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Netphax (Pacific Northwest, Washington ) on 06/28/2023: 
There has been a lot of criticism and serious concerns raised from parents of children who have gotten sick. A lot of complaints over 20 years but no surprise that the FDA and other companies are failing the general public because a product is VERY profitable. That said I highly recommend NATURAL remedies and healthy ways to help ease constipation. I am someone who has lived with severe gi issues for the majority of my life. With the last 20 having had every diagnostic study numerous times, many diet changes, and even adhesions removal surgery. Little did I know that endometriosis is a huge factor of women suffering from GI issues and adhesions are undetected without literally having laparoscopic diagnoses. Meaning minimal invasive surgery to stick a camera into the abnormal cavity and look around. My issues were discovered initially by accident when I was having surgery for something else. My initial surgery was changed to 3 hours of having unseen adhesions removed and my gi track getting untwisted which was caused by adhesions. Once again this problem can not be diagnosed using ultrasounds, colonoscopies, endoscopy, mri, ct, and xray. It is invisible to any other means of detecting. Unfortunately it was another 10 years before bringing us to present day before I learned of endometriosis, it's sisters and all the problems it can cause. The great news is there are some healthy options that can be done to ease the agony of chronic GI issues. 1: Fresh popped popcorn using coconut oil I use less than a pinch of salt and only 2 tablespoons of butter per 3/4 unpopped kernels. Added into a tall rectangular airtight storage container and shaken. The size used for 10 lbs of flour. I found creating a smoothie of fruit strawberries, peaches, blueberries, and cherries adding a tsp of cloves and 1-2 tbsp of cinnamon depending on preference and size of drink. Combined with hemp milk. I purchase my fruit in season then frozen or canned for later use during the year. I eat plant based protein bars Aloha brand is my favourite but there are others out there. Make sure to stay hydrated. Drinking 1 ounce of non caffeinated fluid for every 2 lbs of weight. Meaning a person who weights 180 pounds needs 90 fluid ounces but someone who is 300 would need 150. The key to larger amounts is using a SMALL GLASS 8-12 ounces max and a schedule. Just keep in mind for every ounce of caffeine intake it strips 2 ounces of fluids because it is a diuretic. If you are a woman suffering from gi issues, cycle issues extreme pain, unknown fatigue and or a mysterious illness you are not alone. Keep your chin up and keep on keeping on. I recommend seeking an endometriosis specialist and see if they can help you find out if any of your chronic struggles can be helped by them. Mine were. I will always live with my rare form of fully systematic lupus and the unique to me issues it brings. But that is why the lupus slogan is help us solve the mystery. No two cases are alike. Blessed be to all and take care
Louwrence (Rustenburg, South Africa) on 09/07/2013:
Mchuco (London) on 07/09/2012: 
Im getting much better now with little pain/spasms after BM.
What really helped me: healthier diet, with lots of liquids, wash after BM. At home I use a plastic bowl that fits in the toilet pan and use it to wash and bath with warm water for 15-20 minutes to help with the spasms. Do it as many times as you need as it relaxes the muscles and you feel less pain. At work I use a plastic bottle, filled with warm water and wash after each BM. Very important always wash.
After wash, dry with toilet paper and apply CAVILON Cream. Got much much better after first time.
Every individual is different, but if you are in agony it is worth trying.
Good luck!!! This is really a pain in the butt....
Whatworks (Woodbridge, Va) on 10/24/2011:
I've been plauged by a chronic fissure for the past couple of months and I feel that I have to share my remedy of getting better with the world.
Honestly, everyone is different but half of the stuff I've tried out there that people swear by does not work.
I visited a top Washington DC doc and had two other opinions on follow ups by different docs. Surgery seemed to be the answer. I didn't want to take the risk cause I am only 29. I'm in good health and I just randomly got a fissure one day. I have been plauged by hemmorroids during the course of my life so that may have contributed to it.
Okay, NITRO-BID ointment (by prescription), applied 3 times a day 6 hours apart in the amount of a pea sized drop, around the anus caused the sphincter muscle to stop spasm. This helped me a great deal to keep pressure off of the fissure to enable it to heal.
Dubicaine (lidocaine) for hemmorroids applied directly on the fissure before a BM helped take the pain away as did taking ADVIL. TYLENOL does not work. ADVIL is a blood thinner so my thought is that it keeps the blood from building up causing inflammation.
I would take MIRALAX everyday. It's not habit forming and works wonders to soften the stool. GO TO THE BATHROOM! Don't wait cause it hurts, it's gonna hurt and you are gonna have to suck it up a little. But the sooner you realize this the better and on the road to healing. Keeping the body free of waste will enable your BM to start consistently becoming soft and easy to pass. The longer you hold it the more rock hard it will be, tearing you everytime.
Lot's of soluable and insoluable fiber. 30 grams a day. Avoid solid foods such as wheat and pasta. Eat lots of fruit and salad until the pain goes away then gently introduce items that are more solid. Soft foods help!
Drink lots of water. The old adage of 8 glasses a day is BS! I looked up the new guidelines and you need to find out your body weight, then divide that by 2. That is how many ounces of water a day you should consume. For example: I'm 280 pounds, divided by 2 is 140. 140 ounces of water is ideal for my body weight, and more if I am exercising.
Finally, use this stuff called Dr. WHEATGRASS cream. It's made in Australia, but sold here by a couple of retailers. You can find it on Amazon.com from a couple of different sources. I apply it directly and it works wonders to help the healing process. I don't understand why doctors think all of this natural stuff is bs... guess they want to just make money on surgery.
Finally, take a multivitamin. I also take B12, B6 for bleeding associated with it, and a good quality Vitamin E capsule.
I swear if you do these things it will help. It helped a lot for me and I had terrible terrible pain for 2 weeks until I finally started figuring my body out and what I needed to do to fix it.
Also, in the future if you get constipated. Don't try to pass it and risk a tear. Here is what you do, and it's nasty but it saves you the pain.
As you strain to push the poop from your body your anus is stretched at that point and the poop is barely sticking out, often rock hard. At that point take a finger and stick it into the poop and push your finger as far as you can while pushing the poop out. This breaks the poop up into a smaller, more easy piece to pass thus not tearing your anus. It's disgusting cause you will have stuff over your fingers but it works. Keep doing it until you have passed everything. As the poop starts to exit the colon it should become more soft as it is freshly exiting the large intestine.
GOOD LUCK!
Gentle (Erie, Pa, Usa) on 03/03/2010:
First of all, I quit drinking coffee. I noticed that I would frequently have bowel movements after drinking it, so decided to try to quit it and see what would happen. I substituted green tea, and was able to avoid any withdrawal headache. I would suggest watching carefully what you intake and how it affects your bowel movements, especially if you have an easily irritable stomach and bowels. With anal fissures, I believe it's important to have regular and healthy bowel movements, that don't require a lot of wiping which will only irritate the fissure more and suppress healing. So watch what irritates it and stop those things or reduce them.
Secondly, when I do have a bowel movement, instead of wiping a lot, I'll only wipe once with toilet paper, then watch thoroughly with soapy water using your hand. I know it's gross, but you need to irritate this area as little as possible. Also, think of it as a cut that needs to heal. What do you do to cuts? You wash them and keep them clean to prevent infection. I think the same applies with fissures. If you can stomach it, use you finger to wash inside, and then to rinse, and gently wipe dry with a paper towel.
Third, I've been applying a solution of pure olive oil (from whole foods) and crushed up MSM tablet, which promotes the healing. You can crush it by putting it in a plastic baggy and pounding with a mallet. You want it in powder form. If it's to chunky it will scratch and only hurt the situation. Mix it thoroughly with the olive oil and apply to the fissure and inside the anus after every bowel movement, when you get up in the morning and before you go to sleep at night.
Finally, itching. An anal fissure can itch terribly, but scratching it will only make it worse. When it itches what keeps me from scratching is to think that when a wound is healing, sometimes it itches, therefore if the fissure is itching it is healing, which is a sign of progress. This thought keeps me from scratching and therefore setting healing back.
I would say that mostly it is about finding out what causes your particular body to have unhealthy bowel movements(really watery or really hard) and substituting something that doesn't have that affect. Coffee, alcohol, greasy and junky foods, etc.
This has been working for me, I hope it helps others as this is a really draining and painful illness to have.
