Cure and prevention of anal fissure caused by repeated constipation

Randomed by Rituraj / at 5:30 PM / /

Many people frequently suffer from constipation which in turn results in anal fissures and hemorrhoids. I myself had an experience like this when I was 16 and it was horrible. Most horrible because the constipated stool struck without warning. And when it did, it was rock hard and its diameter very well exceeded that of my...well...anus. All the advice I received from everyone was regarding prevention of constipation. But none of them really helped me in actually dealing with it at such a mature stage. As a result I had to bear a lot of pain. But I started drinking water profusely and never really experienced it for almost a decade until last week. It struck again without warning and I could again do nothing. Moreover, this time it caused a severe anal fissure which meant that any kind of stool...even the normal soft stool would result in immense amount of pain. I did some research, tried some remedies and found some that helped me a lot over a period of 4 days.

Day 1:
Constipation struck without warning and caused a severe anal fissure. I realized that motions the next day will cause excessive pain. So I consumed 10ml liquid paraffin and 5ml castor oil in the evening. This was after I had already had lunch. I drank lots of water the entire day.

Day 2:
Constipation struck again, resulting in immense pain and a lot of bleeding. The only relief was that there was only the stool at the end that was hard. In any case, the pain was unbearable. So I only consumed fibrous food this entire day. Consumed 15-20 ml of castor oil in the afternoon around 11pm and I had loose motions after 2 hours. Very effective. Liquid stool meant the pain could not be any lesser, although it was still considerable.

Day 3:
Woke up early in the morning and took a dose of castor oil again and went to sleep. Woke up after 3 hours with loose/liquid motions again. There was still pain but no bleeding which meant the wound was not disturbed in any significant manner. This would hasten the healing. This was my top priority. I continued fiber diet and lots of warm water throughout the day.

Day 4:
Woke up again and repeated castor oil. Same as Day 3. i expected that the pain will be gone but the pain persisted throughout the day. This meant that the straining from loose motions was now causing more harm than good to the wound that had almost healed. So I consumed 15-20ml of liquid paraffin 2 hours after my dinner. This also happened to be 2 hours before I fell asleep. Continued fiber diet. I also drank a glass of warm milk with lemon in one quick gulp because this helps the healing.

Day 5:
Woke up. This was the first stool in 3 days that would be solid. I expected a lot of pain. But thankfully the semi-solid stool was almost painless, thanks to liquid paraffin. There was a mild pain throughout the day. Fiber and milk-lemon mixture was repeated. Post-dinner paraffin also repeated.

Day 6:
Woke up. The last night was spent travelling in bus. This was a pain in the ass (not literally) because I couldn't fall asleep. Moreover, I was forced to drink less water because I couldn't stop the bus again and again for peeing. As a result, I expected some pain. However, liquid paraffin worked its magic again and there was no pain. There was mild itching sensation which meant that the wound was almost completely healed. This marked the end of the constipation and anal fissure. I still continued a diet full of water and fibre over the next 3 days. This was accompanied by consumption of alcohol too. But this had no deteriorating effect. Water and fiber are important. I did not have to take any more paraffin or castor oil.


Conclusion:
Immediately after the first painful stool, switching to castor oil will help the wound heal. Overusing castor oil will result in damage. So switch to paraffin after that and then finally nothing. Fiber, water and sometimes painkillers (to prevent swelling) are important. Milk-lemon also helps. There are many stool softening tablets and purgatory tablets out there but I did not have to resort to them. That can be the last resort.
Needless to say, once constipation results in anal fissure, there is not much you can do right then and there except maybe try to push the stool bit by bit and chip it off with something. As debilitating and morale draining as the pain can prove to be, taking the necessary medication will finally cure it in a few days. However, there is no escape from the pain for those 2-3 days.

Please note that I am not a medical practitioner and hence these observations are based on my personal experiences. Please check allergies etc. before consuming anything mentioned above.