can find, and nothing has helped
can pain be due to exposed anal sphincter ? anal fissure healed but left an indentation in anal. what can be done to help correct this
"Deep dive into it." Oh Doctor! ;-)
Doctor I have tried everything for my tight internal anal sphincter. I go to toilet for at least 3 times a day, I do empty my bowels but not completely , there is some sort of tightness that makes me strain , so what should I do now? have been suffering from this since 3 years after my hemorrhoidectomy , can sphincterotomy help in such a case?
Levatur ani syndrome and pelvic floor is the same? and the physical therapy is the same for both?
Did u got the answer from any doctor? Plj tell me
I’ve been told by my gastroenterologist and my pelvic floor doctor to try pelvic floor therapy for ongoing spasms related to my levator ani muscle. I went one time and my anxiety was so out of control I never went back. I’m not sure if pelvic floor therapy will help with the spasms but I know it will probably help in many other areas of my busted up pelvic floor. I just can’t get past the fear of having the spasm and the extremely embarrassing area that has to be worked on😞😬😳 if the goal is to relax the muscles how will the debilitating anxiety allow that to happen? Thanks so much ❤️
Take your time and see if a different therapist will help. No one WANTS to do this for sure.
Can spasm mess with circulation
My muscle don't relax 2 year I felt tight anus
I wish I saw this and learned more about my over-active anal sphincter that lead to my issues. I ended up getting surgery that led to getting anal stenosis. I always told people I thought it was my sphincter and they laughed me off.
Even as a 9 year old kid, my doctor had my mom insert half of an enema up my butthole multiple times a week to help with my constipation.
(I would tense up and try to "hold it in" from having anxieties about pooping.) Sigh.
I need to do pelvic floor exercises and therapy. Idk if it'll help much as I've already got anal stenosis on top of that.
¯\_(ツ)_/¯
What issues did you have?
After senna tablets for years now a lazy bowel, big problem.
Can the spasm from the internal anal sphincter cause constipation? If I consult with you, can you guide me where to get help in the Philadelphia/New York/Baltimore area?
Just exact and same problem with me too. And this same question runs on my mind 24/7....
Please do let me know if you find the reasons behind your problem , please help....
I am scared to poo❤
My doc recommended botox for inner spincher, and looks like im going to take it, had a hemorrhoidectomy 2 months ago and nightmare never ended, I want to hear that I will get better soon cuz it’s unbearable anxiety when it s time to u know… PLEASE TELL THATS GONNA BE OKAY:(
It's gonna be okay trust your instinct and choose the right thing. You'll be okay. All is well. Take care!
how r u doing now dear erenbozan7020??
Are anal dilators good when have chronic anal fissure? I know my sphincter is super tight because even my finger can barely go in, its so tight! THANK YOU DR!❤
Yes!! I started pelvic floor therapy last month and am experiencing significant relief. My therapist is using dry needling as well. We could both feel the anal sphincter muscle relax immediately when she dry needled the anal area. I can't recommend it enough
Hi I just wanted to know where did u have this therapy done and did it cost alot ?
😂Omgosh I ❤ you!
Sometimes, when I feel really fed-up, I say to myself, "Fine! I will just stop eating!!" Not practical, but it does express my frustrations.😂
LOL!!! Loud and clear.
Been there, take care friend!
Dr Chung I had my laser surgery yesterday for piles and fissures
And now I'm suffering from diarrhea and still feeling constipated
Is this normal?
I'm a 16 year old child
And in a lot of trouble
Plzzzz reply
How are you now??
@@rachangoudapatilnidoni5058 I'm good
But still having anal spasms
I also have gastric issues so I am visiting Gastroenterologist.
Whenever I feel diarrhea I take capsules to stop it.
So if your Stomach is Ok.
Then you are not going to have any problems after surgery.
The pain will completely go in 4-5 weeks.Get your surgery done.
All the best👍👍
how r u now?
I'm better
Hey u had anal muscle spasm with fissure? Is there any recurrence?
It's ironic they played burrito ads for this vid
"Heat" is the only thing relax sphincters...
do sits bath least half a day or use hot water bags....
Find irritating foods eg milk, spices etc
2 meal a day enough......intermittent fasting
no stress.......mild exercises
Fibre psylium husk needed for years for soft poop....at sleeping time ...
Pain tablets if pain
..preferable ointments if needed....
😢 my OBGYN recommended pelvic floor therapy for me several years ago. I didn’t go because my insurance didn’t cover it.
Ended up having to get a sphincterotomy in 2023.
I wonder if it could’ve been avoided by having the therapy 😮
The problem might actually be the food you are eating, but thay won't be part of traditional medical teaching
I don't buy it
Hi can fissures be not that painful?
Ironic this video comes up. My doctor said the same thing. He believes there is no wound. He went in with a camera. Now on to hypertonic pelvic muscle release exercise
Maybe this will be helpful for someone, I suffered with anal fissures for two years!!! OUCH.... HATED IT... I got a hold of the Pranicura cream that doctor Albert recommends, WOW what a difference!!! I felt like it strengthened everything up without going into too many details... I also noticed that I was having fissures when I was taking my allergy nasal spray "Flonase", I started digging in and doing detective work on the side effects of Flonase.... WELL..... It turns out that Flonase weakens the lining of your rectum!!!!!! I STOPPED taking Flonase right away and the fissures cleared up to NEVER RETURN!!!!!!!! WOW! How blessed I feel that God showed me that I was causing the problem! I might be sneezing with seasonal allergies, but I will take that any day over fissures! Dr. Chung helped me through a really dark period where I had such PAIN with my anal fissures I thought I would lose my mind!!! THANKS DOC for taking about things we only whisper about!!! we need to have frank conversations about bathroom health too!!! Pranicura is a groundbreaking product that really has more benefits than described!! BE WELL!
This interesting. I use Flonase too. But according to my understanding of the pharmacology of steroids is that using a steroid cream or ointment on the skin for prolonged time which is a quantitative variable to grasp since what is a long time anyway, can cause thinning of that piece of skin like the anal sphincter or your nose etc. it doesn’t do this systemically like you use steroid cream on your arm and the skin on your ear gets thin. Flonase uses a moderate to high strength steroid fluticasone in an aerosol vehicle that works topically in your nose and sinus and includes your eyes to a lesser degree. So I’m not sure if there is a correlation but I suppose there could be. My fissure occurs usually when I go off diet and eat stuff that causes large dry stool. My anal pressure or tone is really high so the internal sphincter is in locked position sometimes exaggerated by stress but sometimes just because that’s what it does. External sphincter is similarly toned. So once the skin tears it can’t heal because blood flow is cut off from that tonal pressure. By using nifedipine internally the internal sphincter relaxes more allowing time to heal the cut. I also use emuaid and 2.5 percent hydrocortisone and watch what I eat. If I can eat the right balance I use a stool softener and sits baths. If pain is too uncomfortable a bit of lidocaine. I have used and stopped Flonase because sometimes it irritates my throat or increased small capillary breakage in my nose causing some mild bleeding. I haven’t found a correlation to fissure in me but that doesn’t mean it means anything. If this works for you then that’s a plus. I would be interested if this happens to anyone else. We all respond differently to medicines. I cannot use pranicura or any mentholated product it just burns too much. Emuaid doesn’t and seems to accelerate healing. I also used dr wheatgrass with some benefit but not enough as well as Manuka honey. All it takes in one bad dump and it’s back. After it’s healed I continue nifedipine once daily at bedtime and will do this forever. Flare up I go back to twice or three times a day.
How long did it take pranicura to heal type fissure? Just purchased it myself but couldn't find much feedback other than here with the Dr
@@larrymarcus3176 I relate to everything you said, except for Flonase. Never heard of it before. But the diet and everything. I face the same thing. Could you please list the creams and gels you use separately. Hope it's not a problem. Thanks!
@@A777K
Nifedipine ointment .2 percent it’s prescription that has to be formulated by a compounding pharmacy most insurance plans don’t cover it. They use .1-.5 percent not sure if there is any advantage to higher dose. I use 2.5 percent hydrocortisone cream it’s also a prescription but 1 percent is over the counter. Emuaid max skin ointment is sold online by emuaid but some drug store like Walgreens have it. Lidocaine is otc as well preparation h has one with psuedoohedrine which is a vasoconstrictor most big pharmacies have their own generic for a few dollars less. You can also use tronolane which is like lidocaine a bit milder it comes in lots of forms in rectal creams like anusol and other brand names just read the ingredients these numb the nerves like when you go to dentist and they numb your mouth but it’s much less pronounced you still feel but the pain is much better tolerated. Graphic description- I don’t wipe I dab first with tucks or pre h pads they contain with hazel which can burn sometimes because they contain some alcohols thayers makes an alcohol free witch hazel super expensive but better/ then dab with ultra soft charmin. Hope this helps. By the way I had to figure this out on my own the doctors just wanted to use botulism or lis surgery. Nope not for me thank you. This doctor is the only one I’ve ever met who had the right perspective on this stuff he’s the real deal.
Edit Walmart not Walgreens
Thanks
Thank you so much for contributing!! Best to you in your recovery!
Please I need assistance and advice, I had hemorrhoid surgery 4months ago, some days I feel good down there and other days it’s one thing or the other, the most common I feel right now is that I get liquid poop leaking out my anus, really frustrating and it’s depriving me of leaving the house because some days just might be heavier than others, please is this normal and will it ever stop? I also feel like my anal hole has become too small to pass out poop properly. Please someone talk to me.
how r u now? it’s common in initial days i’ve heard after surgery