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Anal Fissures W/ Diffuse Scleroderma


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8 replies to this topic

#1 barefut

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Posted 08 January 2007 - 05:25 AM

I learned today that a contributing cause to anal fissures is decreased bloodflow to the area, not to mention constipaiton. Autoimmune disorders were mentioned as well. A lot of our meds will cause constipation too.

In light of this, my question to all of you is, how many have had anal fissures?

Come on now, it's okay.........embarrassing I know but I'm fessing up here so, so can you. ;)

My first one was actually more than 20 years ago when I was in college binging and fasting. THAT really messed me up! I ended up having to have surgery and I DONT want to go through THAT again!

I have been constipated and have a small fissure right now and am looking for suggestions on dietary changes. LOTS of water, I know and I've heard oatmeal and pinto beans, bananas and apples.

Raw fruits and vegies were mentioned but with IBS symptoms so bad, I can't tolerate raw foods.

I'ts hard to find just the right foods that will work when there's so much I can't eat anyway.

SO, what about fiber supplements? I'm afraid to try these. Does anybody have any suggestions?

Thanks
Barefut

#2 Sweet

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Posted 08 January 2007 - 05:53 AM

I've had these tiny tears off and on my whole life. I've always battled with constipation and of course that is what brings them on, due to the hard stool.

I've tried a variety of fiber products. The one that works for me which I get from my nutritionist is Magnesium Citrate. It's a capsule and I take 2 at night if I need it. I would say I take it about once per week.

IBS is a toughie and I've had problems with that as well, but what I've found is if I take ground flax seed 1 tablespoon a day it helps so much! You can sprinkle it on food or swirl it in a glass of water and chug it down. :) It has kind of a nutty taste, not bad.
Warm and gentle hugs,

Pamela
ISN Support Specialist
International Scleroderma Network (ISN)

#3 Heidi

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Posted 08 January 2007 - 06:19 AM

Hi,

My gastro doctor told me I had to get more fiber in my diet, but like you the foods high in fiber don't go down! They get stuck and/or I can't swallow them well. When I told my gastro doctor that, he told me to buy a particular cereal (I can PM you with the particular name if you want) that advertises as having 14g of fiber in 1/2 cup. He told me to use a blender and pulverize the cereal and then add it as a powder to anything I wanted. Because I have a lot of trouble eating very much and with swallowing certain things, I typically make myself smoothies and sip on them all throughout the afternoon as they melt (I typically make 10, put them in the freezer and then pull one out in the am and sip on it as it melts). I make them with liquid supplements or fruit juice and frozen fruit AND I now add the powdered fiber cereal that my GI doctor told me about. It has helped me regulate my bowels. I hope this helps.

Warm wishes,
Heidi

#4 jefa

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Posted 08 January 2007 - 10:04 AM

It seems we all know the struggle of balancing the effects of diet and drug or condition induced diarrhea and/or constipation. You have all made some good suggestions. I have found that it is also important to drink lots of water through the day. No matter how hard we work at keeping things 'flowing' there are inevitably those times when things get a bit rocky. Anal fissures are one possible problem and some of us find hemorrhoids thrown into the mix. Not to be too graphic, I keep a box of disposable gloves and a tube of lubricant near the toilet. Sometimes a little gentle prompting will get the ball rolling in a way which will allow for evacuation without tearing the flesh. Another trick is to rock gently forward and back to aid in the movelment through the colon. I also keep a tube of an herbal gel handy to sooth the hemorrhoids and act as a mild antiseptic to the tissues. It is important to keep the area clean and dry. Mothers among you will remember the perianal wash technique taught in the hospital to cleanse and keep stitches clean. The same technique is useful for daily cleanliness.

#5 Sam

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Posted 09 January 2007 - 03:54 AM

I had just seen my gastro doctor last Thursday and he gave ame some medicine called Canasa its for this. I told him I have a problem sometimes of leaking out. And that at night I try to keep it clean but it itches. They are a suppository. I still yet to use it. Will let you know how it works.
Sam

#6 Claudia-DR

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Posted 09 January 2007 - 03:55 AM

Hi Barefut!

You got some great tips from the ladies. I have another one:

Believe it or not exercise really helps move things along. Apart from drinking lots of water, as you mention, try walking at least 1/2 hour every day. I promise it really helps. Try to drink a big glass of water right after you finish your walk.

Good luck!

Claudia

#7 barefut

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Posted 09 January 2007 - 10:53 AM

Thanks everyone, all good advice.

I wondered if, because of the scleroderma, there might be tightening going on down there too, since I had a sphintcerotomy 20 years ago, to relax and open the area and now things seem more constricted.

I read a post where a woman experienced vaginal tightness so I'm just putting 2 and 2 together...

It's just one more thing to add to my list ......again......

Take care all,
Barefut

#8 barefut

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Posted 09 January 2007 - 01:21 PM

Heidi,

What's that cereal?

Thanks, Barefut

#9 ssakar

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Posted 11 January 2007 - 08:03 PM

I too can personally vouge for the vaginal tightness....it is horrible. It really hurts to have sex. I had no clue what was going on - but now I can also put 2 and 2 together.

And I have also had 3 hemmrhoid surgeries.....froze, cut and lasered. No fun at all. I live with constipation almost daily. I've been taking an OTC remedy lately.
I drink tons of water......that is all I drink. It gets rather boring. But if I even drink tea - it doesn't sit well with me.

Sakar