I have acid reflux for which I had been over using OTC anti-acids. I believe that this caused a disruption of the ph in my intestinal track. The result was one or two days of hard stool BMs followed by burning diarrhea and rectal soreness and possibly a tear.
I quickly consulted EC and found the following combination worked for me:
1. Increase your fiber content and water intake to keep stools naturally softer. I ate a high fiber bread, crackers, fruits, vegetables, ground flax seed in yogurt, and EVCO.
2. I made my own EVCO suppositories with a drop of tea tree oil. I used the tin foil "shells" of commercial suppositories, filled them with the coconut and tea tree oil, closed them and placed them in the fridge. I used these after every bowel movement and before bedtime (use a panty liner to prevent staining.)
3. I also bought cotton gauze pads and circles (the kind you use for makeup removal). Make sure it is 100% cotton. Limit your use of paper because the anal tissues are already irritated. I sprinkled the gauze with alcohol-free witch hazel with aloe (I like Wagners) to cleanse the area after every BM. Then I placed more witch hazel on a cotton circle, folded it in half and used it as a "tuck" and left it in for at least a 1/2 hour. After you remove it use more EVCO as a moisturizer.
4. I took sitz baths at least three times a day for twenty minutes each at first. Keep replacing the water with warm water. Then at least once a day until the trobbing stopped.
5. I bought a good quality "donut" pillow. I alternated sitting and walking/standing.
6. At night I slept on my side with a slim pillow between my knees.
It took about three weeks until I felt "healed. " The main thing to remember is to balance your system in terms of ph and fiber so that you don't continually re-injure yourself. Use a homemade suppository before BMs.
I have also stopped taking antiacids and switched to a mixture of 2 tbs. ACV (the one with the "mother") and fresh lemon juice in a tall glass of water for my acid reflux.
After suffering from fissures for almost 6 months, I was desperate for a cure. I was seriously considering surgery but was able to avoid that with the help of multiple things. I will list them here:
1. If you have the urge to go, don't stop it - just GO
2. Sitz baths really helped in pain relief. Atleast twice a day is a must (more if possible)
3. Keep the rectum area well lubricated all the time. I tried multiple things but what helped me most was Ghee(Rarified butter). This is a very common product in Indian cuisine. I ate one tablespoon of ghee (sometimes more) everyday and also applied it externally two-three times a day. Also make sure to apply it before a bowel motion. Trust me, it works like a miracle on the pain.
4. Incorporated more fiber in the diet. I like Fiber One original cereal (1 serving has 57% of daily fiber requirement). Some foods I swear by are: cabbage, brocolli, sweet potato, apples, pears, papaya and mango.
5. I took botox injections in the rectal area. This is not very known in the US but is apparantly quite common in Australia. They help relax the rectal muscles and restore blood flow to the region which helps in healing of fissures. Ask your doctor about it. It took me about 2 weeks before I started noticing a reduction in pain.
6. I also take vitamin D supplements. Avoid acidic foods. Eat well and enough so that it is easier to have a bowel motion. Sleep is a great healer.
All the Best! Have faith - this is not a severe condition but yes, the pain is severe. It does get better, it does heal!
- Vitamin E Oil Supplements - the most helpful remedy I've found for anal fissures. You can find these at Whole Foods or other health food stores. I can't name the particular brand, but there is one brand that contains high quality vitamin E oil and coconut oil that can be used for either rectal or vaginal use - let me just say that these have been a miracle to speed the healing, and helped heal my fissure within 2 days!
- Witch Hazel - after every bowel movement, make sure to clean the anal area with witch hazel. You can do it inside too like other readers mentioned, just buy a pair of rubber exam gloves to protect your hands and to keep bacteria out of that area. It's really important to keep the area clean to help decrease inflammation and to speed healing. You can buy (can't mention the brand, but it's a hemmorhoid brand) witch hazel wipes in the store, or you can just make some yourself with some witch hazel (try not to buy witch hazel that contains alcohol, ouch! ) and a cotton pad.
- Coconut Oil - see my method for creating coconut oil supplements on the hemmorhoid remedies page. Helps lubricate the area and speed healing.
- Soften bowel movements - if your anal fissues were due to constipation, it is important that you soften your future bowel movements to prevent any further tearing to the tissue during the healing process. You can use an over-the-counter stool softener (NOT laxative) to do this. Also increase your water intake and increase your vegetable/fruit intake.
- Change your position - like other readers have mentioned, changing your position in the bathroom can help relieve some of the strain on the anus. I prop my feet up on a stool to elevate them to bring my body more into a "squatting" position. You can experiment to see which position works better for you. This helps to strain less in the bathroom which means less pain and less damage to the injured area.
- Sitz baths - I take them every hour or so or after bowel movements to decrease pain. You can find epsom salts pretty cheap at the store. I also go in the ocean for the same reason, maybe it's psychological, but I think the salt water helps.
Hope this helps!