I've been suffering from an anal fissure for the past two years or so. I had no clue what it was at first, tried everything from pinworm medicines to hemorrhoid creams and finally this past November went to a GI doctor, had a stigmoidoscopy and they told me it was a fissure. Although the stigmoidoscopy was helpful, I also felt that it led to more bacteria and infection because, frankly, I'd never had anything stuck up my bottom like that!
I'm only 25 so the doctor said this wasn't very normal for someone my age to have. He gave me nitro glycerine which didn't work. The only cream that helped me was calmaseptine. It is similar to a calamine lotion and stops itching and has menthol so it relieves with a cooling effect. However, I was sick of using creams and just wanted this cured. I went to a surgeon and on Jan. 26 had botox injected. He also sewed up my fissure.
I completely changed my diet to high fiber and cut out sugar and drank tons of water. I also began taking a few stool softeners a day and Metamucil pills. Because of just those changes I always have soft stools and never have a problem with BM. The only times I do is if I drink a lot of alcohol which leads to watery diarrhea (which is just as bad as having hard stools) or if I eat junk food. So those had to be cut.
The Botox injection completely stopped the spasms. However, I still had itching at night to the point I was waking up at 3 am having to take baths, then waking up late for work and it completely ruining my day. After much research I found that these solutions have worked for others:
1-2 tbsp of olive oil before bed (softens stool amongs many other health benefits)
aloe vera applied to the fissure or drinking aloe juice
wheat grass, gotu kola and wheat germ oil
vitamin B6 and zinc
As I am fed up with the fissure taking over my life especially after my Botox treatment I've decided to try completely natural remedies. As of yesterday I began taking B6 and zinc, taking one epsom salt bath at night (the salt is so healing), drinking one cup of aloe vera juice, taking one tbsp of olive oil before bed, and taking a full dose of wheat grass (check our Dr. Wheatgrass, the results are incredible) and taking a wheat germ oil supplement. At night I am opening up two wheat germ oil pills and putting them onto a Johnson & Johnson gauze and applying to the fissure and sleeping with them in. I did it for the first time last night and my inflammation had drastically reduced.
The main reason for itching is moisture in the anal area and openings. Thing of if you had a cut with moist skin rubbing against it, there's your reason for irritation. The best remedy is to use gauze or Johnson&Johnson cotton and place it to keep the area dry. Don't use toilet paper or kleenex as the roughness could irritate the area more.
Hopefully some of these remedies will help you too!