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Anal Fissure

Anal Fissure

Hi,
I have an internal hemmorhoid and internal anal fissure.  I had the day procedure done on my hemmorhoid to band it in feb, the pain hasnt gone yet.  My surgeon has prescribed me to use diltiazem with 2% for the internal anal fissure.  I continously used it, initially it helped to reduce the pain but the pain wasnt gone anywhere.  Then i started to get itch in the anal area.  For this i have used the extra virgin olive oil morning and before the bedtime.  This has helped me from the itch, during this time i stopped using the diltiazem with 2% vaseline.  My diet has changed, taking about 20-24 grams of daily fiber in varieties of food and fiber drinks.  My water intake has increased to about 2 to 3 litres of water everyday.  My surgeon adviced me to stay away from oil and spicy food, i am following that as well.  But the pain hasnt gone anywhere yet, of course the pain has significantly reduced to only after the bowel movement thats lasts about 5 to 30 minutes.  Then throughout the day pain comes and goes but its tolerable.  I am assuming the pain is due to the anal fissure which hasnt cured.  My surgeon also adviced that in order for the hemmorhoid to heal the anal fissure needs to heal first(i am not sure about it).  I still have the pains what do i about it?.  Its been almost 6 months from the treatment started, i have lost about 15-20 lbs so far.  I want to get this thing cured and move on with my life.  Anyone has any idea?.      


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