Patient Comments: Anal Fissure - Diagnosis


How was your anal fissure diagnosed? Submit Your Comment

Comment from: Chill, 35-44 Male (Patient) Published: November 12

I’m an active cyclist. After a 100 km bike ride I began having bad anal pain from anal fissure. Having had this same bad pain on a bike tour in Europe where I ended up taking an ambulance to the emergency room, I went to the hospital right away. That was a Friday and Saturday morning I had surgery. If you experience buttock pain don’t wait, it’s not worth it.

Comment from: LostAndConfused, 55-64 Male (Patient) Published: October 24

I am 28, mother of 2. I had my very first Bartholin cyst. I started feeling discomfort five days ago, and four days ago, I noticed the lump. Three days ago it started to hurt to the point of my being in tears. I went to Urgent Care, and the doctor said it was herpes. Swab and blood test said no. My mom told me it is a cyst and gave me ideas on how to treat it. I don't envy any of you that have had multiple go arounds with this. I am on day 3 of treatment and it still hurts to urinate.

Comment from: Happylady, 19-24 Female (Patient) Published: May 01

Viewing all the comments, it has made me realize how important it is to know our bodies. I was having chest pains and thought I had a heart attack, there was tingling in my fingertips. In the emergency room they did a blood test and found my potassium was at 2.4. They gave me a potassium drink and my potassium is now at 3.5. I never realized that you can have a stroke or heart failure due to low potassium. Both my parents have had strokes and now I wonder if it could have been avoided. I will definitely be eating more bananas. My deficiency was due to my high blood pressure medication. My doctor has changed my medication and I am feeling so much better.

Comment from: Rob, 65-74 Male (Patient) Published: February 17

I had an anal fissure for a month and the pain was awful. My primary care physician initially diagnosed it as hemorrhoids but on a second visit the physician’s assistant correctly diagnosed it as anal fissure. Nothing really worked to alleviate the pain so I made an appointment with a surgeon. He gave me two options; continue with my current home treatment or surgery. I elected the surgery since I wasn't getting anywhere with baths and creams. Best decision I ever made. I was totally pain free the next day and I've never had a problem since. And this was over 10 years ago!

Comment from: Marla, 55-64 Male (Patient) Published: January 26

In 1973 I weighed 320 lb. and was considered a patient for an intestinal bypass, an experimental form of weight loss surgery. My blood pressure was 240/140 and I was pre-diabetic. I currently (43 years later) weigh 180 and my blood pressure is normal and I am not diabetic. This procedure is no longer used because of many problems like 43 years of diarrhea, insufficient absorption of nutrients, and severe cramping from gas in the stomach and tract. But, I am alive and have lived a full professional life and am living a busy retirement life.

Comment from: Ejargachew E, 19-24 Male (Patient) Published: July 08

I have bright bleeding during excretion and there is no pain. I am not sure if it is anal fissure.

Comment from: Kranthi, 45-54 Male (Patient) Published: July 05

I am having white discharge with bad smell and having stomach pain due to bacterial vaginosis.

Comment from: leo, 45-54 Female (Patient) Published: August 12

I was diagnosed with grade III hemorrhoid at the result of my colonoscopy last August 2013. Now and then I still bleed after my bowel movement and sometimes when I walk long distance or have been standing for too long I bleed; it bothered me so much. My medications are Faktu cream and Hemorid.

Comment from: 25-34 Male (Patient) Published: April 16

I have been suffering from anal fissure since 2 weeks. When I have bowel movement I feel serious pain and there is bleeding with stool. A few days ago I went to the doctor and he did my colonoscopy. He diagnosed I have anal fissure and suggests surgery. He gave me some medicine, Cefradine and ointment. Till now I have no improvement. But I can’t understand what I can do.

Comment from: AlwaysOn, 55-64 Female (Patient) Published: December 01

Decades ago I had a bout of anal fissures. The doctor said surgery sometimes works, sometimes doesn't. I was trying to decide on surgery when they cleared up. Several months later, a second episode. It took me a short time to figure out the problem. I was eating Monterey Jack cheese every morning when they first came on and got so bad. I ran out of the cheese. Then I bought more and they came back. I avoid the cheese and no problems. I've since discovered a sensitivity to fontina cheese. Bottom line: consider what you might be eating that can cause the problem. I'd consider anything that uses a culture, such as cheese or yogurt, etc. My doctor never once asked about diet but that was it for me.


Digestive Disorders: 23 Constipation Myths and Facts See Slideshow
Comment from: Vincent, 25-34 Male (Patient) Published: February 09

I hope this is helpful to someone. I suffered from ulcerative colitis from 1975 to 1987. In 1975, at the age of 12, I was diagnosed with ulcerative colitis after experiencing symptoms of bloody stools. I was prescribed Azulfidine which seemed to help the problem for the first two years. In 1977, the symptoms worsened to bloody diarrhea. At this point, I was prescribed prednisone. That would initially help, but when I would begin to taper down the dosage, several months later I would get a relapse. Like clockwork, every summer I would get a relapse, and then go on prednisone until the next spring. This continued until 1986, when I got tired of prednisone and its side effects. I decided to see a nutritionist. After several tests, he prescribed a diet, a regime of vitamins (some of which I was already taking), and the supplement Twinlab Fibersol. You can find this product in most vitamin stores. I never changed my diet, I continued with the same vitamins, but several months after starting the Fibersol, I noticed positive results. I started taking the Fibersol February of 1987, the same time I was tapering off on the prednisone. I did not get a flare-up that following summer. Maybe it is a coincidence, I don’t think so, but I have not had a flare-up since. Now, over 29 years later, and no flare-ups since 1986, I am still doing well at the age of 53. I still get periodic colonoscopies to make sure all is well.

Comment from: Yensog, 75 or over Female (Patient) Published: January 07

I had an anal fissure for two years. Doctor gave me creams, I bought Anusol cream, did all the bidet washes, tried everything but nothing changed. I found out by chance that I had a magnesium deficiency and started taking 500 mg a day for two weeks and by magic fissure disappeared. I keep having bicarbonate of soda once a day in the bidet, as a precaution. I cut the magnesium to 300 a day with added potassium 250 mg a day. So there may be some of you out there where creams don't work you too may have a deficiency. So try it, it's changed my world.

Comment from: lynda, 55-64 Female (Patient) Published: October 30

I have suffered on and off with anal fissure for the last two years but three weeks ago it has flared up and no matter what I take the pain is horrendous. It hurts to sit down and lie down. The doctor has prescribed the medicine you have all taken but hasn't cured it.

Comment from: bundox, 45-54 Male (Patient) Published: March 13

I've been suffering from an anal fissure for about 4 months now, I was using stool softeners and creams and it was getting better. However my doctor insisted on a colonoscopy and after the procedure my pain was twice as bad as it had been at the start. I'm convinced he tore it worse. Now I have an appointment with a surgeon. Hopefully surgery won't be needed.

Comment from: painfulpooper, 25-34 Female (Patient) Published: May 09

Mine was discovered after digital rectal examination by my GP. I had been having agonizingly painful bloody BMs for more than a year and couldn't stand the pain. Saw a surgeon and am now trying nifedipine ointment, but no change yet after 2 weeks of this treatment. I just want the pain to go away!!

Comment from: angellove, 45-54 Female (Patient) Published: July 12

I have been in agony for 18 months. I’m sure people think I am exaggerating when actually after hours of pain I could die, I cannot tell you how bad I have felt just want it to end, just had botox 4 days ago. Going to the toilet is a nightmare; my life feels like a nightmare I am so fed up. Ruined a job, no sex life actually feel like old woman and am wondering when it will end.

Comment from: Fissure Free, 45-54 Female (Patient) Published: March 24

I had this problem back in 2005 when I was going to be treated for some minor internal hemorrhoids. The doctor noticed a fissure. He removed some hemorrhoids and gave me some cream that didn't help. After many sleepless days and nights and crying from the pain, the doctor said I needed surgery ASAP. Two days later, I had surgery and I've never looked back. (No pun intended!) I am very glad I had the surgery. After three weeks, I was back working on the ambulance, as I'm a paramedic. I have never had the pain again.

Comment from: PITA, 45-54 Male (Patient) Published: November 14

I am an active guy and have had an AF (anal fissure) off and on for a few years. In June of this year it flared up. I dealt with it all summer, went to my gastroenterologist in August and after a month of nitroglycerin ointment, lots of water, fiber, stool softener, and great attention to my diet, I started to see some relief. Then in September, I had an injury that required me to take Lortab. Being a codeine based medicine, I became constipated and the AF came back. I went back to my gastroenterologist and he referred me to a colorectal surgeon. He suggested a fissurotomy. There's not much out there about this but my colorectal doctor has experience with them. Basically they are less invasive than IAS (internal anal sphincter surgery) and no risk of incontinence. I elected to have this procedure done the first of November. It is a Painful recovery but a different pain than that of the fissure. Four days post operation, and I am hoping to have the same success that others have had with this procedure.


You are constipated if you don't have a bowel movement every day. See Answer
Comment from: 45-54 Female (Patient) Published: December 27

I was diagnosed with irritable bowel and was getting sharp knife pains in my rectum. Also during intercourse the same thing would happen and the gynecologist told me to relax. Then this skin tag started growing out of my rectal sphincter to over 5 inches long which looked like a worm - wiggling and itchy. I had it cut off but it grew back three times. So finally the third time went for surgery in the OR and had it cut out of the sphincter not just shortened, had the fissure in the canal (all the scar tissue) cut out and let to heal again and had my sphincter cut to not make it so tight (internal sphincter). So from 1983-1996 I was in a lot of pain until the surgery and since then I might leak a bit but no more knife like pains, but it took three surgeries. They didn't remove any hemorrhoids so they still bother me now and then, I just try hard not to get constipated, I usually have diarrhea 3-4 times per day and carry tucks or wet wipes for when it gets itchy and to clean. It was worth the surgery but took along time before they would do it, always creams, tucks, soaks, etc. Up to you. It is now almost 30 years since the first incident.

Comment from: ingridrdh, 55-64 Female (Patient) Published: March 26

I had ovarian cancer and after the chemotherapy and radiation was having very painful bowel movements. I thought I might have hemorrhoids. Thought I had hemorrhoids, and was fired from my job because I missed work due this problem. I’m so glad to have a diagnosis of anal fissure--at least I am not crazy and it really does hurt. I just found out today, and am looking forward to relief and a new job.

Comment from: Catherine, 55-64 Female (Patient) Published: November 19

I have been diagnosed with an anal fissure after three months of suffering. The doctor gave me Diltiazem 2 percent ointment. After using it for almost four weeks, it had not helped me at all and burned when I used it. Finally, in desperation I decided to try using Triple antibiotic salve. In just a couple days I started to feel less pain. For the first time in about five or six months I am able to sit without pain. It was worth the try.

Comment from: t, 25-34 Male (Patient) Published: March 10

I am 32 years old and have been suffering on and off with anal fissures since I was a kid. I have tried several different creams sometimes they would work for a while sometimes not. I make sure to get at least 25 grams of fiber a day either with supplements or with my food intake. In addition I started using a stool softener. I had the botox surgery yesterday and they found a second fissure. One of the things to keep in mind is that more then one fissure or a fissure that won't go away may be caused by a type of Crohn's so make sure your doctors or surgeons check for it. Blood tests are not enough they need to actually go in a bit with a camera. At any rate I am scared to go to the bathroom because of all the years of pain I only go when I have no choice.

Comment from: sandee, 55-64 Female (Patient) Published: March 04

I have been in horrific pain since December. The pain has disrupted every aspect of my life. Assuming it was hemmorrhoids I went to the doctor finally for help. After the initial examine, he gave me a prescription for steroids. The pain worsened and when I went back he said I have fissures and suggested surgery. I declined. I went to my local health hut and tried some natural remedies. Still no relief and still enormous pain. I now have an appointment with a different doctor next week and hoping he will test me for anal cancer or another underlying problem. The first doctor did not do this. Cancer runs in my family.

Comment from: ntw0321, 55-64 Female (Patient) Published: March 04

I was told I had an anal fissure early January, I have been on suppository, nitroglycerin and many creams, it would get better then worse, mostly severe burning after bowel movements that last several hours. I went to a surgeon last week and am trying nifedipine ointment, but was not told how long before I would feel some relief, have lost 15 pounds since end of December, afraid to eat not sure what to eat. I drink plenty of water, take Fiber One and have no problem going to bathroon but the pain is severe...

Comment from: hurtsalot, 45-54 Female (Patient) Published: February 07

By colonoscopy and this is my second time around.